Dr. Amyn Rajani
M.S. (Orth), Gold Medallist, University of Mumbai
Consultant Knee, Shoulder & Hip Surgeon
Robotic Joint Replacement, Arthroscopy & Sports Injury
History: Recurrent dislocation of the patella can result from a tear of the MPFL (Medial Patellofemoral Ligament).Case: This tear increases the forces of the lateral structures, thereby causing imbalance which results in dislocation. In MPFL reconstruction, a tendon graft (for example semitendinosus) is used to rebuild the ligament and reduce the risk of further dislocation.…
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History: Open wedge HTO may be considered for patients with varus malalignment and medial compartment symptoms, with or without a 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 the knee and comes…
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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. Partial…
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History: Reverse Shoulder Replacement performed by Shoulder Specialist in Mumbai, Dr. Amyn Rajani Case:
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History: Arthroscopic Repair After a First-Time Shoulder Dislocation in Young Patients Young, active patients who dislocate the shoulder have a higher risk of it dislocating again. In arthroscopic labral (Bankart) repair, the torn labrum is reattached to the socket using anchors.
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History: Young patients can have a bucket-handle medial meniscus tear together with a lateral meniscus tear and an 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. In young…
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History: A fall after knee replacement can occasionally cause the patellar tendon to pull away from the bone.Case: This has a very poor prognosis and gives rise to instability. Treatment may involve primary repair using bone tunnels in the patella and suture anchors. She will be immobilized for 6 weeks. Pitfalls are stiffness of the…
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History: Elderly patients with severe deformity in both knees need a careful assessment of the risks and benefits of surgery.Case: This patient was operated for Total Knee Replacement Surgery by Dr. Amyn Rajani at Breach Candy Hospital. Dr. Rajani’s take on the case: Every patient deserves the right to live with dignity and calculated risks…
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History: A fall can occasionally cause an uncommon chip fracture of the posterolateral femoral condyle.Case: Although this is a non-weight bearing area, the osteochondral body has to be removed as open fixation is often not practical for small fragments in this location.
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History: In elderly patients with weak bones, a three-part comminuted fracture of the proximal humerus can be difficult to fix with plates and screws.Case: Plate-and-screw fixation may not hold well in osteoporotic bone with a complex fracture. Hence a Reverse Shoulder Replacement was performed on the patient. In Reverse Shoulder Replacement, the entire biomechanical of…
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