Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

🔬🦵 Shaping the Next Generation of Arthroscopy Surgeons

Honored to be invited as a Faculty at the Biotek Cadaveric Arthroscopy Workshop, where I had the privilege of training and mentoring young orthopaedic surgeons in advanced Knee Arthroscopy techniques through hands-on cadaveric demonstrations.

Arthroscopy is a skill that cannot be mastered through textbooks alone. Precision, anatomy, hand-eye coordination, and surgical judgment are developed through continuous practice and guided learning. Cadaveric training provides the closest experience to real-life surgery, allowing surgeons to refine their techniques in a safe and effective environment.

During the workshop, we focused on:
✅ Knee Arthroscopy Portal Placement
✅ Meniscus Repair Techniques
✅ ACL Reconstruction Principles
✅ Instrument Handling & Surgical Tips
✅ Avoiding Common Arthroscopic Pitfalls

Teaching is one of the most rewarding aspects of being a surgeon. Every skill shared today has the potential to improve countless patient outcomes tomorrow.

A sincere thank you to Biotek for organizing this excellent educational platform and creating opportunities for knowledge exchange among orthopaedic surgeons.

Together, we continue to raise the standards of arthroscopic surgery and sports medicine.

#KneeArthroscopy #ArthroscopyTraining #CadaverWorkshop #SportsMedicine #Orthopaedics OrthopaedicSurgeon ACLReconstruction MeniscusRepair ArthroscopySurgeon SurgicalEducation MedicalEducation CadaverLab Biotek KneeSurgery SportsInjury OrthopaedicTraining SurgeonLife SurgicalSkills MedicalTraining FacultySpeaker TeachingSurgeons FutureOfOrthopaedics ArthroscopyExpert JointPreservation SportsInjuries MedicalInnovation OrthopaedicEducation DrGKrishnaNareshGoud EverestClinicAndOrthocare KneeSpecialist

Knee Arthroscopy, Arthroscopy Surgeon, ACL Reconstruction, Meniscus Repair, Sports Medicine Specialist, Orthopaedic Surgeon India, Cadaveric Workshop, Arthroscopy Training, Knee Surgery Expert, Sports Injury Treatment, Arthroscopic Surgery, Orthopaedic Education, Surgical Skills Training, Arthroscopy Faculty, Sports Medicine Education.

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9 hours ago | [YT] | 0

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

Recently had the opportunity to attend as Faculty in IASONE WARANGAL. Did Live Surgery MPFL repair . It was well organized with excellent discussions.

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3 months ago | [YT] | 1

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

🤝 Celebrating Indo-Nepal Medical Friendship! 🇮🇳🇳🇵

A huge congratulations to Dr. Krishna Naresh Goud, who was invited as an International Faculty at the prestigious 5th Biennial Arthroscopy Conference of the Nepal Arthroscopy Society (ASON) in Kathmandu!

This visit was a powerful testament to the strong bond and shared commitment to healthcare excellence between India and Nepal. Dr. Goud was honored to contribute by:

Delivering an insightful talk on Decision Making in PCL Injuries

Chairing critical sessions, facilitating the exchange of knowledge.

The collaboration and friendship fostered at this conference are essential for advancing orthopaedic care across our regions. Thank you, Nepal Arthroscopy Society, for the warm invitation!

#IndoNepalFriendship

#IndiaNepalTies

#MedicalDiplomacy

#NepalArthroscopySociety

#InternationalFaculty

#OrthopaedicSurgery

#ArthroscopyConference

#GlobalHealth

#DrKrishnaNareshGoud

#CrossBorderCollaboration

#SharedKnowledge
#MedicalExchange

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6 months ago | [YT] | 1

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

🎉 A Historic Milestone in Orthopedic Surgery! 🎉

Heartfelt congratulations to Dr. G. Krishna Naresh Goud for successfully performing ACL Reconstruction using a PEEK Endobutton — the 2nd case in the world and in India, and the first ever in Karnataka! 🏅💪🏽

This groundbreaking achievement showcases Dr. Naresh Goud’s passion for innovation, precision, and excellence in sports injury and arthroscopic surgery. His dedication to bringing global-standard advancements to patient care continues to inspire the medical community. 🌍✨

🌟 Why the PEEK Endobutton is a Game Changer in ACL Reconstruction

🔹 Biocompatible & Safe: No metal corrosion or allergic reactions — completely body-friendly.
🔹 Radiolucent: Allows clear MRI and X-ray imaging post-surgery for accurate follow-up.
🔹 Strong & Durable: Provides superior graft fixation and stability during recovery.
🔹 Minimizes Bone Tunnel Widening: Supports better bone healing and long-term outcomes.
🔹 Easier for Revision: Simplifies any future surgical procedures if required.

👏 Karnataka shines on the global map of orthopedic excellence thanks to Dr. G. Krishna Naresh Goud’s pioneering effort and commitment to innovation!

Here’s to more milestones, more breakthroughs, and more lives transformed through skill and science! 🌟🙌

#DrGKrishnaNareshGoud #ACLReconstruction #PEEKEndobutton #OrthopedicInnovation #Arthroscopy #SportsMedicine #KarnatakaPride #MedicalExcellence #SurgicalInnovation #ProudMoment #Orthopedics #HealthcareHeroes #InspirationInMedicine #NextGenSurgery #WorldClassCare

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7 months ago | [YT] | 1

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

First IASCON for me as Governing Council member of Indian Arthroscopy society . I had the previlage to

🔺 Deliver Talk on PCL ,

🔺 Master Class on PCL along with Dinshaw sir.

🔺 Moderated Live Surgery

🔺 Workshop Trained Juniors in Meniscus Repair .

🔺Proud and Privelgaed to have badge of EC member from IAS president Arumugam sir, Dr Rajeev Raman sir and Dr Sandeep Biraris sir who have always been my inspiration and Mentors . It's an Honour to work along with Greats like Sundararajan Silvampatti sir , Bhupesh Karthik sir in the EC committee. Made many New Friends and Lot of Old Memories cherished at the conference. Huge Shout out to Sameer Shaikh sir for his Single handed Pulling off the Conference and Making this landmark conference. I also had the previlage to see my Juniors as Faculty in the prestigious conference Syed Kareemulla and Murugesh M Kurani . Looking forward for next conference.
Long Live IAS.

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8 months ago | [YT] | 0

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

The combination of Bipolar Hemiarthroplasty (BHA) and the Transtrochanteric Approach is a powerful option for treating an unstable intertrochanteric fracture in an elderly female patient with poor bone quality (osteoporosis).
Here is an explanation of the advantages of this specific treatment strategy.
I. Advantages of Bipolar Hemiarthroplasty for Intertrochanteric Fractures
Unstable intertrochanteric fractures are challenging in the elderly due to severe osteoporosis, which often leads to failure of traditional internal fixation (screws and plates). The advantages of choosing BHA as a primary treatment are:
* Immediate and Stable Fixation:
* BHA, especially when cemented (the most common technique in the elderly with poor bone stock), provides immediate, rigid stability to the hip joint.
* This eliminates the risk of implant failure (like a screw cutting out of the soft, osteoporotic bone) or fracture collapse, which are common complications of internal fixation (osteosynthesis).
* Early Mobilization and Reduced Morbidity:
* The immediate stability allows the patient to begin full weight-bearing and functional rehabilitation almost immediately after surgery.
* This rapid mobilization is the single most critical factor in the elderly, as it significantly reduces the risks of life-threatening complications associated with prolonged bed rest, such as:
* Deep Vein Thrombosis (DVT) and Pulmonary Embolism
* Pneumonia and Chest Infections
* Pressure Ulcers (bedsores)
* Urinary Tract Infections
* General deconditioning and mortality.
* Faster Return to Function:
* Patients are more likely to return to their pre-injury mobility level sooner and with less residual pain compared to internal fixation, which may require a longer period of protected weight-bearing.
* Addressing the Fracture & Head:
* In cases where the fracture extends toward the femoral neck, or where the comminution is severe, simply replacing the femoral head and neck component stabilizes the proximal femur, offering a versatile and durable solution.
II. Advantages of the Transtrochanteric Approach Over the Posterior Approach
The transtrochanteric approach (often called the "trans-fracture" approach in the context of intertrochanteric fractures) is uniquely suited for this type of surgery because it utilizes the fracture itself to access the hip, offering distinct benefits over the traditional posterior (posterolateral) approach:
| Feature | Transtrochanteric Approach | Posterior Approach (Traditional) |
|---|---|---|
| Surgical Access | Accesses the joint directly through the existing fracture line at the greater trochanter. | Requires an incision and detachment of the short external rotator muscles and posterior capsule. |
| Risk of Dislocation | Significantly Lower Dislocation Rate because the posterior capsule and short external rotators (which are the hip's primary static stabilizers against posterior dislocation) are preserved. | Higher Dislocation Rate due to the necessary surgical detachment of the posterior stabilizing structures, a major concern in the elderly. |
| Surgical Efficiency | Shorter operative time and less intraoperative blood loss have been reported. It is a more direct pathway for managing the existing fracture fragments and implanting the stem. | Generally longer operative time and greater blood loss. |
| Soft Tissue Injury | Minimized soft tissue and muscle damage (minimal muscle splitting or cutting) because the pathway is through the fracture. | Greater soft tissue insult from muscle detachment and retraction. |
| Rehabilitation | Fewer/less stringent postoperative hip precautions are needed, which is a major advantage for rehabilitation staff and patient compliance in the elderly. | Strict hip precautions are necessary for several weeks to prevent posterior dislocation, slowing rehabilitation. |
In essence, for an unstable intertrochanteric fracture treated with hemiarthroplasty, the transtrochanteric approach is preferred because it is a more "fracture-friendly" technique that simultaneously reduces operative trauma and, most importantly, maintains the hip's natural stability, thereby minimizing the risk of dislocation and enabling faster, safer rehabilitation.
#hipreplacement

9 months ago | [YT] | 0

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

What is a multiligament injury, and what does it mean to have an ACL and PLC injury that requires ACL avulsion repair and LaPrade LCL reconstruction?
A multiligament injury is a severe knee injury involving tears to two or more of the four main ligaments: the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). Your case involves two specific injuries that make up this complex issue: an ACL avulsion and a posterolateral corner (PLC) injury.
* ACL Avulsion: This is a type of ACL injury where the ligament doesn't tear in the middle but instead, a piece of the bone where it attaches (usually on the shin bone or tibia) is pulled away. This is different from a typical tear and requires a different surgical approach to reattach the bone fragment and the ligament. The surgical procedure is called an ACL avulsion repair.
* PLC Injury: This refers to damage to the structures on the outer-back part of the knee, which includes the LCL (Lateral Collateral Ligament). The LCL is a key stabilizer on the outside of the knee. When it's torn, especially in a severe way, it causes the knee to be unstable, particularly during side-to-side and rotational movements. The LaPrade LCL reconstruction is a specific surgical technique designed to rebuild this ligament using a graft (a tendon from another part of your body or from a donor).
So, in simple terms, you have two major ligament injuries in your knee: your ACL was pulled off its bone attachment, and the main ligament on the outside of your knee (LCL) is torn. The surgery you need will reattach your ACL and reconstruct your LCL to make your knee stable again.
What are the advantages of surgery, and what does the recovery process look like?
Advantages of Surgery
Surgical treatment for a multiligament injury like this is essential for restoring knee stability and function. Without it, the knee would remain loose and wobbly, which can lead to more problems down the line, such as:
* Chronic Instability: The knee would feel unstable and may "give way" during simple activities like walking, especially on uneven ground.
* Damage to Other Structures: The persistent instability puts extra stress on the remaining ligaments, menisci (the knee's shock absorbers), and cartilage, leading to further tears and early-onset arthritis.
* Limited Physical Activity: You would be unable to return to sports or physically demanding jobs.
Surgery restores the mechanical stability of the knee, allowing for a return to a more active lifestyle and preventing long-term damage.
Recovery Process
The recovery from this type of complex surgery is a long process that requires commitment to physical therapy. It can be broken down into a few phases:
* Immediate Post-Surgery (Weeks 1-6): You'll be in a knee brace and will likely use crutches. The focus is on controlling pain and swelling, protecting the repaired ligaments, and regaining basic motion. You'll start with gentle range-of-motion exercises and strengthening exercises for other muscles.
* Intermediate Phase (Weeks 6-6 months): As the ligaments heal, you'll gradually increase the intensity of your exercises. The goal is to regain full range of motion, improve muscle strength, and begin exercises that mimic daily activities like walking without a limp.
* Advanced Phase (Months 6-12+): This phase focuses on returning to more demanding activities. You'll work on agility, balance, and sport-specific movements, like running, jumping, and cutting. A full return to competitive sports typically isn't recommended until at least 9 to 12 months after surgery, and often longer for complex injuries.
The timeline for recovery varies greatly depending on the individual, the severity of the injury, and dedication to rehabilitation. Your physical therapist and surgeon will guide you through this process to ensure a safe and successful return to your desired activities.

9 months ago | [YT] | 0

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

A medial pivot knee replacement is a type of total knee arthroplasty (TKA) designed to mimic the natural movement, or kinematics, of a healthy knee. Unlike traditional knee replacements, which can cause unnatural motion, the medial pivot design creates a more stable, natural-feeling joint. This is achieved by having a highly conforming, ball-in-socket-like articulation on the inside (medial) part of the knee, while allowing the outer (lateral) part to move more freely.
How It's Better Than a Normal Knee Replacement
Traditional knee replacements, such as posterior-stabilized (PS) designs, use a post-and-cam mechanism to provide stability and assist with knee flexion. However, these designs can sometimes lead to an unnatural "quadriceps avoidance" gait, where the patient's walking pattern is altered to avoid engaging the quadriceps muscle fully.
The medial pivot design addresses this limitation by replicating the natural "medial pivot" motion of the knee. The inside part of the knee acts as a fixed point of rotation, while the outside part "rolls back" during flexion, which is how a healthy knee naturally moves. This design is believed to improve quadriceps efficiency, proprioception (the body's sense of position and movement), and overall stability.
Patient Advantages and Long-Term Outcomes
Patients who have undergone a medial pivot knee replacement often report a high level of satisfaction and a more natural-feeling knee. The design's ability to replicate normal knee kinematics has several advantages for patients, including:
* Increased Stability: The ball-in-socket design on the medial side provides excellent stability throughout the range of motion, reducing the feeling of instability that some patients experience with traditional implants.
* Improved Quadriceps Function: By allowing for a more natural motion, the medial pivot design enhances the function of the quadriceps muscle, which can lead to a more normal gait and faster recovery.
* High Patient Satisfaction: Studies have shown that patients with a medial pivot knee replacement often have higher satisfaction scores and expectations compared to those with other designs.
The long-term outcomes for medial pivot knee replacement are promising. Research has shown high survivorship rates, with some studies reporting success rates of over 98% at 17 years. These implants have demonstrated durability, with a low incidence of complications like aseptic loosening and a low need for revision surgery. The design also appears to be effective across various knee deformities, including varus and valgus alignments.

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9 months ago | [YT] | 1

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

Here’s a detailed explanation about **Lateral Meniscus Root Tear (LMRT):**

---

## 🔹 What is a Lateral Meniscus Root Tear?

The **lateral meniscus root** is the attachment of the meniscus to the tibial plateau at the posterior horn. A tear here means the meniscus is detached from its tibial insertion, essentially making it lose its hoop stress–bearing function. Functionally, this is almost equal to having a **total meniscectomy**.

---

## 🔹 Causes of Lateral Meniscus Root Tear

1. **Traumatic causes**

* Commonly associated with **anterior cruciate ligament (ACL) injuries**.
* High-energy twisting injuries (sports, accidents).
* Sudden deep squatting or pivoting.

2. **Degenerative causes**

* Less common in the lateral side compared to medial.
* Seen in older patients with pre-existing cartilage degeneration.

3. **Iatrogenic causes**

* May occur during ACL reconstruction when the tibial tunnel is drilled too posteriorly, damaging the lateral meniscus root.

---

## 🔹 Problems if a Lateral Meniscus Root Tear is Not Repaired

Failure to repair leads to **loss of meniscal function**:

1. **Increased joint contact pressure**

* Loss of hoop stresses → meniscus extrudes → cartilage overload.
* Nearly identical biomechanics to total meniscectomy.

2. **Rapid cartilage degeneration**

* Leads to early-onset **osteoarthritis of the lateral compartment**.

3. **Instability issues**

* Worsens pivot shift in ACL-deficient or reconstructed knees.
* Affects rotational stability.

4. **Progressive symptoms**

* Pain, swelling, catching/locking.
* Decline in sports performance or daily activity tolerance.

5. **Poor ACL graft outcomes**

* Untreated LMRT compromises graft stability → higher failure risk.

---

## 🔹 Advantages of Lateral Meniscus Root Repair

Repairing the tear restores **native knee biomechanics** and has significant clinical benefits:

1. **Restores hoop stress function**

* Prevents meniscus extrusion and maintains load distribution.

2. **Protects articular cartilage**

* Reduces contact pressure on the lateral femoral condyle and tibial plateau → slows osteoarthritis progression.

3. **Improves knee stability**

* Especially critical in ACL-deficient or reconstructed knees.
* Reduces pivot shift and improves overall function.

4. **Better long-term outcomes**

* Higher functional scores (IKDC, Lysholm).
* Lower reoperation rates compared to meniscectomy or leaving it untreated.

5. **Joint preservation**

* Prevents rapid degeneration, potentially delaying or avoiding knee replacement in the future.

---

✅ **In summary:**
A lateral meniscus root tear, if not treated, behaves like a total meniscectomy leading to rapid cartilage wear, instability, and early arthritis. Repairing it restores meniscus function, protects cartilage, improves stability, and ensures better long-term knee health. #everestclinicandorthocare #robotickneereplacementsurgery #drgkng #kneereplacement #kneearthroscopy #hipreplacement #kneepain #happylife #HappyKnees

9 months ago | [YT] | 0

Dr Naresh Goud Arthroscopy and ArthoplastySurgeon

Medial pivot knee replacement is an advanced type of total knee arthroplasty designed to more closely mimic the natural movement and stability of a healthy human knee, leading to superior outcomes for many patients compared to conventional knee implants[2][3][5].

## Key Features of Medial Pivot Knee Replacement

- The **medial pivot design** features a stable medial compartment that allows the knee to bend and rotate in a way similar to its natural biomechanics[2][7].
- This design prioritizes **ligament-mimicking stability** and precise kinematics, reducing the risk of instability during routine movements like walking or climbing stairs[2][5][9].

## Advantages of Medial Pivot Knee Replacement

- **Improved Stability:** The medial pivot design provides increased sagittal plane stability, which closely replicates native knee joint mechanics and reduces mid-flexion instability—a common limitation in traditional implants[1][2][5].
- **Natural Movement:** Patients report the implant feels more normal and enables a smoother, more flexible range of motion. Activities such as squatting or kneeling are performed with greater confidence and comfort[3][5][6][7][9].
- **Faster Recovery:** Many surgeons see patients recover faster and return to daily activities sooner due to the more anatomically accurate function of these implants[3][9].
- **Durability and Longevity:** Medial pivot implants often incorporate advanced materials—such as polyethylene infused with vitamin E—for enhanced mechanical stability and reduced wear, extending the life of the implant and reducing infection risk[2][6].
- **Patient Satisfaction:** Studies show high survivorship (over 96%) and high satisfaction rates among patients who received the medial pivot knee replacement[7][5].

## Clinical Evidence

- Research and long-term follow-ups have demonstrated **better joint stability**, higher patient preference, and similar or superior survivorship compared to conventional knee prostheses[5][7][3].
- Patients with bilateral implants often prefer the medial pivot design for demanding tasks like rising from a chair or negotiating stairs[5].


The advantages of **medial pivot knee replacement**—notably improved stability, natural movement, faster recovery, and higher patient satisfaction—make it a preferred option for many patients seeking relief from chronic knee pain and immobility[2][3][6][7][9][5].

Sources
[1] Medial Pivot Designs Versus Conventional Bearing Types ... pmc.ncbi.nlm.nih.gov/articles/PMC9726426/
[2] Medial Pivot Knee Implants: Revolutionizing Knee Health www.orthovasive.com/revolutionizing-knee-health-th…
[3] Medial-Pivot Knee Replacement Advantage www.microportortho.com/patients/knee-replacement-s…
[4] Evolution and Advancements of the Medial Stabilized Total ... www.esska.org/news/658722/Evolution-and-Advancemen…
[5] Medial pivot knee in primary total knee arthroplasty - PMC pmc.ncbi.nlm.nih.gov/articles/PMC4716939/
[6] Medial Pivot Knee Implantation in Faridabad Delhi NCR, India www.sarvodayahospital.com/treatment/ouro-excel-med…
[7] The original medial-pivot knee design - MicroPort microport.com/healthcare-professional/orthopedics/…

9 months ago | [YT] | 0