1. Management of MDR-TB. ( Repeat) 2. Designing of Orthopaedics Operation theatre. 3. Nanotechnology ( Repeat) 4. Xenotransplantation in Orthopaedic surgery 5. Cryotherapy. 6. Radiation hazards in Orthopaedics. Discuss the preventive measures for radiation hazards. 7. Autologous Chondrocyte implantation , Masquelet technique ( Repeat) 8. Describe all inside technique for meniscal repair. Describe its advantages and disadvantages. 9. Role of navigation in total knee arthroplasty. What precautions you will take while doing total knee arthroplasty with fixed flexion and valgus deformity in knee. 10. Outline the technical steps to achieve desired degree of version of acetabular and femoral components during THR. What is combined angle of anteversion? How will you modify your version in a case of fixed lumbar lordosis or flat back ? 11. Minimally invasive spinal surgeries. 12. Stoppa’s approach. 13. What is fragility fracture? What are the principles of management of fragility fractures? What are the recent trends? 14. 3D printing in Orthopaedics (Repeat). 15. Role of Artificial Intelligence in Orthopaedics. 16. Explain about the Ortho-biologics and its role in Orthopaedics.(Repeat) 17. Stem cells (repeat) 18. Recent advances in the management of severely osteoporotic fracture of long bones, 19. Discuss principles, indications, advantages and disadvantages of motorized intra-medullary bone lengthening in adults. 20. Recent advances in the management of polytrauma patients. Role of various investigative and treatment modalities.
Quick Reference Index
| # | Topic | Key Exam Points |
|---|---|---|
| 1 | MDR-TB | WHO Group A-B-C drugs, BPaL regimen, shorter 9-12 month regimen, surgical indications for Pott's |
| 2 | OT Design | 4 zones, LAF (300 AC/hr), HEPA, carbon fiber table, C-arm space, Charnley-Howorth enclosure |
| 3 | Nanotechnology | Nano-HA, CNTs, drug delivery nanoparticles, silver nanocoatings, quantum dots, bioprinting |
| 4 | Xenotransplantation | Porcine source, bovine bone (Bio-Oss), decellularization, CRISPR alpha-gal KO, rejection types, PERV risk |
| 5 | Cryotherapy | Superficial (RICE) vs cryosurgery (GCT - 2-3 freeze-thaw cycles), complications, percutaneous cryoablation |
| 6 | Radiation Hazards | ALARA, Time-Distance-Shielding, TLD dosimetry, lead apron/thyroid shield/glasses, pulsed fluoro, tube-under-table |
| 7 | ACI & Masquelet | ACI 3 generations/2 stages; Masquelet 2 stages (cement spacer → induced membrane → autograft) |
| 8 | All-Inside Meniscal Repair | Fast-Fix/Meniscal Cinch devices, technique, advantages (no accessory incision, no NV risk), disadvantages (cost, implant failure) |
| 9 | Navigation TKA + FFD/Valgus | Imageless navigation, FFD (posterior capsule release, extra distal cut), Valgus (Ranawat classification, lateral release sequence) |
| 10 | Version THR | Lewinnek safe zone, Combined anteversion = cup + 0.7×stem, TAL reference; Hyperlordosis → increase cup anteversion; Flat back → decrease cup anteversion |
| 11 | MISS Spine | MED, percutaneous pedicle screws, MISS-TLIF, XLIF/OLIF, PELD, ULBD, vertebroplasty/kyphoplasty |
| 12 | Stoppa's Approach | Modified Stoppa (Cole & Bolhofner), Pfannenstiel/midline, corona mortis ligation, quadrilateral surface, acetabular fractures |
| 13 | Fragility Fractures | Definition, augmented implants, zoledronic acid (can give ≤2 weeks post-fracture), romosozumab (Evenity), FLS, sequential therapy |
| 14 | 3D Printing | DMLS for metals, STL workflow, surgical models, PSI cutting guides, custom implants, porous scaffolds, bioprinting |
| 15 | AI in Orthopaedics | Fracture detection (BoneView), automated templating, robotic integration (MAKO), outcome prediction, NLP for coding |
| 16 | Ortho-Biologics | BMAC, PRP (L-PRP vs LP-PRP), DBM, rhBMP-2 (InFUSE - FDA approved indications), HA viscosupplementation, amniotic products |
| 17 | Stem Cells | MSC, ESC, iPSC, ADSC/SVF; applications in bone/cartilage/disc/tendon; regulatory issues, stem cell tourism |
| 18 | Osteoporotic Long Bone Fractures | Helical blade, cement augmentation (TFNA), RSA for proximal humerus, orthogeriatric model, ERAS, FLS |
| 19 | Motorized IMN Lengthening | PRECICE (ERC), STRYDE (weight-bearing), FITBONE; advantages vs Ilizarov; complications; monitoring |
| 20 | Polytrauma | DCR (1:1:1, TXA), DCO vs ETC, eFAST, WBCT pan-scan, REBOA, PPP, Hybrid OR, hemostatic dressings |
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