62 years old gentleman came with complaints of unstable left hip with difficulty in walking and shortening. He had undergone partial cemented replacement of the left hip in 2018. Subsequently he developed infection in this hip for which the hip prosthesis was removed and it was left as girdle stone. Preoperative X-Rays showed proximally migrated hip with shortening. Clinically there was no infection and blood parameters were normal.
He was planned for hip replacement with dual mobility uncemented acetabulum to ensure stability and further risk of dislocation. Shortening was also overcome by using the adequate length of the neck in the stem. Post op X-Rays showed dual mobility uncemented THR with long wagner stem to by pass the visible fracture line. Now patient is comfortable and walking with support.
73 years old gentleman with advanced osteoarthritis knee came to us with complaints of pain and swelling since 6 months. He is unable to walk or stand. On Clinical examination he had severe varus deformity left knee and restricted range of motion was noticed. Preoperative X-Ray showed arthritic of knee joint with varus deformity and large medial tibial defect. These complex deformities need meticulous surgical planning in terms of bone cuts, defects management and ligaments balancing with revision constrained knee prosthesis.
The patient underwent total knee replacement surgery with constrained prosthesis and bone defect augmentation with wedge.
Post-operative X-Ray shows well balanced knee with constrained prosthesis (LCCK) with stemmed components and medial wedge (tibial side) to augment the defect. Now patient is comfortable and walking with support.
57 years old gentleman came with complaints of pain in both hips and difficulty in walking and doing daily routine activities for the past 5yrs. On Clinical examination all movements of hip were restricted and painful.
Preoperative xray showed arthritic (damaged) bilateral hip with avascular necrosis. We planned for bilateral hip replacement. These cases require meticulous preoperative and intraoperative planning to avoid limb length discrepancy with exact similar surgical procedure at both sides.
Postoperative X-Ray showed uncemeted hip replacement with equal limb length. Now patient is walking comfortably with walker.
59 years old gentleman presented with complaints of pain in left hip and inability to bear full weight over left lower limb for the past 6 months. Patient had undergone fixation of the left hip fracture with dynamic hip screw and plate 1 year ago.
On Clinical examination there was shortening of 3 cm with local skin condition was normal. Infection markers were negative. Preoperative x-ray showed failed previous implant with avascular femoral head.
We removed the previous implant and converted this hip into Total Hip Replacement. Post operative x-ray shows uncemented THR. Now this patient is comfortable and the shortening of the leg has been corrected.