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.

Tuesday, 27 October 2026

Distal femoral fracture rt and lt tibial fracture in an active 86 year old lady (pedastrian) involved in an RTA

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Did replace rt knee with a tumour prosthesis and fix lt ankle to mobilise fwb rt and pwb with splint on ltside

distal femoral fracture replaced by a link RHK

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That's a big mucoid degeneration in a 25 yr old male which is unusual. will excise and biopsy it and recon at the same time

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why this happens in 25 year?? Presented with pain with limitation of flexion to 70 and 5 degree flexion deformity. on scopy rest of the kne...
Thursday, 22 October 2026

ACL healing is time dependant or patient dependant. do we need better imaging before return to sport

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3 year post acl rec clinically intact acl. Patient is asymptomatic and for all practical purpose doing well. not allowed return to contact ...
Tuesday, 20 October 2026

23 yrs post THR is old acetabular fracture

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Did this in 2002 when he came with failed acetabular reconsteuction. The RTA claim is still going at 23 years and wanted to know the cost...
Sunday, 11 October 2026

anterior horn repair. is it predictable healing??

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Radial and complex tears heal. did the augmentation with BMAC make the difference

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6 weeks rescope for 2nd stage ACI proves it. Then one case cannot be the evidence. Difficult to scope everyone even with our new nanoscope. ...

RADIAL AND COMPLEX TEARS OF MENISCUS HEALS

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CHRONIC DISLOCATED PATELLA IN TKR - A SOLUTION USING SYNTHETICS

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THIS WAS A CASE REFERED WITH MALROTATED IMPLANT WITH MCL LAXITY AND PATELLAR SUBLUXATION. THE RHK HELPED WITH WALKING BUT 40 DEGREE EXT L...
Thursday, 8 October 2026

HYBRID FIXATION ON RT HIP

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CEMENTING THE DISTAL HALF OF STEM WITH PROXIMAL POROCOAT FOR ETO HEALING AND IMMIEDIATE WT BEARING IN A 90 YEAR OLD LADY. DONT WE NEED A S...

Sleeve and. MBT tray done in 2008

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was allograft needed alt="" border="0" width="320" data-original-height="1112" data-original-width...

OCD WITH ICRS STAGE 1 WITH OPEN PHYSIS

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2 YEARS SYMPTOMATIC OCD WITH A FAILED CONSERVATIVE TREATMENT IN A LEVEL 1 ATHLETE TRANS ARTICULAR DRILLING DONE IN VIEW OF LOCATION A...
Monday, 27 July 2026

Mucoid degeneration of a revision acl

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Saturday, 18 July 2026

Isnt BPT the best in revascularisation and RTS

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@ 3 months post BPT in a zzFemale footballer and one year post op
Friday, 10 July 2026

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THE MEETING DISCUSSED 1FUNCTIONAL ALIGNMENT / KINEMATIC AND SO ON WITH ROBOT TRYING TO REPRODUCE THE SAME PHILOSPHY. 2.FEMORAL BOWING A...
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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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