Dr. Saleem Bashir Orthopedic Surgeon

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Dr. Saleem Bashir Orthopedic Surgeon

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This page is for education of patients and medical colleagues for various different and new techniques and procedures being done in orthopedics.

23/08/2026

COMPLEX LOWER-LIMB DEFORMITY | BEFORE → AFTER

A challenging multidimensional deformity involving multiple planes of the lower limb.

BEFORE
🔹 Knee flexion contractures
🔹 Significant genu valgum
🔹 Femoral torsional deformity
🔹 Tibial torsional deformity
🔹 Altered lower-limb alignment and biomechanics

AFTER
🔹 Improved knee extension
🔹 Corrected valgus alignment
🔹 Improved femoral and tibial rotation
🔹 Restored lower-limb mechanical axis
🔹 Improved overall limb biomechanics and functional potential

From an orthopedic surgeon’s perspective, successful deformity correction begins with precise clinical assessment, multiplanar analysis, and meticulous preoperative planning—followed by accurate surgical ex*****on to restore alignment, function, and mobility.

12/08/2026

CP with Toe Walking | Before ➜ After

Toe walking in cerebral palsy is often a result of spasticity and muscle-tendon imbalance, leading to persistent equinus deformity and an abnormal gait pattern.

Before 👣
• Persistent toe walking
• Equinus posture with difficulty achieving heel contact
• Abnormal gait mechanics

After 🦶🏻
• Correction of equinus deformity
• Improved heel contact and foot position
• More balanced and functional gait

The goal was not simply to straighten the foot, but to restore a more efficient and stable walking pattern while maintaining appropriate muscle balance.

06/08/2026

نیوروپیتھی کیا ہے؟
نیوروپیتھی اعصابی نظام کی ایک ایسی حالت ہے جس میں اعصاب کمزور یا متاثر ہو جاتے ہیں، جس کے نتیجے میں احساس، پٹھوں کی طاقت اور جسمانی توازن متاثر ہو سکتا ہے۔

پہلے 👣

اس حالت میں پاؤں شروع میں بالکل نارمل دکھائی دے سکتے ہیں، لیکن وقت کے ساتھ اعصابی کمزوری اور پٹھوں کے عدم توازن کی وجہ سے پاؤں میں بگاڑ، عدم استحکام اور چلنے میں دشواری پیدا ہو سکتی ہے۔

بعد میں 🦶

✔️ ہر مریض کے مطابق منصوبہ بندی کے ساتھ سرجری
✔️ پاؤں کی درست سیدھ (Alignment) بحال کی گئی
✔️ چلنے کے دوران بہتر توازن اور وزن کی تقسیم
✔️ زیادہ مستحکم، فعال اور زمین پر مکمل ٹکنے والا (Plantigrade) پاؤں

ہر مریض کی حالت مختلف ہوتی ہے، اس لیے کامیاب علاج کے لیے درست تشخیص، محتاط منصوبہ بندی اور انفرادی سرجیکل حکمتِ عملی انتہائی اہم ہے۔

27/07/2026

Miserable Malalignment Syndrome in Cerebral Palsy | Before ➜ After

A complex rotational deformity involving multiple levels of the lower limb.

Before 👣
▪️ Excessive femoral anteversion
▪️ Tibial torsional malalignment
▪️ Abnormal patellar tracking
▪️ Inefficient gait mechanics

After 🦵🏻
▪️ Corrected rotational alignment
▪️ Improved limb positioning
▪️ Better patellar tracking
▪️ More balanced gait mechanics

In CP, correction requires a comprehensive understanding of the entire limb—not just one deformity.

Alhamdulillah, a satisfactory outcome after careful planning and surgical correction.

16/07/2026

نیوروپیتھی میں پاؤں کی حس بتدریج کم ہو جاتی ہے، جس کے باعث پاؤں کی ساخت بگڑ جاتی ہے، چلنا دشوار ہو جاتا ہے اور زخم بننے کا خطرہ بڑھ جاتا ہے۔ ہمارا مقصد صرف پاؤں کو سیدھا کرنا نہیں بلکہ ایک مضبوط، متوازن اور فعال پاؤں بحال کرنا ہوتا ہے۔

پہلے 👣
• شدید پاؤں کی خرابی اور غیر متوازن وزن کی تقسیم
• چلنے میں عدم استحکام اور دشواری
• پریشر سورز اور زخم بننے کا زیادہ خطرہ

بعد میں 🦶
• منصوبہ بندی کے ساتھ کامیاب جراحی اصلاح
• بہتر الائنمنٹ اور متوازن وزن کی تقسیم
• مضبوط، سیدھا (Plantigrade) اور زیادہ مستحکم پاؤں

ہر مریض کے لیے علاج انفرادی منصوبہ بندی کے مطابق کیا جاتا ہے تاکہ بہتر فعالیت، محفوظ چلنے کی صلاحیت اور طویل مدتی نتائج حاصل کیے جا سکیں۔

30/05/2026

Developmental Dysplasia of the Hip (DDH) can profoundly affect a child's mobility, gait, and future joint health if left untreated. This young patient presented with a dislocated hip, resulting in pain, functional limitations, and an abnormal walking pattern.
Through meticulous preoperative planning and reconstructive surgery aimed at restoring hip stability, alignment, and biomechanics, we were able to achieve a well-centered, congruent hip joint. The postoperative images demonstrate significant correction of the deformity and restoration of normal anatomy.
The greatest reward is not the radiographic improvement, but seeing a child regain confidence, comfort, and the ability to move freely. Early diagnosis and appropriate intervention remain key to ensuring the best possible outcomes for children with DDH.
Alhamdulillah for another successful journey from deformity to function.

18/05/2026

This patient suffered from hip arthritis secondary to AVN (Avascular Necrosis) of the head of femur — a condition that gradually damaged the hip joint and made everyday activities painful and difficult. Walking, standing, and even simple movements became a constant challenge.

After detailed evaluation, a Total Hip Replacement was performed to relieve pain and restore mobility. The difference between the before and after is more than just physical — it reflects renewed confidence, independence, and quality of life.
The “after” marks the beginning of a new journey: smoother movement, better balance, reduced pain, and the ability to return to daily life with comfort.

Recovery takes patience, rehabilitation, and determination, but the results can be life-changing.

No one should have to live with chronic hip pain in silence. With timely diagnosis and the right treatment, mobility and freedom can be regained — one step at a time.

06/03/2026

Post Burn Contracture with Severe Flexion Contracture of the Big Toe 🦶⚠️

Burn injuries can often lead to scar tightening, known as post-burn contracture, which restricts normal movement and function. In this patient, the scarring caused a severe flexion contracture of the big toe, pulling the toe downward and making walking painful and difficult.

Through careful surgical release of the contracture and reconstruction of the soft tissues, the toe was gradually brought back to a more natural position. This correction helps restore better alignment of the foot, improves mobility, and allows the patient to walk with greater comfort.

The before images show the severe deformity caused by burn scarring, while the after images demonstrate the improved position and function of the big toe following surgery.

Every reconstruction is not just about correcting a deformity — it is about restoring movement, confidence, and quality of life. ✨

22/01/2026

TOTAL KNEE REPLACEMENT 🦵🏻🥼

⚠️Before Surgery:

The preoperative X-ray of the left knee shows advanced degenerative osteoarthritis, predominantly involving the medial compartment. There is marked joint space narrowing with osteophyte formation and subchondral sclerosis, resulting in varus alignment of the knee. These changes correlate with chronic pain, stiffness, deformity, and significant limitation in daily activities.

🌟After Surgery:

Postoperatively, the X-ray shows a well-aligned total knee replacement with stable fixation of both femoral and tibial components. Proper limb alignment and joint balance were achieved intraoperatively, restoring the mechanical axis of the knee. The reconstruction provides a stable, functional joint with expected improvement in pain relief, mobility, and long-term outcome. The patient has begun rehabilitation with a positive early recovery trajectory

$The patient sustained a comminuted fracture of the proximal femur, involving multiple fracture fragments with loss of st...$

15/01/2026

The patient sustained a comminuted fracture of the proximal femur, involving multiple fracture fragments with loss of structural stability.

After thorough clinical and radiological evaluation, the fracture was managed surgically with a Proximal Femoral Nail (PFN). The procedure achieved

✅️ Stable internal fixation
✅️ Restoration of femoral alignment
✅️ Preservation of limb length

Postoperatively, the patient was advised early mobilization with protected weight bearing, along with physiotherapy.

Address

Lateef Hospital E/block Allah Ho Chowk, Johar Town
Lahore
54600

Telephone

+923026282000

Website

https://drsaleembashir.com/

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