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This is one of my early IPGMER days total knee replacement (tkr) surgery done on the right knee for grade 4 osteoarthrosis with medial tibial deficiency that was counteracted with bone graft held with screws. This post would be incomplete without gratitude to Dr. Debasis Mukherjee and Dr. @Chetan Chetan

Listhesis @L4-L5, disc bulge and canal compromise @ L4-L5 and L5-S1, treated with posterior decompression and stabilization with polyaxial pedicle screws. the procedure took 2 hours patient walks pain free after 48 hours.

There is a lot of fear and misconception surrounding total knee replacements, but for a severely damaged knee with grade 4 arthrosis, such procedure is practically mandatory to prevent a future disaster even if the patient is relatively young at 49 year of age.

A paediatric corrective osteotomy may seem like a smaller procedure (or less glamorous), but to me these feel more demanding than replacement surgeries. this one was done for a 21 degree cubitus varus (inward deformity of elbow)

Arthroscopic management on ligament injury in knee: Whether a meniscus is repairable depends on many different anatomic and other factors, most troublesome contraindication however is patient themselves. In todays fast world for most young individual taking prolonged bed rest to give a repaired meniscus time to heal is unthinkable. That is why like in this

A ganglion is essentially a jelly filled sac that commonly forms around tendons of wrist and ankle, in most cases we ignore these growths. In this case however one formed around the radial artery of wrist pressing on the median nerve causing significant pain and difficulty in writing for this young girl.

Congenital talipes equino varus (CTEV) is a birth deformity of ankle and foot, these are usually managed successfully with series of plaster casts. in some cases like this 7 year old child due to various reasons treatment with cast fail. This method of treatment is called U-Max and it usually cures even the most resistant