Dr. Dinesh

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Dr. Dinesh Thakkar M.S. (ortho.) Case Discussion Long Life Hospital, Nr. Paldi Cross Road, Ahmedabad

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Transcript of Dr. Dinesh

Page 1: Dr. Dinesh

Dr. Dinesh Thakkar M.S.(ortho.)

Case Discussion

Long Life Hospital,Nr. Paldi Cross Road,

Ahmedabad

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Bilateral Osteoarthritis

• 55 years old male patient

• Pain in both knee since 8 to 9 years.

• C/o pain at rest & severe pain while walking since 3 to 4 months.

• Inability to squat or sit cross-legged.

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Clinical Examination

Genu-varus of about 20-degree on both knee.

Flexion deformity of about 15-degree on right knee & 5-degree on left knee.

ROM : 15-degree to 110-degree on right & 5-degree to 115-degree on left knee.

No ligament laxity.

No other medical problem.

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Pre - Operative

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?Which are Treatment Options

??

Total Knee Replacement ??

Such a Bad Idea !!

Every Patient can Not Prefer it and will not agree !!

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1. Upper Tibial Osteotomy

Treatments

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FAQ• Will Upper Tibial Osteotomy correct all

deformities?

• Will it relieve the symptoms?

• Will he able to walk with this much acute correction?

• What will be criticism from ORTHO COLLEAGES if it fail?

• Will total knee replacement be possible if it fails?

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Post - Operative

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Have Faith and Success will be Yours !!

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right left

X-rays after 8 years

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Pre-op. Post-op. Pre-op. Post-op.

Meet our Happy Patients

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Message from the Doctor

Remember 3 Rules of Life :1. Never

2. Never

3. Never

Give up !!

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