Total Hip Replacement  in  Post Acatabulum Fracture Fixation

56  years old gentleman, known case of parkinsonism is a follow up case of anterior column plus posterior wall fixation for fracture left acetabulum presented to us with complaints of severe pain in left hip with difficulty in walking and managing routine activities.

After proper evaluation patient was counselled to undergo Left Total Hip Replacement . THR in post acetablular fracture fixation is a bit challenging and require special expertise.

Patient was mobilised the next day with walker and is comfortable and pain free.

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Total Hip Replacement – Girdlestone

81  year old gentleman  presented with pain in right hip and complaints of inability to walk since last 2 yrs. Patient had a history of fracture neck of femur for which THR was done which subsequently got infected and complete implant removal was done 2 yrs back. This procedure is called girdlestone.

Patient now presents with pain in right hip and is bedridden. This is a challenging surgery as complete anatomy of hip is distorted and requires expertise. After proper counselling he underwent right total hip replacement and is mobilized independently as early as possible.

 

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Dysplastic Hip – Right Total Hip Replacement

A 41 years old gentleman presented with pain in the right hip and shortening of right leg by  10 cm. His problem started when he was 10 years of age. Since then the pain in his right hip has been increasing. He was able to manage to walk with a stick till 6 moths back. For the last 6 months he has almost bedridden because of pain. His surgery was a big challenge because it required us to correct 10 cm of shortening with one surgery.

After proper counselling he underwent right total hip replacement. His length has been almost corrected. He is walking without pain.

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Total Hip Replacement

46 years old lady was suffering from  left side hip joint since 1 year. She underwent Bilateral surface replacement of hip 12 years back . We did  conversion total hip replacement for left side with uncemented total hip replacement with ceramic on poly bearing. Post operatively patient is comfortable and walking with walker.

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Revision Total Knee Replacement

58 years old lady came to us with pain in right knee. She had got right Total Knee Replacement done elsewhere in 2015. She was diagnosed as having aseptic loosening of implant in right knee.

Revision Total Knee Replacement was done with semiconstrained implant (LCCK). Patient is comfortable and walking from next day of surgery.

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