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, 12 December 2019

Bony root injuries to meniscus

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  SUSTAINED ACL WITH ? PCL AND LCL INJURY  EUA REVELAED ONLY ACL, PCL Grade 1 WITH INTACT ACL  MRI REVEALED POSSIBLE ROOT AVU...
Friday, 22 November 2019

aseptic loosening hip

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 47 year old female 6 years post primary thr with progressive pain. The acetabular cup appears to beloose and migrated  superior- late...

dejour type 2 trochles with patellofemoral instabilty

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Presented with pain and swelling lt knee. rt knee had a patelelofemoral mpfl reconstruction 10 months ago. no major complaints, altho...
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...
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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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