Revision Hip Surgery can be complex

At Delhi Institute of Trauma & Orthopaedics, in Sant Parmamand Hospital, we perform very complex knee and hip replacement surgery. One of the most complicated types of joint replacement surgery is revision hip replacement surgery. This surgery involves removing a previous implant that was in the hip joint that has become damaged due to injury or wear and tear and replacing it with new more advanced hip implants. This requires extremely high surgical technique and the surgery can often last many hours as the surgeon has to take many factors into consideration such as the age of the patient, the type of bone quality he observes in the patient, and the extent of damage found inside the joint or adjacent areas.

revision hip replacement

As an example, a 53 year old gentleman was presented to our hospital with pain in the right hip following a road traffic accident. He had a total hip replacement done 10 years prior to the accident and was walking comfortably before the accident. X-rays revealed a fracture of the pelvic bone (acetabulum) with posterior dislocation of the acetabular component. Fixation of the acetabulum fracture with screws followed by revision of the acetabular component with an uncemented cup was performed. As the femoral component was well fixed, it was not revised.

Essentially in this patient, we had to revise one component of the hip implant, and add screws in the pelvic area to give support to that area so that the bone unites where fractured. Post operatively, the patient is walking comfortably.

Delhi Institute of Trauma & Orthopaedics is one of the leading orthopaedic hospitals in India. Our teams of surgeons are dedicated to learning and practicing the most advanced surgical techniques and handling the most complex surgical cases.

Total Knee Replacement-Revision(TKR)

case-study4DEC-2015:
A 48 year old gentleman underwent bilateral primary Total Hip Replacement in 1994. A revision Right Total Hip Replacement(THR) was done in 1997 due to early component loosening. He was comfortable for the last 15 years. He presented to us with complaints in hip and thigh region since last 1 year. Pain had progressively increased over a period of time. On examination there was no gross instability or any evidence of infection. X-rays showed loosening of the femoral component.
A re-revision Total Hip Replacement with uncommented acetabular cup and long uncommented Wagnerstem has been done. Patient was comfortable and walking with a frame at 2 weeks.

Left Periprosthetic Femur Fracture

Case Study

case-study4

FEB-2016:
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.

Case Reviews & Testimonials

Helena Ashmore Helena Ashmore R/o UK aged 80 years had her total hip operation done in the UK. After her operation, she had several complications as she suffered from another disease called Myositis for which she was advised radiotherapy. She was refused any type of surgery in the UK. Meanwhile,her hip continued to worsen and pain increased. She came to us hoping for an alternative. A revision uncemented total hip replacement was done, and she was discharged from the hospital. She has is now walking comfortably on her new hip.

Personal Testimonial: I have been overwhelmed by the kindness of everyone during my stay. I cannot express my gratitude for all of those who have been involved. If I had not found Dr. Shekhar through Medindia Connect, I would not be walking. A big thanks to you and bless you all.

(September 2011)

Mrs_Atsloom_Mohd_Ahmed_Al_MushaikhiMrs.Al-Mushaikhi R/o Oman aged 82 years came to us with severe arthritis of her shoulder joint. She had complete stiffness of her shoulder and could not move it. This type of arthritis is very rare and it required a special type of surgery. She received a total shoulder replacement, which after surgery, successfully allowed her to move her shoulder again. After 6 days stay at the hospital, she was discharged and was on a flight back to Oman.

Her Son’s (Dr.Khalid Al-Mushaikhi) testimonial: I would like to express my thanks to Dr.Shekhar and his team for his keen attention and staff cooperation. My stay here was very comfortable. The staff was extremely helpful and service levels were extremely good. My thanks to all.

(July 2012)

SameeraSamira 20 yrs old girl from Kabul, Afganistan had a dysplastic hip from birth resulting in shortening of the limb. She had started to develop pain due to degenerative arthritis in the last few years. Fusion of the hip was tried at Kabul but did not cure her of the pain. She underwent successful Total Hip Replacement by a special approach. After the surgery she regained her movements at the hip and the length of the leg increased. She is now able to walk without support and cane.

Personal Testimonial: I am extremely happy that I got this surgery done, as now I have no problem with walking and I no longer need a walker. There is no pain as well. The doctors were excellent and extremely helpful. God bless all of you.”

(August 2011)

Should I have a total Hip Replacement ?

Total hip replacement is an elective operation. All your doubts mustbe cleared and all your questions must be answered before you takethe decision for this surgery. Before deciding in favor of surgery youmust consider your disability, risk of surgery and the benefits you arelikely to gain. In the end the decision for surgery should be yoursrather than of your Surgeon alone.

If you still have any queries, please do not hesitate to contact us.