Meniscus Tear? Don’t let them go untreated!

History: 25-yr-old patient was suffering from a peripheral lateral meniscus tear. Case: Take a close look at the tibial cartilage, the fraying is because of the unstable meniscus moving in and out during flexion and extension causing friction of cartilage. Dr. Amyn Rajani repaired the meniscus with an all-inside arthroscopic technique. The meniscus is now…

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Single-Stage Bilateral Total Knee Replacement Surgery Success

History: 70-yr-old female unable to walk because of severe varus deformity with multiple big osteophytes. Case:  A single-stage Bilateral Total Knee Replacement was performed with long stem. Long stem is better to use in obese patient with osteoporosis with severe deformities, it avoids periprosthetic fractures and adds more stability to the construct.  

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Repairing of the Patella Tendon Rupture

History: Patella tendon rupture due to fall post Total Knee Replacement Surgery Case: Generally as per literature, the prognosis of this repair and prognosis of patient is very poor and there is no choice, but to repair because of the inherent instability caused due to rupture. If you remember, 3 months back we had a…

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MPFL Reconstruction Performed on a 16-yr-Old Patient

History: 16-yr-old with a recurrent dislocation of Patella because of the tear of the MPFL (Medial Patellofemoral Ligament) Case: This tear increases the forces of the lateral structures, thereby causing imbalance which results in dislocation. A mini-open MPFL Reconstruction was performed using semitendinosis graft and the balance was restored to avoid further dislocation. Range of…

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Reviving the Forgotten Art of Open Wedge High Tibial Osteotomy

History: 41-yr-old man was suffering from immense pain in his left knee and standing scanogram showed a varus malalignment whereas MRI showed a medial meniscus tear. Case: A plain arthroscopic meniscectomy would not have relieved his symptoms. Normal mechanical axis is the line from the center of head passing through the lateral tibial spine in…

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Partial or Total Knee Replacement for 85-yr-old Patient?

History: 85-yr-old patient on whom Partial Knee Replacement was performed by Dr. Amyn Rajani Case: A lot of patients and doctors ask Dr. Amyn Rajani why Partial Knee Replacement instead of Total Knee Replacement for elderly. Look at the lateral cartilage of the 85-yr-old operated patient. It’s absolutely pristine then why replace it then. Also…

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Reverse Shoulder Replacement on 85-yr-old Patient

History: Reverse Shoulder Replacement performed by Shoulder Specialist in Mumbai, Dr. Amyn Rajani Case: A lot of people have asked Dr. Amyn Rajani about the result of Reverse Shoulder Replacement performed on 85-yr-old woman and was it really necessary to perform, considering the age of the patient. The patient walked into doctor’s clinic 3 months…

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Arthroscopic Repair of Dislocated Shoulder

History: Case of a 22-yr-old boy with Shoulder Dislocation   Case:  22-yr -old boy recently dislocated his shoulder. With a tear of the anterior inferior labrum (like the one below) it was mandatory to fix it rather than wait for an inevitable recurrent dislocation. Hence, an Arthroscopic Repair was performed by Dr. Amyn Rajani and…

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Medial Meniscus Repair for 17-yr-old Patient

History: 17-yr-old boy suffered from a bucket handle tear of the Medial Meniscus, complex tear of Lateral Meniscus and ACL Tear. Case: A medial meniscus Repair of the bucket handle with all inside, Inside out and Outside in technique was performed. I repaired the lateral meniscus by all inside side-to-side sutures and reconstructed the ACL.…

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A Ray of Hope for 70-yr-old Female Patient!

History: 70-yr-old female patient had a fall and injured her TKR operated Knee.   Case: 70-yr-old female had a good Total Knee Replacement Surgery by another Surgeon some 5 years back. She recently fell down and badly injured her knee, this resulted in a patella tendon avulsion. This has a very poor prognosis and gives…

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