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…
Read MoreHistory: 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…
Read MoreHistory: 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…
Read MoreHistory: 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…
Read MoreHistory: 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…
Read MoreHistory: 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.…
Read MoreHistory: 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…
Read MoreHistory: 80-yr-old female with severe deformities in both her knees, refused surgery by multiple surgeons. 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 are part and parcel…
Read MoreHistory: 37-yr-old had a fall in the bathroom, resulting in a rare case of posterolateral condyle chip fracture. Case: Although this is a non-weight bearing area, the osteochondral body has to be removed as fixing it through open surgery is impossible. The fragment was arthroscopically removed and a microfracture was done at the defect so…
Read MoreHistory: 83-yr-old man suffered from acute, three-part communited fracture of proximal humerus. Case: Fixation with plate screw would have been a futile exercise on 83-yr-old with weak bones and high quality fracture. A Hemi Replacement would fail too because of the absence of the cuff. Hence a Reverse Shoulder Replacement was performed on the patient.…
Read More