1. NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain in both knees last from 2-3 years. B/L THR done in 2013 PRESENT HISTORY:- Pain in both knees, swelling, difficulty in walking and stair climb. DIAGNOSIS:-O.A of both knees.

2. COMPLICATION:Pain, swelling, difficulty in walking. INVESTIGATION:- Blood Group:-B+ve EXAMINATION:-Deformity:- Varus. ROM:- SLR:100 + in both Knee Flexion:- lt: 100, rt:95 PLAN FOR:-B/L TKR DATE OF SURGERY: TIME:- DURATION:- 1/1/2015. 11:00am. 3hrs. OPERATIVE DETAILS: Anesthesia: SA. Approach: Medial parapatellar arthotomy. Blood Loss: IMPLANT:- Zimmer:- LT:- FC: C, TC: 3, Spacer: 10mm, Palacos R 1×40g. RT:-FC: C, TC: 3, Spacer: 10mm, Palacos R 1×40g DRAIN:- BLOOD TRANSFUSION: 1 st PO:- LT: 600, RT:620. One unit pre op. One unit post op.

3. X-RAY

4. X-RAY:- PRE OP:PO OP:

5. SCANO:- PRE OP:PO OP:

6. VIDEO:- PRE OP:PO OP:

7. NAME:-Mrs.Kiran Mishra AGE/SEX:-34yrs/f. CONTACT:-8827521706. ADDRESS:- C-44,Subhas colony,Govindpura BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain in all four joints last from 5-6 years. PRESENT HISTORY:- Pain in all four joints, swelling, difficulty in walking,unable to stair climb. MEDICAL HISTORY:- no DIAGNOSIS:-R.A of all four joints. PLAN FOR:-B/L TKR/THR

8. COMPLICATION:Pain, swelling, difficulty in walking. INVESTIGATION:- Blood Group:-B+ve EXAMINATION:-Deformity:- Varus. ROM:- SLR:lt: 50, rt:55 Knee Flexion:- lt: 90, rt:95 DATE OF SURGERY: DURATION:- B/L TKR:-4/2/2013 B/L THR:-1/3/2013 3hrs. OPERATIVE DETAILS:Anesthesia: SA. Approach: Medial parapatellar arthotomy.(B/L TKR) Posterolateral.(B/L THR) DRAIN:- BLOOD TRANSFUSION: 1 st PO:- LT: 650, RT:650. ONE unit pre op. One unit post op.

9. X-RAY:- PRE OP:PO OP:

10. Scano:- Pre op:Po op:

11. VIDEO:- PRE OP:PO OP:

12. NAME:-Mrs. Prabha Mishra. AGE/SEX:-52yrs/f. CONTACT:-9425692375. ADDRESS:-Near central temple, sadar bazaar BHOPAL. Height/Weight:-54kg. PAST HISTORY:-Pain in both lower limb, more in lt knee last from 3-4 years. B/L THR done:-16/4/2014 Lt TKR done:-13/3/2015:- PRESENT HISTORY:- Pain in both knees, but more in lt, difficulty in walking, unable to stair climb. Pain in rt knee joint, swelling, difficulty in walking. DIAGNOSIS:-O.A of right knee.

13. COMPLICATION:Pain, swelling, difficulty in walking. INVESTIGATION:-Blood Group:- A+ve EXAMINATION:-Deformity:- Varus. ROM:- SLR: Knee Flexion: PLAN FOR:- Lt TKR and Lt THR Rt TKR DATE OF SURGERY: TIME:- DURATION:- LT TKR:-24/4/2014, RT TKR:-13/3/2015 11:00am. 1hrs. OPERATIVE DETAILS:Anesthesia: SA. Approach: Medial parapatellar arthotomy. Blood Loss: IMPLANT:-LT:- FC: 2.5, MTT: 3, TC: 3 insert 8mm, Bone cement: 40g. RT:-FC: C, TC: 2, Spacer: 10mm, Palacos R 1×40g DRAIN:- BLOOD TRANSFUSION: TWO Unit post op.

14. X-ray pics:-

15. Scano:- PRE OP:PO OP:-

16. VIDEO:- PRE OP:PO OP: