THR following Surgically Intervened Fracture acetabulum with Implant in situ

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June-2014:
Total Hip Replacement(THR) following Surgically Intervened Fracture acetabulum with Implant in situ 45 years old gentleman operated case of fracture acetabulum with ORIF with plating done in 2008. Patient now presented with pain around left hip and difficulty in walking. On examination patient had grossly decreased movement at left hip. Radio-graphically suggestive of secondary osteoarthritis left hip with implant in situ. Now he has undergone uncemented Total Hip Replacement. Intraoperatively plate was visible intraarticularly, so one plate was cut and partially removed. Now patient has been discharged and walking comfortably and pain free.

Revision of Metal on Metal Total Hip Replacement due to Pseudotumor formation

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May-2014 :
Revision of Metal on Metal Total Hip Replacement due to Pseudotumor formation 39 years old gentleman is a follow up case of right total hip replacement (Large Diameter head Metal on Metal) done 5 years back for healed tuberculosis of hip. Now patient has presented with complains of pain around right hip on walking. Fresh x-rays showed radiolysis around acetabulum with no loosening of femoral stem. MRI of pelvis showed pseudotumor formation around right hip. He has undergone revision Right Total Hip Replacement using uncemented acetabulum and femur (Metal on Poly). Intraoperatively there was a change in the consistency of muscles around the hip joint (pseudotumor), this mass was excised in toto. Now the patient has been discharged and is now comfortable and pain free. This rare condition of pseudotumor formation with Metal on Metal Total Hip Replacement(THR) has been successfully treated.

Total Knee Replacement

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May-2014 :

Total Knee Replacement 60 years old lady has been suffering from Rheumatoid arthritis for last 30 years. Both her knees got deformed and became painful because of Rheumatoid Arthritis. Her left knee became stiff in a bent posture as a result of which it would not touch the ground. She managed on the painful right knee for last 5 years because she thought that the condition was untreatable. Due to excess load and the arthritis the right knee became very painful and stopped taking load. Because of this she became bedridden . One of her friends who had undergone Total Knee Replacement at Parmanand brought her to us. She successfully underwent replacement of both her knees at the same time.
SpecializedKnee replacement implants and latest surgical techniques helped us to make her knees mobile and straight again. She is now proudly standing on both her feet after months. She came on a stretcher and was able to walk back to the exit of the hospital. Another proud moment for all of us at Sant Parmanand Hospital.

Bilateral Total Hip Replacement

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May-2014 :

Bilateral Total Hip Replacement 31 years old lady presented to us with pain in both hips and difficulty in walking. She is a known case of systemic lupus erythematous ( SLE) with avascular necrosis of both hips. On examination she had gross restriction of movements of both hips.

She had undergone uncemented Total Hip Replacement for both hips. She has been discharged and now walking comfortably and pain free.

Re- Revision Right Total Hip Replacement

CASE STUDYcase-study4

 

May-2014 :

Re- Revision Right Total Hip Replacement 55 yrs old lady presented to us with complains of pain around right hip with difficulty in walking. She is a operated case of bilateral Total Hip Replacement done elsewhere for avascular necrosis of hip. Right hip replacement was done in year 1990 and its revision was done in Nov. 2003 for aseptic loosening.

Now she has undergone re- revision Total hip replacement for right hip. Intraoperatively cup found to be loose with defect in the acetabulum. Acetabulum reconstruction has been done using bone bank allograft and trabecular metal shell with cemented cup. Now patient has been discharged and she is walking comfortably and painfree.