Due to the sad demise of our beloved Dr.Shekhar Agarwal, his dedicated team of surgeons will be available for all your needs, please click on the below surgeon links to book an appointment with them
77 years old lady operated case of bilateral total knee replacement done elsewhere in 2004. Since 2016 she was having pain in right knee with difficulty in walking and bearing weight. On examination there was joint effusion, tenderness and instability. Preoperative X-Ray was showing aseptic loosening of tibial component.
We ruled out infection and planned for revision total knee replacement using hinge knee prosthesis. Intraoperatively the femur was also loose and there were huge bone defects both in the tibia and femur. Patient underwent revision total knee replacement with hinge knee prosthesis with augments to overcome the bone defects. Now patient is comfortable and walking with support.
77 years old obese gentleman who underwent bilateral knee replacement (left in 2016 and right in 2018) fell at home and sustained injury to right knee and right ankle 2 months ago. He was treated with plate osteosynthesis for fracture right distal tibia and knee injury was managed conservatively. Patient came to us with pain and instability of right knee. On clinical examination the knee was unstable and dislocatable. Pre operartive X-Ray was showed avulsion fracture of medial condyle of femur. At surgery the whole medial collateral ligament had avulsed along with the medial condyle making the knee unstable. We repaired MCL avulsion using suture anchor and ethibond. Constrained spacer was used for additional stability . Post operative X-Ray shows perfectly balanced knee with suture anchor in situ. Patient is now able to bear full weight with the help of knee brace and we have allowed range of motion exercises.
66 years old gentleman underwent bilateral Total Knee Replacement (Right 12 years and left 5 years back ) done elsewhere. He presented with complaints of instability, pain and difficulty in walking on the right knee. On Clinical examination there was effusion in right knee with instability. Infection markers were found to be normal and synovial fluid examination showed no evidence of infection. X-Ray was suggestive of aseptic loosening of tibia and femur.
We did revision Total Knee Replacement with Rotating Hinge knee. Both the femoral and tibial components were loose with extensive osteolysis of the femur and tibia. There was no clinical evidence of infection. Patient made satisfactory post-operative recovery.
55 years old gentleman underwent right partial knee replacement in 2019 for medial compartment osteoarthritis. Over the last 6 months he complained of pain instability and difficulty in walking. His X-Rays revealed subsidence and loosening of the tibial component (Picture).
Having ruled out infection he was taken up for surgery to convert this into total knee replacement. These cases require appropriate surgical planning to counter the tibial and femoral defect and meticulous balancing of flexion and extension gap. We routinely perform these procedure at our institute with excellent results. Post-operative X-Ray shows primary knee replacement implant with additional tibial stem. Patient is making satisfactory recovery after surgery.
67 yrs old lady who had undergone revision total knee replacement (rotating hinge knee) 1 year ago fell at home and sustained a Periprosthetic fracture around tibial stem. The tibial component was well fixed and therefore we chose to fix the fracture. This was done by using 2 plates to achieve good fixation as seen in the post operative x-rays. She will have to ambulate with protective weight bearing until the fracture unites.
