Total Hip Replacement

CASE STUDY

case-study4January 11, 2014 :

37 years young lady presented to us with pain in the right hip on walking. She had a fracture of the roof of the hip joint(acetabulum). She had undergone surgery for the fracture which had healed. A lot of patients develop arthritis of the hip joint after this kind of fracture. This lady not only had pain but also shortening of the affected leg. She wanted correction of both the pain and the shortening. She successfully underwent Total Hip Replacement. The advantages of modern surgical techniques that we use are as follows:

1. We used a Ceramic head for this lady which is the latest bearing surface being used all over the world for ladies.

2. We corrected all the shortening at the time of surgery and thus patients legs are now equal in length.

3. By doing Minimal Invasive Surgery we did not remove her old implants as removing old implants leads to more damage to the bone as per current understanding.

Total Hip Replacement

case-study4December 30, 2013 :

48 years old gentleman had infection of the right hip in his childhood. He has been walking with severe pain for the last 40 years. In addition he had shortening of 8 cm. He had tried to get his treatment when he was young from many centres around his city of residence. He was not given any satisfactory advise. For the last 20 years he had resigned himself to the thought that he could get no relief. The pain became so severe in the last 6 months that he was almost bedridden. He came to us with the gentle plea that he wanted to be mobile and not dependent on anybody at this young age. He underwent total hip replacement by a special surgical exposure technique called Trochanteric Slide Osteotomy. His shortening is now only 2 cm which the body can compensate very well. His pain has gone and he is walking happily with his family and children.

Total Hip Replacement

case-study4December 16, 2013 :

43 years old farmer sustained fracture neck of femur 2 years ago and was treated by cemented hemiarthroplasty at his native place. He had persistent pain in the right hip which increased in the last 3 months. X-ray showed that his prosthesis had broken inside the femur. He needed the old prosthesis to be taken out and a new implant to be put in. The biggest surgical challenge was to take out that broken stem from the femur without further damage. We successfully took out the prosthesis and implanted a new hip. He is now walking with minimal support.

Total Knee Replacement

case-study4December 2, 2013 :

We had a very interesting case in which a patient had a bilateral total knee replacement 5 years ago elsewhere. Post operative period was uneventful. The patient kept complaining of progressively increasing pain in the left knee for 6 months. No history of fever or trauma. On examination, the patient had range of motion of the knees from 0-70 degrees. Mediolateral laxity +, no distal neurovascular deficit. Procedure : Implant removal + Revision Total Knee Replacement with stem and wedge on the tibial side.

Total Knee Replacement

case-study4November 23, 2013 :

This 60 year old lady is suffering from osteoarthritis of both knees with Varus Deformity. She also has a stress fracture on the right side. Her knee range of motion is 10-90 degrees on both sides. Right Total Knee Replacement was done with the use of a wedge (half wedge 260) and stem in the tibial component.