72 yr old lady suffered injury to her elbow with multiple fragments and poor bone quality because of osteoporosis. She couldn’t be operated for 3 weeks because of poor skin condition. After 3 weeks we felt that fixation won’t give good result because of small fragments and osteoporosis. Elbow replacement was done for her with excellent results. She’s having a stable , painless ,functional elbow with full movements.
ACL(Anterior cruciate ligament) injury is quite common in young adults which can be due to sports or motor vehicle injury. Earlier these injuries were quite neglected and sometimes even open repair were done leading to sub-optimal results . Arthroscopic reconstruction of ACL tear is the standard of care now with excellent results. The knee becomes stable, painless & patient can perform ALL activities without any restrictions. The whole surgery is performed through tiny keyhole incisions leading to quicker recovery and early return to function.
Posterior cruciate ligament is a very important stabilising ligament of the knee joint. It is a very strong ligament and provides stability to the knee joint from behind. Rupture of PCL ligament is quite uncommon in relation to ACL ligament injury and this usually happen in severe injury. PCL can be rupture either in the middle or it can get avulsed from its bony attachment at the tibia. Avulsed bony fragment is fixed with screws and it may be done arthroscopically or open technique. If it is a ruptured in the middle then it requires reconstruction which is done artroscopically.
Avulsed PCL Fragment Fixed with screws
59 Years / male with fracture of upper part of thing bone was treated with DCS plate and screws elsewhere but failed because of improper and inadequate fixation remove failed plate. Fixed the fracture with interlocking nail and bone grafting and bone united in 4 months