Publications by authors named "Gaurav Govil"

Mucormycosis of tibia is a highly aggressive fungal infection. It is an uncommon affection especially in immunocompromised host who have more propensity for such affections. The nonhealing ulcer of the left leg in an immunocompromised host status of a 45-year-old male presented with a radiological lytic lesion of the distal lower fourth of tibia.

View Article and Find Full Text PDF

Lateral knee cysts are relatively common synovial swelling. They are commonly benign swelling due to synovial fluid herniation from the joint. They are usually asymptomatic and in most cases are so small that only magnetic resonance imaging (MRI) can confirm the diagnosis.

View Article and Find Full Text PDF

Introduction: Posttraumatic secondary arthritis (SA) in the elderly with diabetes mellitus, osteoporosis, and neuromuscular affections has poor healing potential, leading to poor clinical and functional outcomes. Tibial talocalcaneal arthrodesis (TTCA) has been used to salvage for resultant hindfoot deformation. Retrograde intramedullary nailing (RIMN) has achieved reasonable fusion rates with improved functional outcomes.

View Article and Find Full Text PDF

Total knee arthroplasty (TKA) has been the gold standard treatment for end stage arthritis of knee. The advancements in techniques have allowed successful outcomes. The use of closed negative suction drain in TKA has been controversial.

View Article and Find Full Text PDF

Unilateral painful swelling of the knee is one of the most common orthopedic presentations. Monoarticular synovitis of the knee may be present due to inflammation, trauma, age-related degeneration, or tumor pathology. Primary synovial chondromatosis (PSC) is an uncommon cause.

View Article and Find Full Text PDF

The elderly present with progressive degenerative osteoarthritis of the knee and lumbar spine degeneration (LSD). The coexistent conditions when presented concurrently become challenging for the clinicians and surgeons, as well as determining the predominant source of the underlying pain generation factor. The concurrent presentation of a significant knee and low back pain poses challenges in decision-making for treatment with management being normally individualized.

View Article and Find Full Text PDF

Arthroplasty in the elderly may present with acute or late-onset complications unrelated to an implanted arthroplasty joint. Magnetic resonance imaging (MRI) evaluation of an acute onset complication in the immediate post-arthroplasty scenario presents safety concerns. An arthroplasty surgeon's dilemma relates to the loosening, heating, or migration of implanted hip or knee joints.

View Article and Find Full Text PDF

The isolated posterior malleolar fracture is a rare case. An innocuous injury may have associated ligamentous disruption. The fracture classification and treatment protocol are not well-defined.

View Article and Find Full Text PDF

Background: The aim of this retrospective comparison study was to assess early functional recovery of total knee arthroplasty with home care assistance during COVID-19 lockdown.

Methods: A total of 16 patients (27 knees involved) were divided into a pre-lockdown group (10 patients; 17 knees) and a post-lockdown group (6 patients, 10 knees) in terms of the time of surgeries performed before and after lockdown, respectively, due to COVID-19 pandemic. Patients of pre-lockdown group underwent rehabilitation under the guidance of trained physiotherapists for at-home sessions and under assisted physiotherapy.

View Article and Find Full Text PDF

Routine chest radiography is not a requirement in post-surgery cardiac bypass patients. However, the safety of abandoning routine chest radiographs in critically ill patients remains uncertain. Surgery in an asymptomatic coronavirus disease 2019 (COVID-19) patient presents additional challenges in postoperative management.

View Article and Find Full Text PDF

Introduction: Periprosthetic fractures (PPFs) in total knee replacement are an uncommon condition. The floating knee injury around total knee arthroplasty (TKA) is even rare and poses challenges in management. Incidence is increasing due to growing primary joint arthroplasties and revision procedures.

View Article and Find Full Text PDF

Peri-prosthetic patella fracture is the second most common peri-prosthetic fracture after total knee arthroplasty. This report presented the treatment results in 6 patients with peri-prosthetic patella fractures. From January 2015 to February 2019, six patients with peri-prosthetic patella fractures were treated.

View Article and Find Full Text PDF