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
JUNE, 2015 : 61 year old lady presented to us with infection of right side knee which underwent Total Knee Replacement 3 months back. She was in severe pain and was unable to bear weight on right side lower limb. Managing Infected Total Knee Replacement is a challenge and very few centers in India are managing these cases. We at our center follow 2 stage protocol for treatment of these case. In 1st stage the implants are removed and thorough debridement is done to clear of all the infection and antibiotic spacer are put for 3 months to clear the residual infection.
In 2nd Stage the antibiotic spacer are removed and revision Total Knee Implants are put. Patient can walk from 2nd post op day after this surgery. After surgery our patient is comfortable and walking independently. There are no signs of residual infection.
MAY, 2015 : LR 82 years old gentleman fell at home and sustained fracture intertrochanteric femur which was operated with DHS. Due to poor bone quality the implant failed. Conversion cemented Total Hip Replacement was done . However due to poor bone quality acetabular component got debonded from the parent bone and he presented with hip dislocation after 1 week of surgery .
Revision acetabular reconstruction was done with Muller s ring and constrained polyethylene acetabular component. Post operatively patient is walking comfortably.
APRIL, 2015 : HM 63 old lady Rheumatoid and hypertensive underwent Left Total knee replacement in October 2003 . One month later she sustained fracture supracondylar femur which was managed by open reduction and plating. She presented to us 2 year later with non union of the fracture and broken plate . Broken implant was removed and expandable supracondylar nailing was done . 5 yr later the nail broke and revision Total Knee Replacement(TKR) was done. Now the patient presented to us with fracture supracondylar femur with broken implant and dislocated knee.
Previously these patients remain bedridden as no further surgery could be done but with the development of better surgical skills and implants (Mega Prosthesis) we were able to operate this patient and make her mobile once again.
FEB, 2015 : Total Hip Replacement SM 53 years old gentleman presented to our hospital with pain in right hip following RTA. He had right Total Hip Replacement 10 years back and was walking comfortably before trauma. X-rays revealed fracture of the pelvic bone (Acetabulum) with posterior dislocation of the acetabular component. Fixation of acetabulum fracture with screws followed by revision of the acetabular component with uncemented cup was done . As the femoral component was well fixed it was not revised. Post operatively patient is comfortable.
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