Joint Care Arthroscopy Center

12/06/2025

11/06/2025

Chondromalacia Patella (also known as patellofemoral pain syndrome when not accompanied by cartilage breakdown) is a condition characterized by softening and degeneration of the cartilage on the underside of the patella (kneecap), leading to anterior knee pain.

🩺 Conservative vs Surgical Management: A Clinical Decision Guide

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✅ When to Choose Conservative Management

This is the first-line treatment in most cases.

Indications:
• Mild to moderate symptoms
• No mechanical symptoms (e.g., catching, locking)
• No significant cartilage loss on imaging
• Early-stage changes (Outerbridge Grade I–II)
• Pain primarily with stairs, squatting, or sitting long periods
• Symptoms

09/06/2025

What a match ! French open Final. There have been only 12 matches in this Alcaraz vs Sinner rivalry with the Spaniard leading by 8-4 having polished off the last five matches. The duel between them is eerily similar to that of Roger Federer and Rafael Nadal’s historic tussles.

01/05/2025

Congratulations Dr Kuldeep on your fellowship completion! Your hard work has prepared you for a bright future. I’m excited to see what you accomplish. Jointcare Arthroscopy Center l. Dr Chirag Chudasama , Ahmedabad. Phone: 9427460979

25/04/2025

Procedure Overview:
Exposure: The shoulder joint is exposed through an incision.
Humeral Head Removal: The damaged humeral head (ball fragment) is removed.
Socket Replacement: A metal hemisphere (artificial ball) is attached to the shoulder blade (glenoid).
Humeral Stem Insertion: A metal prosthesis with a plastic cup insert is implanted into the shaft of the humerus (upper arm bone).
Tuberosity Reconstruction: The tuberosities (bone fragments where tendons attach) are realigned and fixed to the prosthesis and humeral shaft with sutures or cables.
Bone Grafting: The fixation is often supplemented with bone graft from the removed humeral head fragment.
Benefits:
Improved Deltoid Function:
The reverse design allows the large deltoid muscle to become the primary mover for shoulder elevation, even with a torn rotator cuff.
Better Outcomes:
Studies have shown that reverse shoulder replacement can lead to better pain scores and functional outcomes compared to hemiarthroplasty for proximal humerus fractures.
Less Reliance on Tuberosity Healing:
Reverse shoulder arthroplasty has been shown to be less dependent on the healing of the greater tuberosity fragment for good functional outcomes.
Considerations:
Indications:
3- and 4-part fractures, rotator cuff tear, poor bone quality, and limited physical demands in the elderly are common indications. Dr Chirag Chudasama, Jointcare Arthroscopy Center Ahmedabad 9427460979

23/04/2025

This is how reverse Shoulder Replacement Glenoid baseplate looks like Chirag Chudasama

10/04/2025

What is an Osteochondral Fracture?
An osteochondral fracture (OCF) is a fracture that involves both the cartilage and the underlying bone.
How does Patellar Dislocation Cause OCFs?
During a patellar dislocation, the patella (kneecap) slides out of its normal position, and this can cause damage to the articular cartilage and underlying bone, leading to OCFs. Importance of Early Intervention:
Prompt diagnosis and treatment of OCFs are crucial to prevent long-term complications, such as recurrent patellar dislocation, cartilage damage, and the development of osteoarthritis. This is a novel technique to fix patellar fracture fragments without using any screws. Dr. Chirag Chudasama M.S.Ortho- Sports injury and Shoulder Specialist , Jointcare Artbroscpy Center, Parimal garden, Ahmedabad. Phone -079 26400979, 9427460979.

04/04/2025

Reverse Shoulder Replacement is a boon for elderly people with shoulder arthritis. Indications for Reverse Shoulder Replacement:
Rotator Cuff Tear Arthropathy: The most common reason for considering a reverse prosthesis is when there’s arthritis of the shoulder joint and the rotator cuff tendons are torn or gone.
Severe Glenoid Arthritis: Severe arthritis of the glenoid (shoulder socket) can also be a reason for considering a reverse shoulder replacement.
Failed Traditional Shoulder Replacement: If a standard shoulder replacement doesn’t provide adequate relief or function, a reverse replacement may be an option.
Fractures of the Proximal Humerus: In some cases of complex fractures of the upper arm bone (proximal humerus), a reverse shoulder replacement may be indicated.
Massive Rotator Cuff Tears: If the rotator cuff tendons are all torn and a person cannot lift the arm high enough to function, a reverse prosthesis could help regain motion and function.
Chronic Shoulder Dislocation:
Poor Shoulder Function:
Complex Deformities of the Glenoid Socket:
Proximal Humerus Fractures that Can’t Be Reconstructed:
Tumor of the Shoulder Joint:
Difficulty Lifting Your Arm Over Your Head or Away from Your Side and Severe Shoulder Pain

10/03/2025

Exchange of knowledge among surgeons for benefits of patients undergoing shoulder surgeries at delhi

16/01/2025

Farewell of fellow Dr Sunit from Bhuvneshwar. Thank you for the momento.

21/12/2024

Saving meniscus is best at any point of time. Repairing lateral meniscus in young patient with ACL reconstruction. Dr Chirag Chudasama, Jointcare Arthroscopy Center, Ahmedabad. Phone -9427460969

30/05/2024

1st time in Ahmedabad.Cartilage(Joint layer) damage can lead to early arthritis A novel technique to treat this defect.