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…
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
PGMEE, MRCS, USMLE, MBBS, MD/MS
Obstacles to reduction in Developmental Dysplasia of Hip (DDH)
Extra-articular obstacles: Secondary muscle shortening due to hip in subluxed/dislocated position Intra-articular obstacles: Results in decreased volume of the acetabulum
PGMEE, MRCS, USMLE, MBBS, MD/MS
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Tonnis and IHDI (International Hip Dysplasia Institute) Classification for DDH
IHDI method is a new radiographic classification of the severity of hip dislocation in DDH. It is based on the location of the midpoint of superior part of ossified metaphysis (H-point) relative to acetabulum. In contrast to Tonnis classification method, IHDI method: Tonnis classification: It is assessed according to the…
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…
Case Reports
Mohr Syndrome (OFD2): An Orthopedic Insight from a Rare Case
Introduction Mohr syndrome, or Orofaciodigital syndrome type II (OFD2), represents a very rare genetic disorder in which there is a triad of craniofacial anomalies, oral malformations, and digital deformities. While classic findings such as lobulated tongue, cleft palate, and broad nasal root mainly remain in the domain of pediatricians and…
Fellowship Blog
When Fixing Bones Meets Nerves: A Lesson from the Cubital Tunnel
Date of writing: June 17, 2025 Day 3 of my pre-fellowship was unlike the others – not because I scrubbed in for an arthroplasty or a hip case (there weren’t any today), but because I witnessed firsthand how a routine trauma case can spiral into an anatomical and surgical challenge….
Fellowship Blog
A New Chapter: Beginning My Fellowship Journey at B&B Hospital
I will be sharing my fellowship journey from my journal here. The posts will be backdated and hopefully I will catchup eventually. Dated: July 15, 2025 As I begin this fellowship training in Hip, Pelvi-Acetabulum, and Arthroplasty at B&B Hospital for one year, I felt like taking a step back…