DEC, 2014 :
Total Hip Replacement DP 55 years old gentleman presented with pain and limp right lower limb. He had partial replacement for fracture neck of femur. He had to undergo Total Hip Replacement in 2000 because of progressive pain. Patient started to develop severe pain in the right hip for last 4 yrs. We did Re- Revision Total Hip Replacement with special implant (Continum cup for acetabulum and Wagner stem for femur). Because of advancement in technology new stems are now available in the market which allow patient to undergo multiple repeat surgeries if needed without compromising on the quality of life. This patient is walking comfortably in the post operative period. It is no longer required to be on bed after revision hip replacement.
63 yrs old lady presented to us with complains of pain around Left hip with difficulty in walking. She is a operated case of bipolar Talwalkar prosthesis for fracture neck of femur done 4 years back. Radiographs shows protrusio of the implant . Implant removal and revision Total Hip Replacement was done (Uncemented acetabulum and cemented femoral stem). Postoperatively patient is walking comfortable with walker.
84 years old lady presented to us with pain in the right thigh and difficulty in walking . She is a operated case of revision Total Knee Replacement(TKR) with allografting (revised 5 times earlier) . Preoperative Radio-graphs shows loosening of the femoral stem. Total Femur Replacement with constrained Hip and Knee done (Tibial Component not revised).
62 years old lady had subtrochanteric fracture for which IM Nail was done. This failed within 1 month of surgery for which fixation with DCS was done along with bone grafting. Post operative period was uneventful but 5 months after this surgery the DCS broke with clear evidence of non union of the fracture. For this difficult case this plate was removed and it was decided to convert this into uncemented long stem metal on poly Total Hip Replacement. Following surgery the patient is comfortable and mobilizing with the help of walker.
June-2014:Total Hip Replacement for Neglected Fracture Dislocation of Hip. Facebook case
This patient, a 44 years old gentleman from Bangladesh, has presented to us with deformity at right hip with shortening of right lower limb. He had a history of road traffic accident in 2012 and was managed primarily in Bangladesh. He had a fracture dislocation of right hip which was missed initially by the primary surgeon. The fresh radiograph showed dislocated right hip with changes suggestive of AVN of femoral head. CT scan of pelvis with 3D reconstruction was done and revealed posterior acetabular wall defect with dislocated hip. Now he has undergone right uncemented Total Hip Replacement with reconstruction of acetabular defect using bone graft fixed with screws and trabecular metal continuum shell. His deformity and shortening of right lower limb has been corrected. He has been discharged and walking comfortably and painfree without any support.