55 years old lady came to us with complaints of pain in right hip with shortening of 5 cm. She had a hip replacement 40 years back which had failed. She was barely managing with a walking stick till now. She had severe pain for the last 6 months. We performed Total Hip Replacement. The acetabulum bone was inadequate which had to be supported with a special implant called Mueller’s Ring into which a poly cup was cemented. The shortening was also corrected and she now has a pain free stable hip.
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.