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An artificial hip joint is the prosthesis which consists of a Socket, aBall and a Stem. This prosthesis is used to replace the damaged hipjoint.
Socket (or Cup) is usually made up of two parts, an outer metalshell and inner smooth surface called a liner. The entire socket mayalso be made of plastic. The socket is press fit into the bone usingscrews or fixed using specialized bone cement.
Ball (or Head of femur) is made of stainless steel alloy or ceramic material and fits perfectly into the Socket / Cup.
The Stem is also made of stainless steel alloy and fixed into the thigh bone (Femur) which could either be cemented or press fit without cement. The stem mounts the Ball / Head on top of it.
DEC-2015: 34 years old lady had developmental dysplasia of right hip. She had limp while walking since childhood for which she was operated 3 times . She now had difficulty in walking and her right leg was short by 6 cm. We did Uncemented Total Hip Replacement in which we create new artificial joint. Total Hip Replacement in dysplastic hip is technical challenging surgery and very few centers across India are successfully performing this surgery. Now her legs are equal and her walk has improved. She is very happy with the result of operation.
Total hip Replacement (THR)-DEC-2015: RNG 66 M presented to us with post traumatic arthritis of left hip . He sustained fracture acetabulum following road traffic accident which was treated non operatively . He complained of inability to bear a weight on left side lower limb due to severe pain and was bedridden . We performed uncemented Total hip Replacement (THR). THR in acetabular fracture is technically demanding and high level of surgical expertise is require for performing this surgery. Post operatively patient is happy and ambulatory with the help of walker.
AUGUST, 2015 : 28 years female presented to us with pathological fracture of right hip. She had aggressive tumor ( Giant Cell tumor) of the proximal femur for which curettage was done 3 months back. Now she was completely bed ridden because of the fracture and recurrence of tumor. Previously there was very limited options for treatment of such patients and most the patients remain bed ridden for rest of his life. With the evolution of modern orthopaedics and surgical expertise we were able to take out the tumor and replace the lost bone with the metallic part. Posopertavely patient is comfortable and out of her bed.
JULY, 2015 : 70 years old gentleman presented to us with pain in the left hip since last 6 months . He had a hip fracture 2 yrs back which was operated (CRIF with DHS) . He was not able to load his left lower limb and his activities were severely restricted. At present he was household ambulator with support. We have removed the previous implant and done uncemented Total hip Replacement with long femoral stem. Postoperatively patient is comfortable and walking independently.
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