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.

Sunday, 28 February 2021

Severe Heterotopic ossification bilateral hip

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40 yr old HO post head injury  and femoral head fracture with grade 4 Brooker HO and a non healing posterior wound post previous  attempt at...
Saturday, 20 February 2021

Should meniscal root lesions add a different grading to SCHENK MILKI GRADING

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RTA  leading  to ACL, PCL LCL,PLRI - Anterior root lateral meniscus  with posterior dislocation of meniscus  and radial tear medial meniscus...
Wednesday, 10 February 2021

Short and conical stems - do they have a role

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The role of short cone grit blasted prosthesis  in primary have been proven. In revision going short and thick has few published  series but...
Tuesday, 9 February 2021

Patellat tendon avulsion in 12 year post tkr after a fall

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Managed with percutanoeus quads to tibia by pass with neoligament with full function at 6 weeks.Using hamstring in the 90s caused ext lag  a...

18 years post revision of a hemiarthroplasty

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Cemented c stem and MOP bearings with nil symptoms to date.  Cementing a stem in a loose uncemented Austin Moore  could be an  issue if all ...
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...
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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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