SM 62 years female (follow up case of left Total Hip Replacement in 2010) fell down at home and sustained periprosthetic fracture of femur. With increasing number of hip replacements periprosthetic fracture are also becoming common. Managing this fracture is difficult as they are prone to delayed and non union. We routinely get patients with periprosthetic fracture in our department and with time we have gained expertise in treatment of these fractures. In this patient, implant was well fixed so we did Open Reduction and internal fixation (long reverse Distal Femoral Locking Plate). Patient is comfortable and walking with walker.
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.
MAY, 2015 :
LR 82 years old gentleman fell at home and sustained fracture intertrochanteric femur which was operated with DHS. Due to poor bone quality the implant failed. Conversion cemented Total Hip Replacement was done . However due to poor bone quality acetabular component got debonded from the parent bone and he presented with hip dislocation after 1 week of surgery .
Revision acetabular reconstruction was done with Muller s ring and constrained polyethylene acetabular component. Post operatively patient is walking comfortably.
FEB, 2015 :
Total Hip Replacement SM 53 years old gentleman presented to our hospital with pain in right hip following RTA. He had right Total Hip Replacement 10 years back and was walking comfortably before trauma. X-rays revealed fracture of the pelvic bone (Acetabulum) with posterior dislocation of the acetabular component. Fixation of acetabulum fracture with screws followed by revision of the acetabular component with uncemented cup was done . As the femoral component was well fixed it was not revised. Post operatively patient is comfortable.
JAN, 2015 :
RM 60 old gentleman presented to us with pain and stiffness in both the hip joints since 30 years. He is a known case of progressive disease known as anyklosing spondylitis . In this disease there progressive fusion of spine, sacroiliac joints and hip joint etc. Due to his disease he has become bedridden and was not able to do his normal daily activities. We have performed bilateral Uncementd Total Hip Replacement (with use of femoral head autograft to lateralize the cup) and bilateral adductor tenotomy. After surgery we have achieved good range of motion in both the hip joints. Post operatively patient is comfortable and walking with the help of walker.