Re- Revision Right Total Hip Replacement

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May-2014 :

Re- Revision Right Total Hip Replacement 55 yrs old lady presented to us with complains of pain around right hip with difficulty in walking. She is a operated case of bilateral Total Hip Replacement done elsewhere for avascular necrosis of hip. Right hip replacement was done in year 1990 and its revision was done in Nov. 2003 for aseptic loosening.

Now she has undergone re- revision Total hip replacement for right hip. Intraoperatively cup found to be loose with defect in the acetabulum. Acetabulum reconstruction has been done using bone bank allograft and trabecular metal shell with cemented cup. Now patient has been discharged and she is walking comfortably and painfree.

Conversion of Bipolar to Total Hip Replacement

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April-2014 :

Conversion of Bipolar to Total Hip Replacement 53 years old lady presented to us with pain around left hip with difficulty in walking and shortening of left leg. She was operated elsewhere in form of cemented hemiarthoplasty of left hip, done 1 yrs back for fracture of neck femur. Present radio-graphs shows loosening of femur prosthesis with acetabular erosion.

Now she has undergone implant removal and uncemented total hip replacement using full porous coated femoral stem. Implant and previous cement was removed using extended trochanteric osteotomy of left femur. Now patient has been discharged and she is walking comfortably and pain free. Shortening of her left leg has also been corrected.

Total Hip Replacement

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April-2014 :

69 years old gentleman presented to us with pain around right hip with difficulty in walking. He had sustained fracture of right hip 4 years back and was operated at that time (fixation done with plate). The fracture had not united and head of femur has migrated medially. He had undergone total hip replacement with acetabulum reconstruction using Trabecular Metal shell and allogenic bone graft. Now after the surgery, he is able to walk comfortably and shortening of his right leg has also been corrected.

Complex Primary Total Hip Replacement

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25-March-2014 :

Complex Primary Total Hip Replacement Shiv Charan, 38 years old gentleman presented with complaints of pain in right hip and difficulty in walking for last 2 yrs. He had a history of injury 2 yrs back and sustained fracture neck of femur right side, subsequently for which he was operated elsewhere. He had developed silent infection at operated side after 1st surgery and implant removal was done. Now he has undergone Cemented Total Hip Replacement. He has been discharged and is walking comfortably without limp and pain. His shortening of right leg has also been corrected.

Total Hip Replacement

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Jan 15, 2014 :

61 years old gentleman underwent right total hip replacement (done elsewhere) for secondary osteoarthritis following acetabulum fracture.

1. Initial position of the cup was not right , cup was too vertical

2. Recurrent dislocations Procedure: Cup was removed , acetabulum reconstructed with mullers ring and cemented cup done. Stem found to be well fixed and in correct version and therefore retained.