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.
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.
73 yr old lady, suffering from pain in her Right shoulder for last 4-5 yrs due to Osteoarthritis. She was advised physiotherapy , medications and was even injected in her Shoulder joint without any long term benefit. The pain was so severe that even turning in bed was quite a task for her.She was then advised to bear with the pain or take painkillers for unbearable pain.
She was taken up for surgery and as her muscles were weak , Reverse Shoulder Arthroplasty was performed on her. She was relieved of pain within 3 weeks of surgery and could perform normal day-today activity within 6-8 weeks.
28 year old gentleman was having problem of repeated dislocation of Lt. shoulder after injury. The traditional treatment involved open shoulder surgery which usually causes stiffness, pain and delayed recovery. This was successfully managed by Shoulder Arthroscopy by which torn Shoulder Labrum was fixed by keyhole incisions only causing minimal pain and early rehabilitation.
65 Yr old lady was having pain and weakness of her right shoulder and inability to lift her shoulder by herself. She also was dislocating her shoulder repeatedly.
She was Successfully managed by Shoulder Arthroscopy where her torn labrum as well as torn Rotator cuff was repaired. With meticulous repair and good rehab she regained her full shoulder 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