JAN, 2015 :
SB 50 years old lady presented with pain and instability of right knee . Patient got right side knee replaced in 2009 at some other center. Patient developed infection of the right side knee in 2010 which was managed by aspiration and prolonged antibiotics. She had a history of fall 5 months back following which whenever she tried to walk the knee would give way. As a result the patient almost became bedridden for the last 5 months. This patient underwent Right Total Knee Replacement with special implant (Rotating Hinge Knee). With this special implant we have relieved her of pain as well as given her a good range of movement of the knee. Patient is comfortable in the post operative period.
Lectures & Case Studies
Total Hip Replacement
JAN, 2015 :
RM 60 old gentleman presented to us with pain and stiffness in both the hip joints since 30 years. He is a known case of progressive disease known as anyklosing spondylitis . In this disease there progressive fusion of spine, sacroiliac joints and hip joint etc. Due to his disease he has become bedridden and was not able to do his normal daily activities. We have performed bilateral Uncementd Total Hip Replacement (with use of femoral head autograft to lateralize the cup) and bilateral adductor tenotomy. After surgery we have achieved good range of motion in both the hip joints. Post operatively patient is comfortable and walking with the help of walker.
Total Knee Replacement
DEC, 2014 :
NP 51 years old gentleman presented with deformed knee. Whenever the patients try to walk he would give way. As a result the patient almost became bedridden for the last 1 yr. Patient had a history of trauma 22 years back and uncontrolled diabetes. Because of the trauma the ligaments which give stability to the joint had been completely damaged. Thus he could not undergo conventional Total Knee Replacement. Previously such patients were advised a knee fusion in which patient is unable to move the knee. This patient underwent Left Total Knee Replacement with special implant (Rotating Hinge Knee). With this special implant we have relieved him of pain as well as given him a good range of movement of the knee. Patient is comfortable and walking pain free with full weight bearing.
Total Hip Replacement
DEC, 2014 :
Total Hip Replacement DP 55 years old gentleman presented with pain and limp right lower limb. He had partial replacement for fracture neck of femur. He had to undergo Total Hip Replacement in 2000 because of progressive pain. Patient started to develop severe pain in the right hip for last 4 yrs. We did Re- Revision Total Hip Replacement with special implant (Continum cup for acetabulum and Wagner stem for femur). Because of advancement in technology new stems are now available in the market which allow patient to undergo multiple repeat surgeries if needed without compromising on the quality of life. This patient is walking comfortably in the post operative period. It is no longer required to be on bed after revision hip replacement.
Total Knee Replacement
DEC, 2014 :Total Knee Replacement:
Raj Rani 72 years lady suffering from pain in the both knees from last 10 yrs with severe limitations of activities . She was almost bedridden for the last 2 yrs. She was found to be having osteoarthritis of the both knees resulting in Severe Varus deformity with bone loss. The experience of surgeons in treating this kind of deformity is limited. Large volume centres like Delhi Institute of Trauma and Orthopaedics (DITO) at Sant Parmanand Hospital get lot of patients with these deformities. Surgeons should always keep special constrained implants in these cases. We also keep such special implants (LCCK) at our disposal. On the left side we used LCCK with wedge augment and the right side we built up the tibial condyle with bone from distal femur cut and then used LCCK with wedge augment . Patient is doing well in the recovery period.