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  • Locking Plates Tips and Tricks

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    Ramprasad Kancherla
    10 views18 pages
    The document provides tips and tricks to avoid mistakes in total knee replacement (TKR) surgery. It discusses the importance of (1) initial non-operative treatment and patient selection, (2) optimizing preoperative evaluation including addressing comorbidities and proper imaging, and (3) careful attention to surgical steps like tibial cuts, femoral cuts, balancing, and avoiding flexion deformities. The key is to be comfortable with surgical exposures, know anatomical releases, be conservative but not dogmatic with cuts, understand femoral rotation philosophy, and learn from one's own mistakes to improve outcomes.

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    One can learn about how to use a locking plate

    Original Title

    Locking plates tips and tricks

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    The document provides tips and tricks to avoid mistakes in total knee replacement (TKR) surgery. It discusses the importance of (1) initial non-operative treatment and patient selection, (2) optimizing preoperative evaluation including addressing comorbidities and proper imaging, and (3) careful attention to surgical steps like tibial cuts, femoral cuts, balancing, and avoiding flexion deformities. The key is to be comfortable with surgical exposures, know anatomical releases, be conservative but not dogmatic with cuts, understand femoral rotation philosophy, and learn from one's own mistakes to improve outcomes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views18 pages

    Locking Plates Tips and Tricks

    Uploaded by

    Ramprasad Kancherla
    The document provides tips and tricks to avoid mistakes in total knee replacement (TKR) surgery. It discusses the importance of (1) initial non-operative treatment and patient selection, (2) optimizing preoperative evaluation including addressing comorbidities and proper imaging, and (3) careful attention to surgical steps like tibial cuts, femoral cuts, balancing, and avoiding flexion deformities. The key is to be comfortable with surgical exposures, know anatomical releases, be conservative but not dogmatic with cuts, understand femoral rotation philosophy, and learn from one's own mistakes to improve outcomes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 18

    TIPS AND TRICKS TO

    AVOID MISTAKES IN
    TKR
    DR RAMPRASAD KANCHERLA
    MS (ORTHO) AIIMS, FAOA (AUS)

    JOINT REPLACEMENT SURGEON

    A1 ORTHOCARE, GUNTUR
    LETS RUN THROUGH EVERY STEP …
    SELECTION
    • Initial visit
    • Always begin discussion and preparation of non operative treatment

    • Trail of weight loss, maintain ideal BMI


    • Aerobic exercise, NSAIDS, Corticosteroid injections etc
    • Identify patients who can achieve benefits of reduction of pain,
    improved mobility that outweigh the risks of surgery
    OPTIMIZE PREOPERATIVE
    EVALUATION
    CLINICAL EXAMINATION – DO NOT MISS…

    • Stability
    • Previous scars
    • Distal pulses
    • Hip/spine/foot
    • Extensor mechanism
    • Handle comorbidities beforehand
    • Scannogram – ideal
    • Atleast get a STANDING xray
    SURGICAL STEPS
    DON’T FIDDLE WITH EXPOSURE …

    • Do whichever way you are comfortable


    KNOW YOUR RELEASES..
    TAKE A PROPER TIBIAL CUT..

    • It’s the foundation cut


    • Be conservative but not DOGMATIC ….
    FEMUR CUT – KNOW ABOUT PHILOSOPHY OF
    EXTERNAL ROTATION
    • Balancing
    • Patellar tracking
    BALANCING – CHECK AND RECHECK …
    NEVER LEAVE A FLEXION DEFORMITY INTRA
    OP ..
    LEARN FROM YOUR OWN MISTAKES ..

    The greatest obstacle to discovery is not ignorance,


    It’s the illusion of knowledge
    D J Boornstin

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