Joint Preservation and Replacement

A collection of complex joint preservation and replacement case studies and random thoughts of a orthopedic surgeon essentially aimed at knowledge dissemination.

Friday, 12 December 2025

22 years post bilateral revision in a spondyloepiphyseal dysplasia

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This was a bil revision done in 2002 for failed bil MOP surface replacament with MOP. came with groin pain and pain on wt bearing . bone sca...
Friday, 5 December 2025

MYSTERY WRIST

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 Presents 3 months after a twisting injury preventing a bike from falling. .Pain after splinting by a doc in Mumbai. one week after injury. ...
Thursday, 4 December 2025

ULNO CARPAL IMPINGEMENT WITH CENTRAL TEAR OF TFCC TREATED WITH A SCOPIC WAFER PROCEDURE

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  POSTOP PICS ON THE LT 

22 years after bil revision hip in a spondyloepiphyseal dysplasia

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Painful lt hip( groin )  negative  bone scan  stress shielding. metal head starting to impinge in this  reg poly over 28 MOP bearing Plan.A ...

rheumatoid elbow post elbow replacement

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   ROM  30 to 100@ 4 weeks active flexion and passive extension to protect triceps repair till 6 weeks
Saturday, 22 November 2025

Instabilty post TKR due to MCL injury

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Repeated falls 5 monthspost TKR with mcl laxity and mild recuravtum n a Mobile bearing knee. Delayd  Progreesive ligamentous laxity of MCL  ...

Malunited childhood proximal femoral fracture with SUFE and OAhip and valgus knee,anke and degenerate spine

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 Type 2 valgus degenerate  spine with painful malunited proximal femur with old SCFE hip, Lt.  hip was replaced  4 years ago. CT  revealed a...

Periarticular fracture of femur and patella i

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 RTA in a pt with  10 year old conservative  treated  tibial fracture with osteopenia  Attempted fixation by surgeon revealed no hold for  f...
Thursday, 29 May 2025

6 MONTH OLD ACL/PCL AND OPEN MCL INJURY IN A 28 YEAR

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ALLEGED RTA WITH THE ABOVE INJURY ONLY THE OPEN MCL WAS REPAIRED IN THIS YOUNG PERSON WHO PRESENTED WITH A STIFF KNEE ROM 0 TO 30. COMPLETE...

Keinbocks disease (Begg and Bains grade 1). lunate chondral damage by intact radio-lunate fossa

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OPTION S OF LIMITED FUSION VS PRC DISCUSSED. IN VIEW OF LT HAND AND BEING A CASHIER PRC WAS OPTED FOR BY THE PATIENT,. 5 MONTHS POST ...
Saturday, 14 December 2024

8 months old patellar tendon avulsion . Use of neoligament to by pass quads to tibia to obtain active extension

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The patella could be mobilised only by 1. 6 cm. use of synthetic mesh helped in immediate mobilisation effecting a Quads to tibia bypass.
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Dr Jacob Varghese
VPS lakeshore Hospital, Kochi, Burjeel Hospital Muscat oman, kerala, India
orthopedic surgeon - with interests in sports injuries, joint preservation, primary and revision joint replacement
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