Introduction Existing Young-Burgess (YB), Tile & AO/OTA classification systems for pelvic ring fractures demonstrate inconsistent and often only fair-to-moderate inter-observer reliability (kappa = 0.30–0.79), creating diagnostic variability that can impact treatment planning and communication among orthopedicians.1 A clear, stepwise, unified algorithm could improve trainee education, standardize radiographic interpretation, and aid…
Category: Fellowship Blog
Fellowship Blog
The 0-3-6-9 rule in Mechanical Alignment Total Knee Arthroplasty (MA-TKA)
The goal of MA-TKA is to restore the normal mechanical axis. In contrast to kinematic axis alignment, which attempts to recreate native knee joint line (3° tibial varus and 3° femoral valgus), in MA-TKA, the distal femur and the tibia are cut to be perpendicular (0°) to the mechanical axis….
Fellowship Blog
Approach to Neuromuscular Hip Dysplasia in Children with Cerebral Palsy : Principles of management and Long-term Radiographic Outcome
Dr. Sulabh Kumar Shrestha1, Dr. Rajendra Aryal2, Dr. Nitesh Raj Pandey2, Dr. Bibek Banskota21AKBEF Fellow, 2Unit-1 (Hip, Pelvi-acetabulum & Arthroplasty), B&B HospitalPoster presentation at Orthocon 2026 Introduction Progressive hip subluxation is a common orthopedic problem in children with cerebral palsy (CP), with strong correlation to Gross Motor Function Classification System…
Fellowship Blog
Normal Hip Development
4-6 weeks of gestation: By 7 weeks of gestation: By 11 weeks of gestation: Late gestation: Postnatal: The acetabulum is deepened by the natural pressure from the developing femoral head on the acetabulum. Hips in newborns with developmental dysplasia are not just normal hips with capsular laxity; they are structurally…
Fellowship Blog
A THR After Acetabular ORIF and the 9 Intraoperative Tests That Matter
Today was one of those surgeries that stays with you not just for the technical challenge, but for what it teaches you as a growing orthopedic surgeon. Our patient was a 30-year-old male with painful AVN of the femoral head, years after an acetabular fracture that had been treated with…
Fellowship Blog
When Locking Screws Refuse to Budge – Techniques for Removing Jammed or Stripped Screws
Written on August 10, 2025 And once again, today’s case reminded me that removing orthopedic implants can be more challenging than inserting them – especially when faced with a stubborn, stripped or jammed locking screw. We operated on a 25-year-old female with a united distal radius fracture, aiming to remove…
Fellowship Blog
Classifications of Sequelae of Septic Arthritis of Hip in Children
Several radiological classifications have been developed to describe the long-term changes in the hip following septic arthritis and to help guide management. Hunka classification Choi classification Forlin and Milani classification Grade 1: Hips with the head or the femoral neck within the acetabulum Grade 2: Hips are dislocated Johari classification…
Fellowship Blog
First Cuts, First Concerns: Avoiding the Sciatic Trap
Dated: July 15, 2025 So here we go – not quite Day 1, but definitely the beginning of something new. With two weeks of overlap before the official August 1 start, I reached B&B Hospital at 7:30 AM – early, eager, and quietly absorbing everything around me. As I waited…