62 years male is a follow –up case of NOF with ipsilateral shaft of femur right hip for which he was operated in 2000 elsewhere with Cephalo medullary nail .
In 2019 he developed post traumatic avascular necrosis of right femoral head for which he underwent cemented THR elsewhere.
In postoperative period patient developed recurrent dislocation of right hip which was reduced closed elsewhere. Now presented with dislocated hip at our center.
He was planned for revision constrained ( Dual Mobility) Total Hip Replacement (THR).
Postoperatively patient is comfortable and no dislocation occur and now walking with the help of walker.

54 yrs male underwent bilateral Total Knee Replacement  done elsewhere in 2018.. After few months in postoperative period developed pain and swelling left knee with difficulty in walking and painful ROM. While Right  knee was doing well.

Left knee examination and blood investigations suggested of infection

Thus planned for stage 1 revision using mobile antibiotic impregnated  cement spacer done in may,2019..

After blood ESR and CRP showed declining trend with clinical improvement in left knee .Patient was planned for stage 2 revision with RHK

Now patient is walking comfortably with walker and doing well

66 years old lady came with complaint of pain in right knee for last 2 yrs and inability to walk for last 2 mths. Patient has history of bilateral Total Knee Replacement done elsewhere 2 yrs back…

On examination of right knee varus and valgus instability was present. Left knee was normal.

X-ray was suggestive of loosening of both femoral and tibial components. Intraopeatively both tibial and femoral components were loose. Revision with Hinge Total Knee Arthroplasty  (RHK) was done.

Patient is comfortable post-surgery and has resumed her walking.

57 years old gentleman is a follow up case of infected Total Hip Replacement (THR).
stage 1 revision was done in March,2019 .
After the hematological markers showing declining trend with no complaints.
Stage 2 revision done with uncemeted semiconstrained (dual mobility) cup with long wagner type femoral stem.
Now patient is walking comfortably

63 yrs old female was operated with bilateral Total Knee Replacement in 2011 complaints of pain in left knee for the past 2 yrs with difficulty in walking and sitting.

X-Rays showed the loosening of tibial component while femoral side was alright. Her blood parameters were within normal limits and skin shows no signs of infection. Thus planned for revision TKR with both femoral and tibial components.

Post operation X-Rays showing revision TKR with stem extension on both sides with medial distal augmentation was done on femoral side Now patient is walking comfortably.