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.

Thursday, 22 August 2019

Tkr in Arthritic knee with tibial fracture

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51 51 year old Pt 10 years post patellectomy presented with fracture  Tibia. Patellectomy was  for infection post fixation for a fractur...
Friday, 22 February 2019

MOM lt hip with rising cobalt Levels

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71  yr old patient 12 yrs after lt THR  with rising cobalt levels  of one year duration with no local symptoms. Netflix movie "Blee...
Sunday, 15 April 2018

inter prosthetic fracture in a 67 year rheumatoid pt

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 The fracture was non healing for 3 months of conservative care elsewhere To maintain her mobility the options of fixation and femoral r...
1 comment:

superior capsular reconstruction

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rt handed 60 year old lady with 4 cm retraction gautlier grade 3 post op 3 months thanks to physio Sreejith's efforts post op ...

painful dislocated rt shoulder in a 76 year old lady

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Mri showed chronic cuff tear grade 3 gautilier  with subscap tear   The issue  of  reverse shoulder was easy as she has pain and was u...
Saturday, 13 January 2018

6 year post hybrid technique in rt periprosthetic fracture femur

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The rt hip under went distal cementing and proximal uncemented in a 80 year old lady who presented 6 years later with no local issues ...

posterior dislocation 2 year post posterior stabilised knee

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This happenned while she was getting up from a foot stool like devise ( possible high flexion). felt a clunk and could not walk. presented ...
Monday, 20 November 2017

meniscal repalcement

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26 yr old male with 2 year post acl tear  medial meniscal  was in bits except an intact  root and  a peripheral rim was intact Inspite of ...
Monday, 19 December 2016

nail plate devise

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An out line on the design and rationale of the nail plate device for stabilising a periprosthetic fracture of distal femur in total knee ...
2 comments:

hybrid technique in periprosthetic femoral fractures

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This patient had cementing of the distal half of the uncemented porocoat stem with wiring around the proximal uncemented part  for a p...
Wednesday, 30 November 2016

Root tears of meniscus

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  60 year old lady with sudden onset sharp pain  lt knee. She was previously asymptomatic and very active. clinical exam revealed stro...

POPLITIOMENISCAL FASCICLE TEARS

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Did we miss this injury in the past. The fascicle move the lateral meniscus dynamically during the lateral femoral condyle roll back. one n...
Friday, 28 October 2016

use of constained TKR implants in BMI above 40

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After seeing a small series of delayed mcl injuries in high flexion, high BMI TKRs and similar issues in published in arthroplasy journal i...
Sunday, 31 January 2016

medical management of osteoarthrosis

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 The basic science guys have been working hard to help  reduce the osteoarthritis disease burden. Every week a new possible solution is tal...
Saturday, 13 June 2015

is repair better than reconstruction on the medial side in MLKI 3m injuries

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 The results of medial repair did  better than reconstructions in my series so far. In the lateral and plri reconstructions gave near norma...
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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