Lectures & Case Studies

THR in Old Fracture Dislocation of Hip

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CASE STUDY
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July-2014:
Total hip replacement(THR) in Old Fracture Dislocation of Hip 58 years old gentleman presented to us with complains of pain around left hip and difficulty in walking. He had a history of road traffic accident 1 years back and sustained fracture dislocation of left hip, for which he had undergone Open Reduction Internal Fixation elsewhere. Now he had developed secondary osteoarthritis of hip with dislocated head and shortening of left leg. He has undergone uncemented Total hip replacement at Sant Parmanand Hospital. Intraoperatively posterior acetabular wall defect was reconstructed using bone graft and fixed with screws. He has regained his normal leg length and his walking comfortably without any support and pain free.

THR in Subtrochanteric Fracture Femur with Osteoarthritis Hip

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CASE STUDY
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July-2014:
Total hip replacement(THR) in Subtrochanteric Fracture Femur with Osteoarthritis Hip 65 years old gentleman presented to us following a trivial fall at home and sustained subtrochanteric fracture of right femur. He had a history of fracture acetabulum of right hip 5 years back and had developed painful osteoarthritic hip. He has undergone uncemented Total hip replacement at Sant Parmanand Hospital . The fracture has been stabilized using fully porous coated long femoral stem with encirclage wires. Both his problems of osteoarthritis hip and subtrochanteric fracture have been tackled by the same surgery. Patients has been discharged and has been mobilized the very next day from surgery and he is walking comfortably.

Total Hip Replacement for Neglected Fracture Dislocation of Hip

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CASE STUDY
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June-2014:Total Hip Replacement for Neglected Fracture Dislocation of Hip. Facebook case

This patient, a 44 years old gentleman from Bangladesh, has presented to us with deformity at right hip with shortening of right lower limb. He had a history of road traffic accident in 2012 and was managed primarily in Bangladesh. He had a fracture dislocation of right hip which was missed initially by the primary surgeon. The fresh radiograph showed dislocated right hip with changes suggestive of AVN of femoral head. CT scan of pelvis with 3D reconstruction was done and revealed posterior acetabular wall defect with dislocated hip. Now he has undergone right uncemented Total Hip Replacement with reconstruction of acetabular defect using bone graft fixed with screws and trabecular metal continuum shell. His deformity and shortening of right lower limb has been corrected. He has been discharged and walking comfortably and painfree without any support.

Complex Valgus Knee

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CASE STUDY
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June-2014:
This patient , a 69 years old female from Tibet presented to us with complains of pain and deformities of both knees with difficulty in walking. She had a history suggestive of septic arthritis of left knee for which she was primarily managed in her own country with debridement in 2011. Now she has wind swept deformity of both knees with Grade 3 valgus deformity of left knee, with significant instability. She has undergone left Total Knee Replacement at our center using LCCK knee. After the surgery, the deformity of left knee has been corrected and she has regained full and stable range of movement of left knee. She has been discharged and walking comfortable.

Conversion of Failed DHS to Total Hip Replacement

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CASE STUDYcase-study4

June-2014:
67 years old gentleman presented to us with complains of pain around right hip with difficulty in walking. He was operated elsewhere for intertrochanteric fracture femur of right side 10 yrs back (ORIF with Dynamic Hip screw) and for fracture neck of femur of left side 3 yrs back( Bipolar Hemiarthroplasty). On examination he has painful and decreased ROM at right hip with shortening of right limb. Fresh radio-graph showed changes suggestive of AVN of right femoral head with ununited fracture neck of femur and superolateral cut out of DHS screw. He has undergone removal of DHS and conversion to Uncemented Total Hip Replacement using fully porous coated long femoral stem. He had regained back his movement at right hip which are pain free and the previous shortening has also been corrected. He has now discharged and is walking comfortably without any support.