Post traumatic Primary Complex Knee Replacement

43 yrs old lady with post traumatic surgical intervened excision Arthroplasty with stiff right knee presented to us on wheelchair with inability to walk due to her knee problem. She had severe bone loss and poor soft tissues around knee. These type of cases required meticulous dissection and great expertise for successful outcome.

We did knee replacement for this patient with specialised implant which are used in revision surgeries (Hinged Megaprosthesis on femoral side and revision component on tibial side)

Now patient is walking with walker and free of her wheelchair.

Post traumatic primary complex knee replacement

Revision Total Hip Replacement Right

62 years male is a follow –up case of NOF with ipsilateral shaft of femur right hip for which he was operated in 2000 elsewhere with Cephalo medullary nail .
In 2019 he developed post traumatic avascular necrosis of right femoral head for which he underwent cemented THR elsewhere.
In postoperative period patient developed recurrent dislocation of right hip which was reduced closed elsewhere. Now presented with dislocated hip at our center.
He was planned for revision constrained ( Dual Mobility) Total Hip Replacement (THR).
Postoperatively patient is comfortable and no dislocation occur and now walking with the help of walker.
Revision THR Right

Revision Total Knee Replacement

54 yrs male underwent bilateral Total Knee Replacement  done elsewhere in 2018.. After few months in postoperative period developed pain and swelling left knee with difficulty in walking and painful ROM. While Right  knee was doing well.

Left knee examination and blood investigations suggested of infection

Thus planned for stage 1 revision using mobile antibiotic impregnated  cement spacer done in may,2019..

After blood ESR and CRP showed declining trend with clinical improvement in left knee .Patient was planned for stage 2 revision with RHK

Now patient is walking comfortably with walker and doing well

Revision Total Knee Replacement

Revision Total Knee Replacement

66 years old lady came with complaint of pain in right knee for last 2 yrs and inability to walk for last 2 mths. Patient has history of bilateral Total Knee Replacement done elsewhere 2 yrs back…

On examination of right knee varus and valgus instability was present. Left knee was normal.

X-ray was suggestive of loosening of both femoral and tibial components. Intraopeatively both tibial and femoral components were loose. Revision with Hinge Total Knee Arthroplasty  (RHK) was done.

Patient is comfortable post-surgery and has resumed her walking.

Revision-Total-Knee-Replacement

Revision THR with Uncemeted Semiconstrained

57 years old gentleman is a follow up case of infected Total Hip Replacement (THR).
stage 1 revision was done in March,2019 .
After the hematological markers showing declining trend with no complaints.
Stage 2 revision done with uncemeted semiconstrained (dual mobility) cup with long wagner type femoral stem.
Now patient is walking comfortably

Revision-THR-with-uncemeted-semiconstrained