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.
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.
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.
“NB 31 years gentleman underwent Total Hip Replacement (THR) elsewhere for fracture Neck of Femur in year 2007 ,presented to us with pain around left hip following fall from stairs 1 week back. We planned for revision of acetabulum and change of femoral head. Now the patient is walking comfortably with any support.
60 years old lady known diabetic and hypertensive underwent partial hip replacement for fracture neck of femur in 2012 elsewhere. Patient had continuous pain on walking and was unable to walk without walker after this operation. With these symptoms she presented to us in 2013 and on examination loosening of the prosthesis was diagnosed and total hip replacement was done after removing the old implant.
Patient was walking normally for about 3 years post operatively when she again started with gradually increasing pain in hip region and inability to bear weight on affected limb. X ray showed the acetabular component had migrated in the pelvis with large defect in the acetabular floor.
She was again taken for surgery and acetabular revision was done using large trabecular metal cup. Patient is relieved of the earlier symptoms post operatively and started ambulating on second post operative day.