Ajay C. Lall, MD, MS, FAAOS

Board Certified • Triple fellowship trained • Orthopedic Surgeon • Alum @hip_institute • Alum @AndrewsSportMed

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Labral Reconstruction of The Hip

Pearls:
+proper surgical indications
+preserve the capsule
+meticulous handling of graft
+beveled acetabular rim prep
+evenly spaced anchors
+suture management 🔑

#orthotwitter #medtwitter

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

On the panel with some hip guys! @ArthrexMedEd @Arthrex #HipHorizons2023

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

New Hip Arthroscopy Technique;
Problem: CAM overressection
Solution: Femoral Head Remplissage

#hip #arthroscopy #education #newtechnique #solution
#orthotwitter

[Arthrex MedEd @ArthrexMedEd]

In today’s #WhatsNewAtArthrex, Ajay C. Lall, MD, presents a unique case involving the repair of an overresected femoral neck using ArthroFlex dermal allograft. Watch: https://t.co/AJCXlktOol

#Arthrex #Innovation #Orthopedics #MedicalEducation #Orthobiologics

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Touch to watch- direct blow to chest. Prayers to #24 D. Hamlin. @NFL

[Saint Donis @saintdonis]

@RealMattCouch Praying for Damar Hamlin 🙏🏼🙏🏼

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Terrible scene @NFL game tonight. Appears to be a severe blow to chest, which could lead to commotio cordis. Still unclear, but CPR was administered on the field.

Tough to watch as a bills fan, physician, human being. Thoughts & Prayers to this young athlete and his family..

[Matt Couch @RealMattCouch]

BREAKING: Buffalo Bills Damar Hamlin passes out after making a tackle in the Bills vs Bengals game… A very scary site as both teams are gathered around him in prayer right now.. https://t.co/qVi3bGQ2om

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Join us at the @ISHASociety meeting in Glasgow, Scotland where the world comes together to save some hips!!

#ISHA2022 #hip #preservation #surgeons #orthopedics #expert #education

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@CambridgeHipDoc @CUH_NHS @Cambridge_Uni Fantastic news, congrats!

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Hot off the press:

The Circumferential Femoroplasty:

see video link 👇🏽

https://t.co/1RLINDioZj

#hiparthroscopy @ArthroscopyJ #FAI

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Before & After Femoroplasty.

Note the impingement divot within the femoral neck. Starting distally to shape offset, I use this divot as a bony landmark to end proximal resection.

#hiparthroscopy #orthopedics #sportsmedicine #cam

[Arthroscopy Journal @ArthroscopyJ]

The July '22 Infographic! Surgical Treatment of Gluteus Medius Tears https://t.co/NHvkOiYOGJ

[Arthroscopy Journal @ArthroscopyJ]

This article demonstrates that athletes who did not return to sport for reasons unrelated to their hip demonstrated favorable outcomes at minimum 2- and 5-year follow-up.
@BenjaminDombMD @AjayLallMD @hariankem

https://t.co/j5IOOQk1AR

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Great time on the podium @AANAORG 2022 with fantastic hip mentors. #ICL #labralreconstruction #hip #hippreservation #AANA2022

@ArthroscopyJ @marcphilippon @Stanford @Stanford_Ortho #arthroscopy

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@atmghn When prepping for THA, I’m always interested in lumbo-pelvic motion from sit-to-stand and vice versa.

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@TweetExplains @AAHKS @EHS2021Congress @BritishHip @JArthroplasty Yes, but severe loss of posterosuperior lateral wall would have resulted in ~40% surface contact of press-fit component.

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Thinking through this case:

-leg length discrepancy
-global offset
-version (acetabular vs femoral)
-spinal mobility

#hiparthritis @AAHKS #hipdysplasia

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@stevemchale We look at numerous factors related to lumbo-pelvic alignment and mobility. Here’s a great reference to review:

https://t.co/p8W2r8kAIE

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@stevemchale Arthroplasty templates are used estimate component size and changes of native limb position.

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@micosaturn @AAOS1 @AAHKS_YAG @StrykerOI @smithnephew @zimmerbiomet @AOFoundation @ORTHOJournal @ABOSortho @AOSSM_SportsMed Joint reactive forces were optimized with re-tensioning of pelvic girdle force vectors. Combined with circumferential surface contact for bony ingrowth, these factors should theoretically enhance construct survivorship. No?

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

@micosaturn @AAOS1 @AAHKS_YAG @StrykerOI @smithnephew @zimmerbiomet @AOFoundation @ORTHOJournal @ABOSortho @AOSSM_SportsMed Yes. However, the current hip center was chosen in order to optimize surface contact of the press-fit component.

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

Before & After

[Ajay C. Lall, MD, MS, FAAOS @AjayLallMD]

DA THA

Restoration of extremity length, global offset, functional/stable version (acetabular and femoral, independently)

#THA #totalhip