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.

Wednesday, 29 August 2012

post acetabular fracture - post milch batchelor osteotomy

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Case for opinion- This 52yr old gentleman had girdlestone followed by shanz ostetotomy in 1995 for neglected fracture dislocation left hip...
1 comment:
Sunday, 19 August 2012

TKR in postraumatic stiff painful knee

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 63 yearold  lady with post traumatic arthritis- 5 years post open type 2 fracture tibia  treated primarly by illizaro and  screw presente...
1 comment:
Tuesday, 14 August 2012

33 yer old male post osteotomy for opinion from dr. rajesh

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Ensure that the pain is from the hip itself as the lateral joint space is reasonable although inferiomedially it looks narrower. If ...
Thursday, 26 July 2012

Ossron(cultured osteoblast) in AVN hip

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Above is the xray of a 28 year doctor with pain in lt hip of 3 months duration. The mri showed a gr 2 lesion in lt hip and grade 1c rt hip...
Wednesday, 18 July 2012

Complex Hip- OA with intertroch nonunion with implant in situ

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Any takers for this complex hip pics send to me by my good friend   He managed put a stem  between the screws had a problem with the ...
3 comments:
Tuesday, 17 July 2012

11 years post Single bundle PCl reconstruction

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 I had the pleasant surprise of  reviewing a patient 11 years after a single bundle Quads tendon isolated PCL reconstruction done while I...
1 comment:
Monday, 25 June 2012

18 year old adolescent footballer with Ankle pain

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He has pain on dorsiflexion anteriorly  and posteriorly on plantar flexion both of which are grossly limited options please I am pl...
2 comments:

foot and ankle problems and solutions

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http://www.ankleplatform.com/ .  Check this website by dr. Van Dijk. He has done a lot to popularise current methods of management of foot ...
Wednesday, 20 June 2012

Type 3 periprosthetic fracture Lt hip

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 Patient a 78 year old hypertensive underwent bipolar 8 months back elsewhere and refered to my friend for mangement with a periprosthet...
Monday, 18 June 2012

scaphoid nonunion

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35 year old rt handed office assistant fell down 3 months back. He was advised surgery by the attending orthopod but refused.  returned 3 ...
Sunday, 17 June 2012

TKR iwith a bowed femur

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 78 year old lady  with pain in rt thigh and knee. On Investigation her Vit D levels were low, Bonescan picked up the stress fracture. Aft...
Sunday, 3 June 2012

posterior ankle pain- painful os trigonum

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Patient presents with posterior ankle pain. Sharp Plantar flexion and external rotation causes pain . Xray confirms a large fused os trigon...
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:
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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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