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.

Wednesday, 20 January 2021

Should'nt root lesions be a part of MLKI grading as it adds to the stability .

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 ACL injury with medial meniscal bony root  avulsion and lateral meniscal root injury   arthroscopic  medail meniscal root fixation, lateral...
Monday, 28 December 2020

Periprosthetic fracture

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54 yr old hypophosphatemia rickets with spondyloepiphyseal  dysplasia. Periprosthetic fracture following a fall in a bowed femur . H/o multi...
Monday, 7 December 2020

slope neutral HTO with acl recon

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2 yrs post hto with acl, recon in 52 yr old male  
Tuesday, 10 November 2020

Subtrochanteric fracture post acetabular fracture sequlae

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63 yr old patetient with the above fracture 5 years post both column acetabulum fracture sequlae with implant removal 5 months post op due t...

43 years old post head injury and heterotopic ossification due to head injury.

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 Had infection post attempted  HO excision on Lt hip 4 weeks ago. The surgical perspective improves with 3 D printing by infillcube at Kakan...
Thursday, 22 October 2020

26 years post conservatively treated acetabular fracture with pain and Limp

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 Used Patients femoral head with a reverse  L cut to fill the posterior wall defect and a uncemented THR was done in 2002. the xrays below a...
Wednesday, 21 October 2020

Painful flail lt knee post PPRP in 52 year old

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52 yr old lad PPRP  had THR  rt side due to pain in a dysplastic hip 8 yrs back. followed by periprosthetic fracture 2 yeasr post op. Nov pr...

THR in a posterior wall fracture with damaged head

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medialise the cup and got primary UN cemented cup and THR  

HIP REPALCEMENTIN FRESH ANTERIOR COLUMN FRACTURE

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 84 YR OLD ACTIVE LADY WITH AN ACUTE ANTERIOR COLUMN FRACTURE  a ganz cage with host bone conatct and dome screws and cemented THR done to i...
Monday, 12 October 2020

Stiff Painfull knee post trauma

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50 year old photographer  with a painful stiff knee 11 year post conservative treated femoral fracture Options of fusion/ replacement with i...
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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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