Happy 76th Independence Day!

 

https://www.youtube.com/watch?v=DBkC86S3Tno

Medtroniks Sextant System (USA)

 Medtroniks Sextant System (USA)—1

65 year old lady with severe Sciatica Lt leg and Gr-1 Lysthesis L4/5 with severe LCS , was operated using Medtroniks Sextant System(USA) -MIS fixation and Lt L5 nerve root Decompression under Operating Microscope.

Preop x Ray and MRI

Medtroniks Sextant System (USA)—1

Medtroniks Sextant System (USA)—3

Cartilage Transplant for Cartilage Defect in Ankle joint of Young Adult

Long term Ankle joint pain and swelling in young adults can be caused by OCD ( Osteochondritis Dessicans)of Talus bone . Diagnosis is by X rays and MRI. It is treated by Ankle joint Arthroscopy and Transplant of Osteochondral Graft from same patient. These pictures and videos show how it looks and how it is treated by Surgery.

Cartilage defect in Talus

Arthroscopic view of the damaged Chondral flap causing Ankle Pain-OCD Talus

After Transplant of Osteochondral Graft, open view and Arthroscopic view

Pott’s spine Surgery

Pott’s spine is a disease of the backbone in which there is TB infection of the backbone. It can present as a long standing backpain which keeps progressing slowly and may even lead to Weakness of legs (paralysis) , if it is not diagnosed and treated on time. In early stages it can be treated very well with ATT ( Anti Tubercular Treatment)Medications. But if the disease is advanced and has caused too much damage to the Vertebrae, and causing instability of backbone and severe pain, then fixation Surgery may be required, as seen in these pictures and videos. See in first video, how this young lady Patient is unable to walk straight, and suffering from severe back pain without neurological deficit, even after 2 months of ATT ,because of Spinal Instability. X rays done preoperatively show damage of L3 vertebra and L2/3 Pott’s spine. Introperative X Ray images show how the backbone units of Vertebrae (L2/3/4) were fixed with Pedicle Screws and rods. The last Video shows how she is walking comfortably, straight without pain, just one week after Spine Surgery. Hence, such patients can be treated successfully by timely intervention, medicines and with or without Spine Surgery, as per the situation.

ACL reconstruction in Adolescents -Teen age

 ACL  Tear ( Anterior Cruciate Ligament Tear ) is a common Sports injury in Athletes. It’s Reconstruction by Arthroscopic Surgery is common Knowledge. But, in Adolescents( Teen agers)with Torn ACL, a different technique of surgery called the “ All inside Technique” of Arthroscopic ACL Reconstruction in which the Epiphyseal plate (Growth plate) is not violated. A special instrument called Reverse cutter or “Twister” is used. The photos and Videos show this procedure done in a 13 year old Boy by our team in Dharamshila Narayana Superspeciality Hospital. 

Video shows Opening up of Twister

Video shows “Twister” effect

Following videos show the  passage of the ligament graft in the tunnels in All inside Technique.

Penultimate photo is Arthroscopic view showing reconstructed ACL

Penultimate photo is Arthroscopic view showing reconstructed ACL

Senior Citizen bedridden for 6 months walks 2 days after spine surgery!

6 months bedridden patient walks on 2nd day after spine surgery!

A 74 year old Gentleman, was bedridden for 6 months due to burst fracture of L3 leading to Unstable spine and weakness of both lower limbs with severe Radicular pain. This pt had pacemaker with multiple comorbidities including 20% EF. DNH spine surgery team of Dr. V.A. Senthil Kumar and Dr. Ashish Kumar Shrivastav, performed MIS fixation of Spine and decompression surgery in Lateral position successfully with less 100 ml blood loss. The able anaesthesia team of Dr. Manish Tandon did an excellent job. Pt sat up on next day and walked on 2nd postop day. He was extremely happy to be able to stand and walk again after 6 long months due to Sai Baba’s grace.