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.
47 years old gentleman presented with complaints of pain in left hip and inability to bear weight over left lower limb. There was shortening of left limb of about 4 cm. Patient had history of residual post-polio paralysis of left upper limb and left lower limb but patient used to walk without support. He had sustained fracture of the left hip 6 month ago which was fixed with screws. Pre-op x-ray showed ununited fracture neck of femur with failed osteosynthesis. Thus patient was planned for hip replacement to overcome the limb length discrepancy and non-union neck of femur. As patient had post polio residual paralysis dual mobility hip replacement surgery was done to enhance the stability of hip joint. Post operative x-ray showed dual mobility hip replacement. Now patient is walking comfortably with walker and leg shortening has been corrected.