Satyen Gohil

Orthopaedics wa, perth · Orthopaedics

Case: A 55-year-old man sustained a distal radius fracture, which was fixed with a volar plate 20 years ago. He then fell from 2 m and sustained a refracture with a bent but intact volar plate. A manipulation under anaesthetic/anaesthesia was attempted. Satisfactory reduction was confirmed and maintained, with bony union confirmed at 6 months. Reg...

Purpose Delayed ligamentization following anterior cruciate ligament reconstruction (ACLR) may result in reduced graft stiffness and strength, and an increased risk of secondary re-tear. Remnant sparing ACLR may accelerate ligamentization and proprioceptive function, theoretically reducing re-injury risk. This study sought to investigate 10-year gr...

Introduction and Aims (50 words): Background: Anterior cruciate remnant preservation may be beneficial in Anterior Cruciate Ligament Reconstruction (ACLR). Gohil, Annear & Breidahl (Sept, 2007) used a grade 1 randomised controlled trial to compare the two methods and at short term follow-up, the minimal debridement technique demonstrated earlier r...

Introduction: In ACL reconstruction, autologous tendon graft can be attached to the femur, within a boney tunnel, using an Endobutton device. The ultimate aim is to achieve biological fixation and incorporation into the bone. Accurate bone tunnel diameter to match the tendon graft is vital to biologic incorporation and strength. The common techniqu...

Purpose: The purpose of this study is to examine the outcomes of a cohort of patients who have undergone a new surgical technique for anterior cruciate ligament (ACL) tunnel targeting using the footprint of the torn ACL as soft tissue markers. This is in the setting of anatomical ACLR with remnant preservation. Methods: This retrospective single ce...

Introduction: We describe the surgical technique for open reduction and internal fixation (ORIF) of proximal humeral fractures with a locking plate. Step 1 preoperative planning: To choose the right candidate, obtain a full understanding of the patient's fracture pattern, activity level and demands, and bone quality; be aware of predictors of co...

Anatomic femoral tunnel placement can be achieved by transtibial, medial portal drilling, far medial portal drilling, or "out to in" techniques percutaneously or by using open techniques. This paper describes the use of an "out to in" percutaneous technique using flexible guidepins and reamers for creating an anatomic femoral tunnel. There is no ne...

Recurrent patella dislocation can be caused by bony abnormalities, such as patella alta, increased tibial tubercle lateralization, trochlea dysplasia, excessive femoral neck anteversion and external tibial torsion. It can also be caused by soft tissue abnormalities such as a ruptured medial patellofemoral ligament (MPFL) or a weak vastus medialis o...

Purpose ‘Clinical cyclops syndrome’ is associated with pain and a palpable ‘clunk’ at terminal extension with the loss of full extension. The aims of this prospective controlled study were: (1) to assess whether the minimal debridement of the ACL stump and notch is associated with an increased incidence of clinical cyclops lesions, (2) to look at t...

Volar dislocation of the distal radio-ulnar joint is a rare clinical entity in the orthopaedic literature, and there is little to describe the patho-anatomy, investigative or treatment modalities. We describe the case of an irreducible locked volar dislocation with novel magnetic resonance imaging findings of an ulnar impaction fracture with cartil...

Animal studies have shown that implanted anterior cruciate ligament (ACL) grafts initially undergo a process of revascularisation prior to remodelling, ultimately increasing mechanical strength. We investigated whether minimal debridement of the intercondylar notch and the residual stump of the ruptured ACL leads to earlier revascularisation in ACL...