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.

Sunday, 27 May 2012

Is this the equivalent of a ball and socket knee joint

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 This is an Xray of a 53 year old lady with history of septic arthritis when 15 years of age send for opinion by a good friend of mine. ...
Thursday, 24 May 2012

3 complex knee cases

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 Below are 3 cases  send my fellow orthopods for comments. I have given my opinion and would appreciate  and welcome other contributions ...
1 comment:
Thursday, 17 May 2012

infected MOM bearing THR

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6 years post MOM bearing presented with infected THR(psuedomonas).   The cup became vertical a year ago. Patient continued visiting vari...
1 comment:
Sunday, 6 May 2012

Osteoarthritis knee- post trauma tibia vara

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 62 year old lady 5 year post open fracture tibia presently with pain and instabilty. ESR and CRP are normal. An oblique scar (red Line)...
2 comments:
Tuesday, 1 May 2012

Supracondylar fracture with RA and secondary OA in 65 year old lady

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osteoporotic Patient with RA and supracondylar fracture  Options 1. Fix and  TKA 2. Fix and TKA later 3. TKA now ...
1 comment:
Sunday, 29 April 2012

Bilateral hip ankylosis with HO

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  Case refered by Dr. Mukesh Ladda from nagpur for opinion . Please  give your views and comments 54yr male diabetic presented with bila...
Sunday, 22 April 2012

Asymmetric polywear in a tkr

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I do not have the initial postop xrays taken at the time of index procedure done elsewhere. Hence, not sure whether improper balancing was ...
Tuesday, 17 April 2012

lessons learned-Sequelae of open fracture talus with medial malleolus fracture

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He has  pain on wt bearing with Varus hind foot and gross painful restriction of ankle movement. Varus of ankle can be partially correcte...
2 comments:
Sunday, 15 April 2012

Price one pays for delayed revision in aseptic looseningr

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This patient, a 44 year old rheumatoid lady underwent revision of rt hip in 2005  with MOM where in  we  advised revision of the lt. cup. ...
3 comments:
Monday, 6 February 2012

modified hardinge approach

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Modified hardinge Approach maintaing 2/3rds of the medius  and releasing towards the lesser trochanter and not vertically downwards ma...
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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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