Guidelines are not revelations

A Surgical Series of Unfortunate Events Primary Total Knee Replacement Complicated by Intraoperative Medial Femoral Condyle Fracture “Good judgment comes from experience, and experience comes from bad judgment.”— Rita Mae Brown 87-year-old gentleman Short-term memory loss Independent and living alone Wheelchair-bound secondary to severe right knee pain Daughter held Power of Attorney (POA) Clinically looked…

25 year old biker comes after RTA with a neck of femur fracture What would you do Fix- CRIF ORIF Replace-Arthroplasty We chose to fix And obviously for known reasons and to take him to theatres to do this

Case Summary 76-year-old lady BMI 37 Right THR performed 19 years ago Comorbidities: Heart failure Hypercholesterolemia High BMI Presented with 3 dislocations in 3 months Dislocations occurred with trivial movements Patient had completely lost confidence in her right hip Planning, Luck, and the Revision Hip: When Plan A Needs a Plan F Planning, Luck, and…

You will see 3 cases where the 1st decision could have changed the whole scenario. But if we keep doing the same thing over and over again and except different outcomes: that is a definition of insanity. Case 1 Left proximal femur 3 part subtrochanteric fracture in 72 year old. A DHS was decided Suboptimal…