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, 19 February 2013

Ulno carpal abutment

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22 yr old male with h/o injury as a child c/o ulnar sided pain od 3 Yrs duration. Xr and MRI shows 4mm long ulnar + with ? Central tea...
Wednesday, 13 February 2013

anterior and posterior impingement of ankle

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 This  28 yt old boy presented with pain both anterior medial and posterior laterally. with clinical evidence of both anterior and pos...
1 comment:
Monday, 11 February 2013

Thougths on improvement of orthopedic trauma

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 Fellow orthopods,  radiologists and mechanotronists  together could help to improve trauma surgery  my thoughts are as follows 1. 3 D ...
Thursday, 24 January 2013

Musculoskeletal Imaging has to quickly catch up

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MSK imaging has improved leaps over the past  2 to 3 years. Use of 3 tesla magnets( minimum of 1.5 tesla). multichannel coils and joi...
1 comment:
Wednesday, 23 January 2013

Tennis elbow

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 The management of tennis elbow has changed over the years. The etiology is still debatable. One needs to think of D/D of  RADIAL TUNNE...

what is wrong with this pcl and plri reconstruction

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 ideally the pcl tibial tunnel proximal exit has to be as shown in green above and not as in red. there is no posterior sag in this ...
Sunday, 13 January 2013

Extended trochanteric osteotomy

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  ETO believed to be a greater deliverer in revision of a well fixed stem has been a modification of wagner osteotomy which was done i...

Cyclops lesion post acl recon with notch impingement

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Patient presented with FFD of 10 degrees 1 years post acl recon.  MRI revealed a cyclops lesion Notchplasty done as above  regained ...
Saturday, 12 January 2013

HIGH FLEXION HYPE IN TKR

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  For the past 5 years various implant manufactures and surgeons were flogging high flexion as the next best thing in TKR. The only pr...

Role of arthroscopy in osteoarthosis knee

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  The indications for arthroscopy in an arthritic knee is clear cut sudden onset sharp episodic pain in  a patient with mild arthrit...
Friday, 11 January 2013

Drugs, dollars and doctors

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http://www.scientificamerican.com/article.cfm?id=drug-research-how-we-followed-drug-research-money Please check this article in Dece...
Monday, 7 January 2013

postop cup migration in a RA osteoporotic patient

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immediate postop after postop mobilisation This X-ray was send to me for an opinion. The initial X-rays were fine execpt for  some...

Tigth rope button stuck in the femoral tunnel

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The white threads of the tight rope accidently got pulled with the button getting stuck in the  femoral tunnel(entirely my mistake) I...

Tenoscopy

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Synovial fold mimicking a tfcc tear

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 Patient presented ith ulnar sidedpain post trauma. MRI revealed tear. scopy revealed a synovial fold mimicing a tfcc tear. removal of t...
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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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