This patient, a 72 years old female presented to us with complains of pain and deformities of both knees.
She had wind swept deformity with severe valgus deformity of left knee and varus deformity of right knee. Due to left side knee she was bedridden since last 3 years.
We did Total Knee Replacement left side .
After the surgery, the deformity of the knees has been corrected and she has regained full and stable range of movement. She is walking comfortably.
A 59 years old female underwent Total Hip Replacement in 2015 elsewhere. She had a left femur fracture during surgery. The fracture was attempted to be fixed with plate two times at different hospitals. The fracture did not unite. She was bedridden due to this.
She has now undergone revision with wagner stem which bypasses the fracture. She is now walking with support after this surgery.
36 years old lady had developmental dysplasia of right hip. She had limp while walking since childhood and now had severe pain in walking. Her right leg was short by 3 cm.
We did Uncemented Total Hip Replacement in which we create new artificial joint restoring the normal hip biomechanics . Total Hip Replacement in dysplastic hip is technical challenging surgery and very few centres 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 surgery.
72 year old male whose primary THR was done in 1991 and revision THR for aseptic loosening was done in 2006 (both surgeries were performed elsewhere) presented to us with pain and instability.
Radiographs showed loose isoelastic acetabular cup and subluxed femoral head.
3D tissue printing images showed significant defect in the postero – superior wall of the acetabulum. 3D tissue printing is a new technology available at very few centers in country which allows precise preoperative planning of each patient.
Re-revision of the acetabular cup was done with an uncemented cup and around 40-50% of cup was found to be uncovered in the posterosuperior area for which a trabecular metal augment and autograft was used. Oxinium femoral head was implanted. Femoral stem was found to be well-fixed and was left in-situ. Patient was walking with walker support on second post operative day, he is relieved of pain and has regained limb length.
62 years gentleman presented to us with infected Right TKR which was performed 1 year ago elsewhere.
A 2 stage revision TKR was planned. In the first stage primary prosthesis was removed, thorough debridement was done and customized, mobile antibiotic cement spacer was placed in situ. Antibiotics were given for a total of 6 weeks till the infection was eradicated. 8 weeks later 2nd stage revision TKR done with RHK (Rotating Hinge Knee) and Stem Extender and Metallic Augment ( Distal and Posterior Femur Augments / Wedges).
Patient is comfortable and walking pain free with full weight bearing with no sign suggestive of recurrence of infection.
Revision TKR in the scenario of infection is challenging. At our center we have successfully managed many such cases.