OCT-2014:
61 years female. Rheumatoid. Bilateral Total Knee Replacement 4 yrs ago. Fell down 6 months post surgery and injured left knee. Since then global instability in left knee and inability to walk. X-ray left knee AP and lateral shows
with fixed implant. Revision Total Knee Replacement(TKR) done with RHK (Rotating Hinge Knee) to substitute for deficient collateral ligaments. Post op X-ray shows good alignment with well fixed component . Patient is comfortable and walking pain free with full weight bearing.
Lectures & Case Studies
Revison Total Knee Replacement
Sep-2014 :
Kamala Devi 57 Years old lady presenting with pain and inability to bear weight on right lower limb. Patient developed intraoperative supracondylar fracture of the femur during Total Knee Replacement(TKR) in Feb 2011 . 4 days later Open Reduction Internal Fixation with Retrograde Intramedullary Nailing was done. Implant failed and revision surgery (ORIF with DFLP + Bone Grafting) done in Aug 2013. Augmentation with local BMP also done in Oct 2013 but fracture did not unite. Distal Femoral Locking Plate was removed and Revision Total Knee Replacement with Rotating Hinge knee was done. Post operatively patient is comfortable and walking with the walker.
Revision Total Hip Replacement
Sep-2014:
63 yrs old lady presented to us with complains of pain around Left hip with difficulty in walking. She is a operated case of bipolar Talwalkar prosthesis for fracture neck of femur done 4 years back. Radiographs shows protrusio of the implant . Implant removal and revision Total Hip Replacement was done (Uncemented acetabulum and cemented femoral stem). Postoperatively patient is walking comfortable with walker.
Total Femur Replacement with constrained Hip and Knee done
Sep-2014:
84 years old lady presented to us with pain in the right thigh and difficulty in walking . She is a operated case of revision Total Knee Replacement(TKR) with allografting (revised 5 times earlier) . Preoperative Radio-graphs shows loosening of the femoral stem. Total Femur Replacement with constrained Hip and Knee done (Tibial Component not revised).
Metal on poly Total Hip Replacement
CASE STUDY
Sep-2014 :
62 years old lady had subtrochanteric fracture for which IM Nail was done. This failed within 1 month of surgery for which fixation with DCS was done along with bone grafting. Post operative period was uneventful but 5 months after this surgery the DCS broke with clear evidence of non union of the fracture. For this difficult case this plate was removed and it was decided to convert this into uncemented long stem metal on poly Total Hip Replacement. Following surgery the patient is comfortable and mobilizing with the help of walker.