Monday, January 17, 2011

Radiofrequency Chondroplasty, the latest buzzword for cartilage


Radiofrequency is a good tool in our hands that is enabling us to do our arthroscopic surgeries in a bloodless way. Chondroplasty or cartilage smoothening to put it roughly is an excellent procedure to smooth out mild to moderate cartilage defects & to get rid of the associated pain.

I use the Arthrocare Paragon T2, a state of the art temperature sensitive wand with a blue temperature sensitive ring which turns white when things get too hot. It relies on the Venturi effect (try to recall high school physics) to get rid of the irritating bubbles generated during the process.

On a lighter note the blue wand reminds me of carling beer, which has a lion as a logo. The lion should turn blue if the beer is kept at the right temperature.

Hamstring graft harvesting for knee ligament reconstructions


Hamstring graft harvest sets the tone for any arthroscopic ligament reconstruction procedure. It is technically demanding, yet once one masters the technique, the graft can be taken out through a tiny incision.

ACL reconstruction using quadrupled hamstrings graft


Arthroscopic ACL reconstruction is one of the most commonly performed ligament reconstruction surgery of the knee. It restores saggital & rotational stability to the knee & enables the patient to return to pre-injury levels of athleticism. This video demonstrates my technique of performing this surgery.

Video of arthroscopic surgery for the dislocating patella


The dislocating patella is a problem for which there is no clear solution. One of the minimally invasive methods to address this problem is to do an arthroscopic plication of the loose medial retinaculum.

Video of arthroscopic loose body removal from the knee


Loose bodies can play a cat & mouse game with the surgeon. Here you see 2 loose bodies of diametrically opposite sizes within the same knee joint & the video clearly shows how both can be removed with ease arthroscopically. Left alone these loose bodies cause recurrent episodes of locking & in the long run lead to early knee arthritis.