Dr. Kunal Arora

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Dr. Kunal Arora

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Knee specialist in Navjeevan Hospital, Model Town, Rohtak

04/11/2026

Ever wondered how we maintain sterility inside the operation theatre? 🏥

Ioban antimicrobial drape acts as a protective barrier, helping reduce bacterial contamination and maintain a sterile surgical field.

Small details. Big difference. Every step matters in safe surgery! 👨‍⚕️

28/10/2026

🦴 Femoral Head Sizing Before Bipolar Hemiarthroplasty

After femoral head excision, accurate sizing of the native femoral head is an important step in bipolar hemiarthroplasty.

🔹 The excised femoral head is measured using a femoral head sizer.
🔹 The head is passed through different sizer apertures to determine its diameter.
🔹 The appropriate bipolar head size is selected based on the measured native femoral head diameter and the manufacturer’s sizing recommendations.
🔹 Proper sizing helps restore hip biomechanics and achieve appropriate articulation with the acetabulum.

⚠️ An undersized or oversized head may compromise fit and contribute to instability or acetabular problems.

Key takeaway: Accurate measurement, proper trial assessment, and attention to hip stability are essential for a successful outcome. 🎯

27/10/2026

Femoral Head Sizing for Bipolar Hemiarthroplasty 🦴

The excised femoral head is measured using a femoral head sizer to determine the appropriate bipolar prosthesis size. The head should pass through the sizer snugly, without excessive force, to help select the correct diameter and ensure proper fit.

26/10/2026

🩺 Ioban Application: An Extra Layer of Protection in the Operating Room!

Ioban is an adhesive antimicrobial incise drape applied to the skin after proper surgical skin preparation. It helps maintain the sterile surgical field and acts as a barrier against skin flora during surgery.

🔹 Helps reduce bacterial migration from the skin.
🔹 Adheres to the skin during surgical incision.
🔹 Provides a sterile surface around the incision site.
🔹 Commonly used in joint replacement and other orthopaedic procedures.

⚠️ Remember: Ioban complements—not replaces—proper skin antisepsis and standard infection-prevention protocols.

Because in joint replacement surgery, every detail matters! 🦴

26/10/2026

🦵 ACL Reconstruction: Is the Peroneus Longus Tendon a Better Graft Choice?

The peroneus longus tendon (PLT) is gaining attention as an alternative to the conventional hamstring tendon graft for ACL reconstruction! 🔬

📚 What does the published evidence suggest?

✅ 1. Potentially Larger Graft Diameter: A 2025 systematic review and meta-analysis reported a mean graft diameter of 8.63 mm with PLT versus 8.08 mm with hamstring grafts.

✅ 2. Preserves Hamstring Function: Harvesting PLT avoids sacrificing the hamstring tendons, potentially reducing hamstring weakness and donor-site morbidity.

✅ 3. Comparable Knee Stability: Studies report similar Lachman, pivot-shift and functional outcomes compared with hamstring grafts.

✅ 4. Fewer Donor-Site Complications: The 2025 meta-analysis reported donor-site morbidity of 7.48% with PLT versus 22.01% with hamstring grafts.

✅ 5. Ankle Function Is Generally Preserved: Studies report satisfactory postoperative ankle function in most patients, although careful donor-site assessment remains essential.

⚠️ Important: PLT is a promising alternative, not a universally superior graft. Long-term outcomes, ankle eversion strength and graft failure rates require further evaluation.

🎯 The best graft is the one that suits the patient, anatomy and surgical requirements.

📖 Evidence: Kumar et al., Orthopaedic Journal of Sports Medicine, 2025. PMID: 40980562.

24/10/2026

🦴 Cement on the implant, the bone, or BOTH? 🤔

One of the most important steps in Total Knee Replacement (TKR)!

🔹 Some surgeons apply cement primarily to the bone.
🔹 Others apply it to the implant.
🔹 Many use a combined technique!

👨‍⚕️ My technique: I apply cement to the tibial baseplate, including the keel, as well as the prepared tibial bone surface.

🎯 The goal? Adequate cement pe*******on, secure fixation, and a reliable cement–bone interface.

But here’s the real question: Does applying cement on BOTH surfaces improve fixation, or is bone-only cementing equally effective?

💬 Orthopaedic colleagues, what’s your preferred cementing technique and WHY? Let’s discuss! 👇

23/10/2026

“The workload is endless. The exhaustion is real. But the complaints? Almost none.” 🖤

Some days, you’re tired beyond words. You sacrifice sleep, miss family moments, and keep going even when your body begs you to stop.

Not because it’s easy. Not because you don’t feel tired. But because someone is counting on you.

Stop complaining about how hard life is. Remember why you started. 💯

You don’t have to be fearless. You just have to keep showing up.

29/04/2026

Wrapping up an incredible Hip Replacement course under Dr. Prithvi Mohan at MIOT Hospitals, Chennai.

Truly inspired by the scale, precision, and systematic approach of his work, so much to learn and take back into practice. Grateful for the opportunity to be part of a diverse group of 4 surgeons from across Indie i.e Mumbai, Gujarat, Kerala, and me from Haryana.

Thank you to sir and the entire team for an enriching experience.

Address

Navjeevan Hospital, 178-R Model Town
Rohtak
124001

Telephone

+918950176247

Website

https://youtube.com/@dr.kunalarora2094?si=hTbixVMNuxHrjKEC

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