DEC, 2014 :
Total Hip Replacement DP 55 years old gentleman presented with pain and limp right lower limb. He had partial replacement for fracture neck of femur. He had to undergo Total Hip Replacement in 2000 because of progressive pain. Patient started to develop severe pain in the right hip for last 4 yrs. We did Re- Revision Total Hip Replacement with special implant (Continum cup for acetabulum and Wagner stem for femur). Because of advancement in technology new stems are now available in the market which allow patient to undergo multiple repeat surgeries if needed without compromising on the quality of life. This patient is walking comfortably in the post operative period. It is no longer required to be on bed after revision hip replacement.
Best Hip Replacement
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.
Revision of Metal on Metal Total Hip Replacement due to Pseudotumor formation
CASE STUDY
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.
Re- Revision Right Total Hip Replacement
CASE STUDY
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.