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, 23 June 2022

Paget’s disease with bowed femur 12 degrees Varus and 12 degrees flexed

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The options of navigated and robotic replacement were offered. Settled for a simpler local custom made distal cutting jig , followed by gap ...
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...
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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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