Distal Femur Replacement Surgery

78 Years old lady presented with pain , swelling and deformity In Left distal thigh and Knee region following Fall at home . H/o Bilateral Total Knee Replacement In 2012 elsewhere. Clinical and blood investigation shows no evidence of infection.

Preop x ray shows Periprosthetic fracture. This is a challenging case due to previous implant with poor bone stock that require special surgical expertise with revision distal femur replacement equipments. We routinely perform such surgeries in Sant Parmanand Hospital with good functional outcomes.
We did revision with distal femur replacement with hinged component.
Patient is walking comfortably with walker.

Revision uncemented THR with the removal of previous prosthesis and cement using extended trochanteric osteotomy

65 years old lady came with pain in the left hip region with difficulty in bearing weight over left lower limb for the past 2 years, Patient had a history of left-sided cemented THR done elsewhere 5 years back.
Radiographic examination showed radiolucency on the femoral component site with subsidence of stem as compared with previous x-rays thus suggesting of loosening of the implant.
There was no evidence of infection.

We planned for Revision THR, which is an extremely challenging procedure that requires special surgical expertise and special implants. We routinely perform these procedures with good outcomes.
We did revision uncemented THR with the removal of previous prosthesis and cement using extended trochanteric osteotomy.
Post-op x-ray showed well fitted uncemented THR with constrained liner with the wiring of extended trochanteric osteotomy
Now the patient is Walking Comfortably with a walker.

Uncemented THR with constrained liner with the wiring of extended trochanteric osteotomy

Revision Uncemented Total Hip Replacement

50 Years old gentleman came with complaints of pain in the left hip region and difficulty in walking for the past 1 year. He had a history of Surgical procedure (left hip cemented hemiarthroplasty) done 15 years back elsewhere.

Clinical examination and blood tests revealed no infection. Pre-op x-ray showed loosening of the prosthesis so planned for revision with uncemented THR prosthesis. Postop x-ray showing well fitted Uncemented THR
Now the patient is walking comfortably with the walker.

Revision Uncemented Total Hip Replacement

Deformity Correction And Uncemented Total Hip Replacement(THR)

62 year male came with pain and limp in left hip region for the past 1 year with history of post traumatic surgically intervened left hip elsewhere
On clinical examination left hip was fixed in 20 degree adduction with fixed flexion deformity and shortening
Present x-ray showing secondary arthritic hip with implant in situ,so planned for Uncemented THR

We performed Deformity Correction +Implant removal + uncemented Total Hip Replacement(THR) with continuum Acetabular Cup, Now patient is walking comfortably with walker.

Deformity-Correction-And-Uncemented-Total-Hip-Replacement

Dysplastic Hip Uncemented-Total-Hip-Replacement

60 years female presented to the OPD with progressively increasing pain and limp right hip region for the past 2 yrs.

On examination she had severe deformities of the hip with 3 cm shortening. She was barely able to walk without support

Radiographs showed secondary OA right hip (severe dysplasia)

Management of dysplastic hip is tricky as locating true acetabulum in these cases can be difficult and challenging. Also soft tissue are severely contracted and there is alteration in the morphology of femur & acetabulum. We have done Uncemented Total Hip Replacement with acetabulum at anatomical position which requires expertise.

Now patient is walking comfortably with walker and without limp.

Dysplastic Hip Uncemented-Total-Hip-Replacement