Orthopaedics KPJ Kuching

One stop center for minimal invasive orthopaedic operation:DAA Total Hip Replacement,Oxford Partial Knee Replacement,Quadriceps Sparing Total Knee Replacement..

[Orthopaedics KPJ Kuching @orthokcsh]

Here is the video of how she moves her shoulder 9 months post op when she came for follow up

[Orthopaedics KPJ Kuching @orthokcsh]

When the rotator cuff is torn, the shoulder becomes unbalanced. The deltoid muscle pulls the head of the humerus up into the acromion in a sliding motion rather than in the smooth balanced movement that the shoulder was designed to undergo.

[Orthopaedics KPJ Kuching @orthokcsh]

This is how I treat this lady with cuff arthropathy of right shoulder : using reverse shoulder replacement

[Orthopaedics KPJ Kuching @orthokcsh]

https://t.co/rgydA70rgD

[Orthopaedics KPJ Kuching @orthokcsh]

Over time this abnormal sliding motion causes wear and tear on the joint surfaces, which is termed arthritis. Due to the arthritis, motion of the shoulder becomes painful and the shoulder becomes weaker and weaker until you can no longer raise the arm above the head.

[Orthopaedics KPJ Kuching @orthokcsh]

Total Hip Replacement Surgery - Patient Testimony https://t.co/6e8BU6km7f via @YouTube

[Orthopaedics KPJ Kuching @orthokcsh]

Listen to this 69 yo fashion designer from Jakarta who had both hips replacement done simultaneously using Direct Anterior Approach. The recovery of minimally invasive DAA is so amazing that you can walk without crutches in 1-2 weeks even with both hips replacement.

[Orthopaedics KPJ Kuching @orthokcsh]

Bilateral Hip Replacement using DAA Approach - Mdm Grace Kurniawati https://t.co/D4JGJdkS5g via @YouTube

[Orthopaedics KPJ Kuching @orthokcsh]

Look at the right hip of this 56 yo lady with DDH as compared with the left. Right total hip replacement was done for moderate right hip pain, radiating to the groin and anterior thigh on weight bearing for 3 years .

[Orthopaedics KPJ Kuching @orthokcsh]

Developmental dysplasia of hip (DDH) is a problem that occurs when a child’s hip joint hasn’t formed normally. Similar to a car’s tyres wearing out faster when they are out of alignment, DDH causes the joint to wear out faster than normal.

[Orthopaedics KPJ Kuching @orthokcsh]

The hip socket is shallow, allowing the head to slip in and out, moving partly or completely out of the socket.

[Orthopaedics KPJ Kuching @orthokcsh]

Case of the week is this 18 yo Indonesian girl with history of anterior knee dislocation after road traffic accident on 8/5/22.
Dense contracture 1 month after injuries.I have to do combined anterolateral/ posteromedial approach/ large distractor etc to get it reduced.

[Orthopaedics KPJ Kuching @orthokcsh]

Osteonecrosis - Causes, Symptoms, Treatments & More… https://t.co/YPsR582LSU via @YouTube

[Orthopaedics KPJ Kuching @orthokcsh]

She is treated with Oxford Partial Knee Replacement ( mobile bearing)

[Orthopaedics KPJ Kuching @orthokcsh]

This condition is due to Spontaneous osteonecrosis of knee (SONK). The big cartilage defect is due to diminished blood flow to the bone, causing ischaemia and dying of cartilage cells

[Orthopaedics KPJ Kuching @orthokcsh]

Progressive knee pain at the age of 60s may not be due to just osteoarthritis. Look at the MRI of this 62 yo lady with medial knee pain for 5 months

[Orthopaedics KPJ Kuching @orthokcsh]

Quadriceps muscle sparing approach is the key to swift recovery, more so if you go for total knee replacement on both knees. Look at how this man walked without crutches 5 days after bilateral knee replacement