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.

Tuesday, 22 June 2021

Greater tuberosity fractures in young adult

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The incidence of dislocation of shoulder in greater tuberosity fractures are not clear.  vice-versa is  20 percent. The chance of instabilit...
Saturday, 5 June 2021

MRI taken 2 months after Primary Repair of all in a clinically stable knee

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the ligament appear taut  and near iso-intense  

Reverse Hill sach's after anterior instabilty repair

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12 months post anterior bankart  recon for a non engaging Hillsach's  Patient presented with severe pain when he woke up. MRI revealed e...
Monday, 31 May 2021

extensor mechanism failures post knee replacement

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Causes of extensor apparutus dysfunction  Patellar  fractures quadriceps tendon rupture patellar tendon rupture patellar button loosening Pa...
Thursday, 27 May 2021

Synovium - The omentum of knee

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 If one can harvest synovium derived MSC to augment  meniscal healing we could find a way in avascular tears. Below is a potential technique...

Atypical peri-prosthetic fracture due to longterm use of bisphosphonates)

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   Young patient post renal transplant on long term use of oral bisphosphonates post bilateral staged THR at 2 year intervals.  Classic feat...
Friday, 21 May 2021

Arthroscopic Assisted Lateral Condyle elevation + Percutaneous CC Screw fixation Tibia

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 Scoping  within  a few days with  low gravity flow or pressure  and using the shaver in front of the scope to suck out the clots  to see in...
Sunday, 16 May 2021

meniscal Tumour???

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Patient presents with one year history of pain on sitting cross-legged and pseudo locking of one year duration. clinical stable knee with  d...
Wednesday, 12 May 2021

Trochleoplasty

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Trochlear dysplasia as classified by Dejour gives us a guideline on management  B and D need removal of the bump and lateralisation of the 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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