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, 12 July 2022

Proximal bone loss in art distal loading solution stem compared with proximal loading distal fitting srom MOM on lt side

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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,...
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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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