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, 21 May 2020

JOINT PRESERVATION SURGERY

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JOINT PRESERVATION SURGERY Longevity, obesity and extreme sports  has caused an epidemic of knee pain.Time dependent correction of ali...
Wednesday, 20 May 2020

Extensor apparatus rupture post knee replacement

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patellar tendon  rupture post Knee replacement was  a disaster till about a decade ago. Percutaneous technique with strong figure of 8 non...

Is synovial the omentum of knee

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Synovial MSC,s have been touted as the storehouse of joints repair  tissue.  Are we missing  a local cheap scaffold  for Meniscal and ...

Unusual appearance in place of ACL

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Infected neoligament augmenting ACL reconstruction Unsure of  intrarticular ‘ use of neoligament. Knowing the past disasters of ACL su...

CULTURED OSTEOBLAST AND CORE DECOMPRESSION IN AVASCULAR NECROSIS HIP

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This 40 year patient with AVN rt hip grade 2 and left hip grade 3 underwent hip replacement lt hip and core decompression and osteo blast ...
Thursday, 7 May 2020

one stage revisionTHR in infected Total hip repalcement- 11 year followup case

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67 year old physically active gentlemen presented with an infected    THR 3 months post fracture neck .Hip aspiration grew sensitive  stap...
Wednesday, 6 May 2020

Type 1 valgus with OA in a spondyloepiphyseal dysplasia with a 20 degree tibial metaphyseal valgus deformity

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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...
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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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