Correct Trauma Principle in Joint Replacement give Excellent Results.

80year old male presented with pain and inability to bear weight on left Lower Limb since 2 days

Pre Op Xrays

Diagnosis : Severe OA Left knee with Displaced Stress Fracture in Upper Tibia

PLAN : Primary TKR with Extension ROD 

OPERATIVE PEARLS:

• Guarded Knee Flexion for Tibial Cuts
• Use of POLLER SCREW technique to get the alignment of Intramedulary Rod in Proximal tibia.
• Finishing the Femur cuts to Get Space for Entry into Proximal Tibia
• Serial Reaming after putting the Poller Screw and checking reduction under Carm guidance
• Using intramedullary Guide for Proximal Tibial cuts
•  Using large Extension Tibial Rod for Tight fit
• Checking Correct Rotation and Patellar Tracking before final Implantation

 Post Op Xrays

Correct TRAUMA PRINCIPLES in JOINT REPLACEMENT give Excellent Results.

Surgery Performed by Dr Ajay Shah and Dr Kunal Shah