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, 5 March 2010

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78 year old gentleman, hypertensive and well controlled diabetic sustained a both coloumn fracture rt. acetabulum following a fall down the ...
5 comments:
Tuesday, 15 December 2009

54 year DDH

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54 year DDH with pain rt. hip, Gross trendelenberg gait and 7 cm shortening. Options 1. Milch Batchelor osteotomy if the patient is financia...
1 comment:

perprosthetic fracture in a octogenarian-

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perioprosthetic fracture in an 89 yr old male after Austin moore prosthesis implanted 3 years ago. COPD, H/0 recent CVA. Ideally I want an i...
4 comments:
Saturday, 5 December 2009

To fix or replace -5 month old fracture dislocation

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Dr. Ramesh Dalwai sends a case for discussion This a 55 yr old gentleman ( rt. hand dominant) with H/O fall 5 months back. Sustained injury...
1 comment:
Sunday, 29 November 2009

Arthroscopic shoulder stabilisation.

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Is it the standard of care? Shoulder surgery has grown much in the last decade. Even in the presence of engaging Hill Sach's , soft ti...
Monday, 16 November 2009

Ankylosed knee with patellar fracture - by Sreenath for opinion

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54 yr male with trauma history of ankylosis same knee following septic arthritis at 16 yrs of age,diabetes controlled by dietnot willing fo...
5 comments:

OATS

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28 year old male with a focal cartilage defect(10 mm) in the medial femoral condyle. Picked up on a cartigram with a 1.5 tesla MRI. I year p...
Friday, 13 November 2009

arthroscopic decompression of Spinoglenoid ganglion

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25 yr old male, Pain ,weakness -7 months insiduous onset No history of injury. Conservative treatment for 6 months elsewhere external rotati...
4 comments:

Type 3 b infected open fracture distal femur and proximal tibia

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25 year old male with type 3 b open fracture of distal femur and proximal tibia and lateral facet of patella presented I week after the inju...
6 comments:
Sunday, 25 October 2009

Infected THR with a sinus

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65 year old infected rheumatoid hip with femoral sinus of 4 years duration. The treating doctor told her to walk slowly till she became bed ...
9 comments:
Tuesday, 13 October 2009

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TKR in a rheumatoid valgus knee with plastic deformity of the MCL. It was managed by a Posterior stablised knee with medial condylar (not e...
2 comments:
Friday, 9 October 2009

TKR in a patient contralateral hip disarticulation

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At the point of loading in a patient walking with a single leg with crutches and no prosthesis, the knee is in 10 to 20 degrees flexion. Pos...
1 comment:
Sunday, 27 September 2009

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A case send by Dr Sujay for opinion 37 year old rt. handed male (profession unknown) with 8 yr old injury. Is it a SNAC wrist? Early radial...
Tuesday, 22 September 2009

Arthroscopic ankle fusion

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18 yr old girl with ankle pain for 15 years. open biopsy done 10 years ago was reported as nonspecific. She had rest pain. Xrays showed con...
4 comments:
Wednesday, 16 September 2009

Dr. Sreenath in an aggressive mood during TKA closure.

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He is now in pariyaram medical college, Kannur . Could Dr. Srenath comment on the fellowship in lakeshore hospital . The board room game...
3 comments:
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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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