Dr prashant tripathi

14/09/2025

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📌 Purpose of the Craig Test
• To measure femoral anteversion (the angle of femoral neck relative to femoral condyles).
• Helps assess torsional deformities of the femur which can present as:
• In-toeing gait in children/adolescents.
• Hip internal/external rotation abnormalities in adults.
• Screening before hip arthroscopy / joint replacement to anticipate abnormal femoral version.

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📌 Patient Position
• Prone position (most standard).
• Knee flexed to 90°.
• Hip in neutral abduction/adduction.

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📌 Examiner Technique
1. Palpate the greater trochanter of the femur with one hand.
2. With the other hand, passively internally and externally rotate the hip.
3. Find the position where the greater trochanter is most prominent laterally (i.e., parallel to exam table surface).
4. At this position, measure the angle between tibial shaft and vertical line (using goniometer or visual estimation).

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📌 Interpretation
• Normal anteversion: ~ 8°–15° in adults.
• >15° internal rotation at neutral position → increased femoral anteversion.
•

09/09/2025

Physiotherapy is not just about exercises – it is the science of movement, recovery, and independence.

As Orthopedic surgeons, we can align bones, replace joints, or fix ligaments. But it is Physiotherapists who transform surgery into success. They ensure that every patient doesn’t just heal, but truly returns to life.

🦵 In Knee Replacement – physiotherapists help patients take their first step towards freedom, guide them through stair training, and restore confidence in mobility.

💪 In Sports Injuries – they rebuild muscle memory, agility, and strength, ensuring athletes return stronger and safer.

🖐️ In Complex Trauma & Neurological Cases – robotic rehab, hand therapy, and neuro-physiotherapy are giving new hope where traditional treatment once ended.

📚 Message for Physios Today:
The future of physiotherapy is in evidence-based protocols, digital rehab tools, AI-assisted monitoring, and patient motivation strategies. You are not just healers, but innovators in movement science.

🙌 On this World Physiotherapy Day, we salute every physio for being:
• The bridge between pain and progress
• The voice of motivation when patients lose hope
• And the true partner of orthopedic care

Because bones may break, joints may wear out — but without physiotherapy, mobility cannot be restored.

08/09/2025

The orthopedic world has lost a true pioneer – Prof. John O’Connor (7 March 1934 – 8 September 2024), the brilliant mind behind the Oxford Knee.

The Oxford Knee, first developed in Oxford, UK, revolutionized knee surgery. Unlike total knee replacement, it replaces only the damaged part of the joint while preserving natural ligaments, giving patients faster recovery, more natural knee movement, and longer-lasting function. Today, it is the most widely used partial knee replacement worldwide.

Prof. O’Connor’s vision also inspired the creation of AMOA (Association of Minimal Invasive Oxford Arthroplasty) – a global community of surgeons dedicated to advancing the science and technique of Oxford Knee replacement. Through AMOA, his work continues to guide thousands of surgeons, ensuring excellence and consistency in patient outcomes.

His legacy is not only in the implant he designed, but also in the knowledge, mentorship, and global collaboration he fostered.

🙏 Rest in peace, Professor. Your invention gave movement back to millions, and your teachings will continue to inspire generations.

08/09/2025

🔬 IlluminOss Photodynamic Bone Stabilization System (PBSS) – redefining minimally invasive fracture fixation in fragile & pathological bone.

📍 Technique:
A balloon catheter is introduced into the medullary canal → filled with liquid monomer → light-activated → polymerizes into a custom intramedullary implant providing immediate axial & rotational stability.

✅ Advantages:
• Conforms to canal anatomy
• Preserves soft tissue & periosteum
• Radiolucent with radiopaque markers
• Can be combined with plates/screws for added stability
• Especially useful in osteoporotic, impending, and metastatic fractures

📖 Reference: Egger AC et al., Injury. 2016;47(Suppl 7):S12–S20. Early results demonstrate feasibility, safety & promising outcomes in osteoporotic and pathologic fractures.

🔮 Future Directions

Research is ongoing regarding:
• Load-bearing capacity optimization for diaphyseal fractures.
• Integration with bioresorbable polymers for temporary stabilization.
• Hybrid constructs combining PBSS with locked plating.

A true game-changer in the armamentarium of orthopedic trauma & oncology surgery.

07/09/2025

MISHA Knee System 🦵🔬
The Medial Implantable Shock Absorber (MISHA) is the first FDA-approved implant designed specifically for medial compartment knee osteoarthritis.

🔹 Mechanism:
Placed extra-articularly over the medial collateral ligament, MISHA functions like a miniature car shock absorber. A piston-polymer system reduces medial knee load by ~30%, redistributing forces and relieving pain.

🔹 Indications:
• Age 25–65 years
• Isolated medial compartment OA (KL I–IV)
• Failed ≥6 months of conservative treatment

🔹 Contraindications:
• Varus deformity >10–15°
• Flexion contracture >10°
• Significant medial osteophytes or meniscal extrusion >3–4 mm
• BMI >35 or poor soft tissue coverage

🔹 Advantages:
• Joint preserving – unlike HTO or arthroplasty, bone and cartilage remain intact
• Immediate weight bearing post-op
• Reversible & minimally invasive procedure
• Proven outcomes – superior pain and function scores vs. HTO at 2 years

🔹 Long-term Data:
• 100% survival free from arthroplasty at 2 years
• 85% survival at 5 years

MISHA bridges the gap between conservative care and joint replacement — giving younger OA patients an option to stay active, delay arthroplasty, and preserve anatomy.

16/01/2025

05/12/2024

Robotic joint replacement surgery is rife, and there is a mistaken assumption that it is better than the conventional method. IT IS NOT. There exists no convincing evidence that robotic knee replacements perform better than regular done operations (by well trained surgeons!) A lot of the hype is industry driven for obvious reasons.
The Australian Orthopaedic Association which is the regulatory body for the specilaity in AU and NZ, published a consensus statement about this because surgeons claiming better joints with their robots started to become a problem..
Read this article:
https://www.theguardian.com/commentisfree/2022/oct/03/why-robotic-joint-surgery-is-not-a-penicillin-moment-in-orthopaedics

01/12/2024

घुटने की प्रत्यारोपण सर्जरी: बेहतरीन परिणामों के साथ जीवन को बदलने वाली प्रक्रिया

घुटने का प्रत्यारोपण (Knee Replacement Surgery) उन लोगों के लिए एक वरदान है, जो घुटने के गंभीर दर्द, गठिया या चोट के कारण सामान्य जीवन जीने में असमर्थ हैं। यह सर्जरी न केवल घुटने के दर्द से राहत देती है, बल्कि मरीज को एक सक्रिय और सुखद जीवन जीने में सक्षम बनाती है।

सर्जरी के फायदे जो आपकी जिंदगी बदल सकते हैं:

1. दर्द से छुटकारा:
• लंबे समय तक रहने वाले घुटने के दर्द को स्थायी रूप से खत्म करती है।
• गठिया और अन्य समस्याओं से राहत मिलती है।
2. बेहतर घुटने की गति (Range of Motion):
• घुटने को सामान्य रूप से मोड़ने, चलने और दौड़ने की क्षमता लौट आती है।
• दैनिक गतिविधियों जैसे सीढ़ियां चढ़ना, बैठना और खड़े होना आसान हो जाता है।
3. सक्रिय जीवनशैली:
• सर्जरी के बाद व्यक्ति बिना दर्द के अपने शौक जैसे टहलना, हल्के खेल और यात्रा कर सकता है।
• शारीरिक स्वतंत्रता लौट आती है।
4. लंबे समय तक परिणाम:
• आधुनिक तकनीकों और इम्प्लांट्स के कारण घुटने का प्रत्यारोपण 15-20 साल या उससे अधिक समय तक टिकता है।
5. आत्मविश्वास में वृद्धि:
• दर्द और सीमित गतिशीलता के कारण कम हुआ आत्मविश्वास वापस लौटता है।
• व्यक्ति फिर से सामाजिक और शारीरिक गतिविधियों में हिस्सा ले सकता है

घुटने का प्रत्यारोपण एक सुरक्षित और प्रभावी प्रक्रिया है, जो दर्दमुक्त और स्वस्थ जीवन की ओर पहला कदम है। सही समय पर इसे कराने से आपकी जिंदगी पूरी तरह से बदल सकती है।





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