Banner Image

Dr. Jacob Varughese

MS Ortho, MCh (Liverpool)
Director

A true pioneer, Dr. Jacob's remarkable journey in orthopaedics has earned him an appropriate reputation as a leading expert in joint replacement, preservation, sports medicine and trauma. He is a guide and mentor to many surgeons around the country

Qualifications +
  • MBBS - Kasturba Medical College, Manipal, 1985
  • D.Orth - 1988
  • MS (Orth) - Kasturba Medical College, Manipal, 1989
  • M.Ch (Orth) - Liverpool University, 1995
  • Down Corning Upper Limb Fellowship - Wrightington NHS Trust, Wigan, UK, 1995
  • Experience +

    Dr. Jacob Varughese received comprehensive orthopaedic training in joint replacement and sports injuries at several prestigious institutions, including Robert Jones and Agnes Hunt Orthopaedic Hospital, North Staffordshire University Hospital, Wrightington Hospital, Wigan, and Wrexham Maelor Hospital from 1990 to 1994. He completed his Upper Limb Fellowship at Wrightington NHS Trust, Wigan, UK, in 1995.

    Dr. Jacob Varughese's primary interests include joint preservation (biologics and mesenchymal cells), sports injuries, and joint replacement of the upper and lower limbs. His research focuses on enhanced augmented techniques in meniscal and cartilage repairs, ACL repairs and biological ACL reconstruction, and multi-ligament reconstructions of the knee.

    Past Appointments +
  • Senior Consultant in Adult Reconstruction Unit at Amrita Institute of Medical Sciences, Kochi (2000 to 2007)
  • Senior Consultant and Head of the Unit of Sports Injuries at Khoula Hospital, Oman (2012 to 2016)
  • Visiting Consultant at Aster Hospital, Ghubra, Oman (2011 to 2016)9
  • Consultant at North Staffordshire University Hospital, Stroke on Trent, UK (2005 to 2006)
  • Other Information +

    With over 30 years of experience, Dr. Jacob Varughese is a pioneer in the field of joint replacement and sports injuries in Kerala. He started the first dedicated adult reconstruction unit in the state. In 2000, he became the first surgeon to start revision joint replacement and meniscal repairs and performed the first arthroscopic surgery for shoulder, elbow, and wrist disorders in the state.

    Dr. Jacob Varughese has performed the largest series of biological ACL reconstructions (more than 3000), along with revision ACL and multi-ligament reconstructions in the state. He is a pioneer in chondrocyte and mesenchymal stem cell implantation for cartilage injuries and the injection of biologicals for osteoarthritis (Sankine, SVF, LP-PRP, and LR-PRP).

    Memberships +
  • ISAKOS - International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine
  • AAOS - American Academy of Orthopaedic Surgeons
  • ICRS - International Cartilage Regeneration & Joint Preservation Society
  • AAHKS - American Association of Hip and Knee Surgeons
  • APAS - Asia Pacific Arthroplasty Society
  • AFSM - Asian Federation of Sports Medicine
  • IOA - Indian Orthopaedic Association
  • IAS - Indian Arthroscopy Society
  • SKI - Society of Knee Surgeons in India
  • Dr. Jacob Varughese's dedication to orthopaedic excellence and innovation continues to set new standards in patient care and surgical outcomes.

    Research Papers +
  • Sukesh AN, Jacob Varughese, Appu B. Thomas, Bipin Theruvil. The variability of sagittal spino-pelvic mobility in Indian population. International Journal of Research in Orthopaedic vol 7, No 1 (2021).10.18203/issn.2455-4510.IntJResOrthop20205567
  • Gnanavel Chinnyyan, Sukesh A. N, Appu Benny Thomas, Jacob Varughese. Does patellar tilt affect the outcome of total knee arthroplasty. A retrospective study International Journal of Research in Orthopaedic vol 7, No 4 (2021).10.18203/issn.2455-4510.IntJResOrthop20212426
  • Sukesh AN, George Jacob, Jacob Varghese. Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality- Journal of Karnataka Orthopaedics Association 2021 August.
  • Hybrid stabilisation of periprosthetic distal femoral fracture following TKR – techniques & results - Kalyanasundaram, Sviaprasad, Pankappilly Biju, Varghese Jacob, Jacob George, Venugopal .K. Techniques in Orthopaedics, 19th August 2016.
  • Fracture of acetabulum with femoral artery injury- Trauma case reports- accepted 20th march 2016.
  • Total hip replacement after previous corrective osteotomy – a technical note- S Shankar . B Pankapilly , J . Varghese Vol 24, No 1 (2011), 27-29 Keral
    The proximal femoral deformity in developmental dysplasia of hip includes pathological bowing of the femur, proximal distal mismatch of the medullary canal and high riding hip with excessive anteversion of the neck. Previous osteotomies make seating of a standard stem difficult due to the deformity at the osteotomy site. This can be countered effectively by a corrective subtrochanteric shortening osteotomy and a modular stem during total hip arthroplasty. Here we describe an easily reproducible technique to correct proximal femoral deformity in DDH including those after previous osteotomy.
  • Scintigraphic Assessment of Patellar Viability in Total Knee Arthroplasty After Lateral Release,Uday Pawar, K. Narasimha Rao, P. Shanamuga Sundaram, Jacob Varghese, Arthroplasty Vol. 24.4 636-640.
  • Combined femoral and Chiari osteotomies for reconstruction of the painful subluxation or dislocation of the hip in cerebral palsy: A Long-Term Outcome Study U. K. Debnath, A. R. Guha, S. Karlakki, J. Varghese, and G A. Evans
  • Technical Note- Arthroscopic Treatment of acute traumatic Posterior Glenohumeral dislocation and anatomic neck fracture Arthroscopy Vol.22, issue 6 Pages 676.e1-676.e2
    We describe a simple method of arthroscopic-assisted reduction of a posterior fracture dislocation of the proximal humerus, the principle of which could be used as a method of reduction for all fracture dislocations of the proximal humerus for which percutaneous reduction is beneficial. With the patient in the beach-chair position and using a posterior portal 2 cm medial and 2 cm inferior to the posterolateral corner of the acromion on the medial edge of the displaced head, a 4.5-mm blunt trocar is introduced, directed medial to the head fragment toward the posterior lateral scapular neck, translating the distal tip laterally to enter the shoulder joint. The trocar is then redirected medially onto the articular surface of the glenoid and the head is levered into the joint atraumatically. The standard technique of percutaneous reduction of the proximal humerus follows. Arthroscopic evaluation of the shoulder with gravity-assisted flow is performed to improve the articular reduction and document any associated capsular, ligamentous, labral, or tendon damage. Similarly, anterior fracture dislocations can be reduced atraumatically using lateral and anterior portals, after which percutaneous reduction could be effective when indicated.
  • Arthroscopic TFCC repairs – A 2 year retrospective analysis- Journal of OASIS- 2004- V. Jayachandran. J Varghese A 2 year retrospective analysis of 22 TFCC tears which were arthroscopically treated in one center. The mean grip strength improved in all except one from a mean of 4( 3.2 to 6) to 7( 5.2 to 9) on a pneumatic manometer.
  • Measurement of femoral torsion with ultrasound. Evaluation of a new technique using reference lines on the posterior surface of femur. Kumar V, Varghese J., Joseph B., J. Clin Ultrasound 20.111-114, February 1992.
    A technique of measuring femoral torsion employing reference lines on the posterior surface of the femur has been described. This technique was evaluated on 27 dry adult femora and then on 40 adult patients. The technique was found to be reliable and reproducible. The values of femoral torsion obtained by this technique is lower than that obtained when anterior reference lines are used.
  • Arthroscopic Fracture fragment removal from the hip- a case report. Jai Thilak, Jacob Varughese - Indian J Orthop 2005;39:191-192 A case of posterior fracture dislocation of the hip with entrapped intra articular fragment following closed reduction, removed with the help of an arthroscope.
  • Do Rotating Platform LCS Knees Continue To Rotate In Vivo?. Joby John, Jacob Varughese J.Orthopaedics 2006;3(2)e6
  • One stage Hip Reconstruction in treatment of hip subluxation /dislocation in Spastic Tetraplegia. Varughese J, Evans GA, - M.Ch Orthian 1995.
  • Doct2
    Doct2

    Dr. Jacob Varughese

    MS Ortho, MCh (Liverpool)
    Director

    A true pioneer, Dr. Jacob's remarkable journey in orthopaedics has earned him an appropriate reputation as a leading expert in joint replacement, preservation, sports medicine and trauma. He is a guide and mentor to many surgeons around the country

    Qualifications +
  • MBBS - Kasturba Medical College, Manipal, 1985
  • D.Orth - 1988
  • MS (Orth) - Kasturba Medical College, Manipal, 1989
  • M.Ch (Orth) - Liverpool University, 1995
  • Down Corning Upper Limb Fellowship - Wrightington NHS Trust, Wigan, UK, 1995
  • Experience +

    Dr. Jacob Varughese received comprehensive orthopaedic training in joint replacement and sports injuries at several prestigious institutions, including Robert Jones and Agnes Hunt Orthopaedic Hospital, North Staffordshire University Hospital, Wrightington Hospital, Wigan, and Wrexham Maelor Hospital from 1990 to 1994. He completed his Upper Limb Fellowship at Wrightington NHS Trust, Wigan, UK, in 1995.

    Dr. Jacob Varughese's primary interests include joint preservation (biologics and mesenchymal cells), sports injuries, and joint replacement of the upper and lower limbs. His research focuses on enhanced augmented techniques in meniscal and cartilage repairs, ACL repairs and biological ACL reconstruction, and multi-ligament reconstructions of the knee.

    Past Appointments +
  • Senior Consultant in Adult Reconstruction Unit at Amrita Institute of Medical Sciences, Kochi (2000 to 2007)
  • Senior Consultant and Head of the Unit of Sports Injuries at Khoula Hospital, Oman (2012 to 2016)
  • Visiting Consultant at Aster Hospital, Ghubra, Oman (2011 to 2016)9
  • Consultant at North Staffordshire University Hospital, Stroke on Trent, UK (2005 to 2006)
  • Other Information +

    With over 30 years of experience, Dr. Jacob Varughese is a pioneer in the field of joint replacement and sports injuries in Kerala. He started the first dedicated adult reconstruction unit in the state. In 2000, he became the first surgeon to start revision joint replacement and meniscal repairs and performed the first arthroscopic surgery for shoulder, elbow, and wrist disorders in the state.

    Dr. Jacob Varughese has performed the largest series of biological ACL reconstructions (more than 3000), along with revision ACL and multi-ligament reconstructions in the state. He is a pioneer in chondrocyte and mesenchymal stem cell implantation for cartilage injuries and the injection of biologicals for osteoarthritis (Sankine, SVF, LP-PRP, and LR-PRP).

    Memberships +
  • ISAKOS - International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine
  • AAOS - American Academy of Orthopaedic Surgeons
  • ICRS - International Cartilage Regeneration & Joint Preservation Society
  • AAHKS - American Association of Hip and Knee Surgeons
  • APAS - Asia Pacific Arthroplasty Society
  • AFSM - Asian Federation of Sports Medicine
  • IOA - Indian Orthopaedic Association
  • IAS - Indian Arthroscopy Society
  • SKI - Society of Knee Surgeons in India
  • Dr. Jacob Varughese's dedication to orthopaedic excellence and innovation continues to set new standards in patient care and surgical outcomes.

    Research Papers +
  • Sukesh AN, Jacob Varughese, Appu B. Thomas, Bipin Theruvil. The variability of sagittal spino-pelvic mobility in Indian population. International Journal of Research in Orthopaedic vol 7, No 1 (2021).10.18203/issn.2455-4510.IntJResOrthop20205567
  • Gnanavel Chinnyyan, Sukesh A. N, Appu Benny Thomas, Jacob Varughese. Does patellar tilt affect the outcome of total knee arthroplasty. A retrospective study International Journal of Research in Orthopaedic vol 7, No 4 (2021).10.18203/issn.2455-4510.IntJResOrthop20212426
  • Sukesh AN, George Jacob, Jacob Varghese. Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality- Journal of Karnataka Orthopaedics Association 2021 August.
  • Hybrid stabilisation of periprosthetic distal femoral fracture following TKR – techniques & results - Kalyanasundaram, Sviaprasad, Pankappilly Biju, Varghese Jacob, Jacob George, Venugopal .K. Techniques in Orthopaedics, 19th August 2016.
  • Fracture of acetabulum with femoral artery injury- Trauma case reports- accepted 20th march 2016.
  • Total hip replacement after previous corrective osteotomy – a technical note- S Shankar . B Pankapilly , J . Varghese Vol 24, No 1 (2011), 27-29 Keral
    The proximal femoral deformity in developmental dysplasia of hip includes pathological bowing of the femur, proximal distal mismatch of the medullary canal and high riding hip with excessive anteversion of the neck. Previous osteotomies make seating of a standard stem difficult due to the deformity at the osteotomy site. This can be countered effectively by a corrective subtrochanteric shortening osteotomy and a modular stem during total hip arthroplasty. Here we describe an easily reproducible technique to correct proximal femoral deformity in DDH including those after previous osteotomy.
  • Scintigraphic Assessment of Patellar Viability in Total Knee Arthroplasty After Lateral Release,Uday Pawar, K. Narasimha Rao, P. Shanamuga Sundaram, Jacob Varghese, Arthroplasty Vol. 24.4 636-640.
  • Combined femoral and Chiari osteotomies for reconstruction of the painful subluxation or dislocation of the hip in cerebral palsy: A Long-Term Outcome Study U. K. Debnath, A. R. Guha, S. Karlakki, J. Varghese, and G A. Evans
  • Technical Note- Arthroscopic Treatment of acute traumatic Posterior Glenohumeral dislocation and anatomic neck fracture Arthroscopy Vol.22, issue 6 Pages 676.e1-676.e2
    We describe a simple method of arthroscopic-assisted reduction of a posterior fracture dislocation of the proximal humerus, the principle of which could be used as a method of reduction for all fracture dislocations of the proximal humerus for which percutaneous reduction is beneficial. With the patient in the beach-chair position and using a posterior portal 2 cm medial and 2 cm inferior to the posterolateral corner of the acromion on the medial edge of the displaced head, a 4.5-mm blunt trocar is introduced, directed medial to the head fragment toward the posterior lateral scapular neck, translating the distal tip laterally to enter the shoulder joint. The trocar is then redirected medially onto the articular surface of the glenoid and the head is levered into the joint atraumatically. The standard technique of percutaneous reduction of the proximal humerus follows. Arthroscopic evaluation of the shoulder with gravity-assisted flow is performed to improve the articular reduction and document any associated capsular, ligamentous, labral, or tendon damage. Similarly, anterior fracture dislocations can be reduced atraumatically using lateral and anterior portals, after which percutaneous reduction could be effective when indicated.
  • Arthroscopic TFCC repairs – A 2 year retrospective analysis- Journal of OASIS- 2004- V. Jayachandran. J Varghese A 2 year retrospective analysis of 22 TFCC tears which were arthroscopically treated in one center. The mean grip strength improved in all except one from a mean of 4( 3.2 to 6) to 7( 5.2 to 9) on a pneumatic manometer.
  • Measurement of femoral torsion with ultrasound. Evaluation of a new technique using reference lines on the posterior surface of femur. Kumar V, Varghese J., Joseph B., J. Clin Ultrasound 20.111-114, February 1992.
    A technique of measuring femoral torsion employing reference lines on the posterior surface of the femur has been described. This technique was evaluated on 27 dry adult femora and then on 40 adult patients. The technique was found to be reliable and reproducible. The values of femoral torsion obtained by this technique is lower than that obtained when anterior reference lines are used.
  • Arthroscopic Fracture fragment removal from the hip- a case report. Jai Thilak, Jacob Varughese - Indian J Orthop 2005;39:191-192 A case of posterior fracture dislocation of the hip with entrapped intra articular fragment following closed reduction, removed with the help of an arthroscope.
  • Do Rotating Platform LCS Knees Continue To Rotate In Vivo?. Joby John, Jacob Varughese J.Orthopaedics 2006;3(2)e6
  • One stage Hip Reconstruction in treatment of hip subluxation /dislocation in Spastic Tetraplegia. Varughese J, Evans GA, - M.Ch Orthian 1995.
  • Logo 1 Logo 2 Logo 3 Logo 1 Logo 2 Logo 3 Logo 1 Logo 2 Logo 3