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, 30 April 2020

mucious cyst acl presenting with pain and limited flexion

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Patient presented with one year of pain and restriction of terminal flexion. clinical ex. revealed stable knee with poorly localized pain ...
Friday, 24 April 2020

Anatomical large ceramic heads

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Q Ceramtec has finally introduced an anatomic femoral heads (decreased diameter below equator i.e. south) to avoid iliopsoas impinge...
Thursday, 23 April 2020

1 year post micro fracture for a incidental focal lesion in in 65 year

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Is  the regenerative capacity of a microfracture  in above 60 unpredictable? I had a good surprise with the  this patient? . This wa...
Saturday, 18 April 2020

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• 25 year male • RTA on 2/8/2019, Sustained injury to right knee • O/E:Swelling +             Multiple abrasion             Tende...

ACL repair

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 Over the past 4 years a trend towards repair of ACL  Sherman type 1 has gained interest. The advantages of avoiding donor site morbidi...
Thursday, 30 January 2020

17 years post ceramic on regular poly and cemented stem in a failed Acetabular fracture

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 This was the old alumina head.  ceramic head makes better sense  metal head.  Put your money on the bearing and do a good cemented st...

scope assisted tibial plataeu fracture fixation in a 90 year old

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Using an acl jig the depression is elevated and stabilised with raft screws. bone cement was used to support and fill the tunnel and mobil...

complex varus knee- posterior medial subluxed knee

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 65 year old RA knee with subluxed rt knee.  Although the initial x-ray looks like a posteriormedailly dislocated knee. tmanual reductio...
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...
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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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