Happy Maha Shivratri, 2023!!

 

 TLIF is a Surgical procedure on Spine done after discectomy of L4/5 or L5/S1 levels done for slipped disc and Sciatica . The slipped disc is completely removed and replaced with a disc spacer which helps in fusion of that level. Patient is able to sit,stand and walk on 2nd day itself. The Intraoperative X rays and photo( under operating microscope) are self explanatory.

RECURRENT DISLOCATION OF THE SHOULDER

 “RECURRENT DISLOCATION OF THE SHOULDER”, is a common problem in youngsters. Basically, the ball of the shoulder joint slips out of it’s socket . First time it is caused by significant injury, fall while playing in the playground or an accident . It becomes “recurrent”, if repeated dislocation ( slipping of ball out of the socket ) happens with trivial injury or in sleep too. Such patients need an MRI and Surgical treatment like Arthroscopic Bankart Repair( Key hole surgery). But, sometimes the socket gets partly eroded by repeated dislocation, ( Bony Bankart lesion) in which case, keyhole surgery cannot be performed, rather a open surgery called as BRISTOW LATARJET PROCEDURE, is required, which prevents further recurrent dislocations. A young man had dislocated the shoulder repeatedly nearly 8-10 times. VIDEO shows the bony cup ( glenoid) , with significant bone loss-“ inverted pear shape” with loss of more than 25% of bony glenoid, seen in the Arthroscopic Video grab. Photos and X rays show the results after such a Latarjet procedure in a young man- see the excellent function, 10 months after surgery.Now he doesn’t have FEAR OF DISLOCATION.