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, 9 August 2011

Trochlear dysplasia in an 18 year old boy

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18 year old engineering student presented with recurrent patellar dislocation and pain. O/E positive apprehen...
Wednesday, 22 June 2011

medial patellar facet chondral defect

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grade 4 medial patella r defect 3 cm circumference in a 19 year old male student. Normal TT:TG diatance. MPFL intact. No history ...
4 comments:
Tuesday, 21 June 2011

ceramic on metal cleared by FDA

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It was anounced that FDA approved ceramic on metal bearing by depuy for use recently. We have been using this bearing couple over the last 2...
2 comments:
Friday, 10 June 2011

anterior column fracture with posterior hemitransverse in an 82 year old male

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anterior column is displaced with an essentilly undispalced hemitransverse fracture as described by letournel. would you fix it or treat him...
Thursday, 14 April 2011

recurrant dislocation of patella.

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16 year old girl with 3 episodes of patellar dislocation. Apprehension test positive for lateral patellar subluxation No clinical to...
Wednesday, 23 February 2011

thr in dysplastic hip post pprp

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32 year old financially challenged girl with painful hip. She has a foot drop . grade 4+ hip abductors and flexors problems1. dyspalstic a...
1 comment:

TKR in a valgus knee with malunited shaft of femur

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68 year old gentleman whose xrays below where sent to me for opinion. Option 1. Ideal case for CAS option 2. If CAS is not available what ...
1 comment:
Wednesday, 9 February 2011

poly wear 6 years post thr

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this is my own patient done 6 years ago with metal on poly( CLS with sportono cup). 2 week history of thigh pain. ESR, CRP and cbc are nor...

Impending fracture post thr

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68 year old sister with an aseptic loosening. How can one advise to continue walking innthis case? Are we waiting for the inevitable fractur...
2 comments:
Saturday, 5 February 2011

THR in non unon fracture acetabulum

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Case sent by C . mahajan 67 year old with 2 year old malunited acetabular fracture planned for thr problems. 1. Is the fracture united ...
1 comment:
Monday, 31 January 2011

Acetabular wear one year post bipolar replacement

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66 year old female sustained a fracture neck of femur in dubai and was treated by a modular bipolar arthroplasty. She presented with groin p...
6 comments:
Tuesday, 28 December 2010

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93 year old female came to us 6 days post injury with a subtrochanteric fracture. She had chest infection which was treated with antibiotics...
Monday, 1 November 2010

Distal pole scaphoid fracture with Greissler’s Grade III SL dissociation

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•53 year old Female,Right Hand Dominant Doctor with H/O Fall 4 days back •Pain and Tenderness right wrist loacalised to radia side of wrist ...
Wednesday, 8 September 2010

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65 year old, 18 months post surface replacement in apatient for OA shoulder with cuff tear. She has a malunited shaft fracture 18 years old....
Saturday, 4 September 2010

Sub troch nonunion for THR post shanz osteotomy

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One year post subtrochanteric osteotomy and thr post shanz ostrotomy for DDH. Patient is 35 years old jacob The instability at the osteotom...
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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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