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.

Friday, 11 March 2022

Revascularisation of acl allograft

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Z shaped MCL tear /MCL tear is not always onesided

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Z shaped MCL tear associated with  PCL and medial meniscal root tear  root tear
Sunday, 6 March 2022

16 years post revision with alumina ceramic on poly THR

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has some pain Rt thigh . bloods normal/ bone scan below. waiting for a 3 month review to repaet bloods and clinical assesment.lass="sep...

74 year gentle man with periprosthetic fracture 2 years post fracture

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had 3 attempts at union surgically with 2 scars. Decided to do distal femoral repalcement to get him back to his feet after 2 tears. nil i...
Thursday, 13 January 2022

Infected activ motion plate in a HTO

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Friday, 3 December 2021

2 months of dislocated Knee repalcement in an elderly lady with high BMI

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Allleged history of fall 2 months back. Knee lying dislocated when reviewed by us TKR done 5 years ago with no issues till the fall  Bloods ...

mucinous cyst degeneration of ACL

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Wednesday, 3 November 2021

squatting leading to dislocation in TKR

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Conventional TKR is not designed for squatting. Even high flexion designs are reported to lead to earlier PF problems and wear.
Sunday, 5 September 2021

meniscal repair augmented with synovial to improve the healing in a complex degenerate tear

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Menisectomy have been clearly shown to give poor long term results. Hence methods to augment and enchance repair by multiple sutures, BMAC,...
Saturday, 4 September 2021

2 MONTH OLD DISLOCATED KNEE WITH CELLULITIS IN THE SHIN

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fell 2 months after TKR and dislocated the knee. pt (BmI 35) with recurrant cellulitis on the ipsilateral tibial shin shin which is asymptom...
Tuesday, 24 August 2021

Greater tuberosity fracture ain’t benign

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mri revealed a bankart"s lesion which was not suspected as the pt came 2 weeks post injury due to the pandemic. hence scopic bankarts...
Sunday, 22 August 2021

Distal biceps tendon Rupture in an active persons dominant Arm

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3 week old injury- Middle aged male injured rt elbow while batting sustained a bruise and swelling rt arm positive hook and squeeze test...
Saturday, 3 July 2021

When will we get Sodium mri to asses proteoglycans

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Wonder if the overload of neutraceuticals for joint preservation can be objectively checked by chemical MRI ie Sodium MRI  
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...
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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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