fahim khan

MBBS, MSc(Biomechanics),FRCS,FRCS(Orth)
Chief of Orthopaedic Surgery, Shifa International Hospital, Islamabad 🇵🇰

[fahim khan @surgeonfk]

Radial Neck 45° angulation for TENS.............."Satisfying" 😌

[fahim khan @surgeonfk]

@MirMAKOfficial OLD VIDEO

[fahim khan @surgeonfk]

@Tehraan12 💯

[fahim khan @surgeonfk]

@ImranRiazKhan 2

[fahim khan @surgeonfk]

@ImranRiazKhan 2

[fahim khan @surgeonfk]

@traumaticum @SambitOrtho @InvictaOrtho @rkh_md Excellent fx reduction!
Nail size: perfect!
Bone quality: Not bad
Unlikely a biological failure.
Failed at distal end of fx.
Commonly seen with locally manufactured nails !

[fahim khan @surgeonfk]

@pratikorho It's almost always the version of the stem.
Anteversion causes dislocation.
I keep all in neutral 🙂

[fahim khan @surgeonfk]

@pratikorho Agreed 💯 %. Cost constraints.

[fahim khan @surgeonfk]

Early childhood osteotomy .. Nightmare old phillip style screws to take out .. b4 Total Hip Replacement can be done !!

[fahim khan @surgeonfk]

@pratikorho @16 Subchondral k.wires for max. grip

[fahim khan @surgeonfk]

Smithereens @16😔😔😔. "tried to put Humpty together again"
Patella was a 💔

[fahim khan @surgeonfk]

@pratikorho @16 Patella was in bits !! I used k.wires and an absorbable cerclage.

[fahim khan @surgeonfk]

@doc_mehta @16 Conventional 6 cortices should suffice.

[fahim khan @surgeonfk]

@sportsdoc2016 @InvictaOrtho @traumaticum @orthotraumamd @generalorthomd 🙏Go minimal invasive!!
You will be 😞 if wound (after plate & screws) @ 91 goes 🍐 shape.
Use Tight-Rope and mobilize 😊 💯%

[fahim khan @surgeonfk]

Trans Scaphoid, Trans Capitate & TRANS HAMATE ❗️Perilunate dislocation

[fahim khan @surgeonfk]

Pantalar arthrodesis with tibial nail in neglected trimalleolar fracture dislocation ankle & rheumatoid 🤕

[fahim khan @surgeonfk]

6/12 malunion, nonunion trested with Osteotomy, bone grafting & good old "Philos" 2 the rescue ❤️‍🩹

[fahim khan @surgeonfk]

🔊"ACL deficiency causes end-stage
knee decompensation with
‘cupula’ (aggressive wear) posteromedial tibial plateau". 🤔
This knee had intact ACL !!

[fahim khan @surgeonfk]

@solimanibra92 @EdinburghKnee @kneedoclond @bonesmith_ @centerofhip @DrDerekOchiai @FractureDoc @Gnomelover1970 @orthotraumamd My treatment plan:
1. Hot Towel 5 mins twice daily
2. Massage 5 min twice daily (Diclofenac Gel)
3. Lateral Heel Wedges 24/7 Effective if MCL is not stiff
4. Gym Cycling as tolerated
5. Paracetamol (acetaminophen)
I don't give ANY knee inj in my practice.