Acatabular Fracture to THR

56 years old gentleman from Allahabad, sustained polytrauma 3 ½ months back with neglected fracture acetabulum left.

On examination hip was dislocated and femoral head was deformed. We planned uncemented Total Hip Replacement for the patient. THR in fracture acetabulum is challenging due to distorted anatomy and deficient bone stock. We reconstructed acetabulum with femoral head anatomy and used specialized continuum cup. Postoperatively patient is comfortable and walking with the help of walker.

Acatabular-Fracture-to-THR

PFN to Bipolar

75 years old overweight gentleman who sustained intertrochanteric fracture femur left and underwent surgery with Zimmer Natural Nail (Long PFN) with uneventful post-op period. However he develops implant failure, after about 5 months of surgery he was unable to walk. He was again planned for surgery in the form of Implant removal and Bipolar (Hemireplacement) of hip. Postoperatively patient is comfortable and walking with the help of walker.

PFN-to-Bipolar

Re-Revision Total Hip replacement

74 year old female is a follow–up case of recurrent dislocation post THR Left which was managed by dual mobility acetabular cup in October 2016. At 6 months she presented to us again with re-dislocation of the Acetabular cup and fracture acetabulum. Managing recurrent dislocation along with bone loss is a challenging problem.

In this case we did Re-Revision Total Hip replacement with reinforcement with cage. Postoperatively patient is comfortable and walking with the help of walker.

Re-Revision-Total-Hip-replacement

Revision Knee Replacement of Patient with diabetes and hypertension

67 year old gentleman is a known case of diabetes and hypertension had undergone bilateral total knee replacement 1 year ago. At 1 year follow up he presented with infection of the left knee for which first stage debridement and temporary cemented spacers was done.

After 2 months second stage specialized revision implant (rotating hinge knee) was done. At follow-Patient is asymptomatic and is normally bearing weight on the left leg.

http://www.drshekharagarwal.com/wp-content/uploads/2017/08/revision-knee-replacement-rotating-hinge-done-by-dr-shekhar-agarwal

Uni Condylar To Total Knee Replacement

61 year old lady had a history of unicondylar Total Knee Replacement done 10 years back presented to us with pain in both knee joints (Right > Left). On radiographs there was decreased joint space on medial side suggestive of polythene wear.

We did Conversion Total Knee Replacement for the patient.

Post operatively patient is comfortable and walking with walker.

Uni-condylar-to-Total-Knee-Replacement