Total hip replacement(THR) in Old Fracture Dislocation of Hip 58 years old gentleman presented to us with complains of pain around left hip and difficulty in walking. He had a history of road traffic accident 1 years back and sustained fracture dislocation of left hip, for which he had undergone Open Reduction Internal Fixation elsewhere. Now he had developed secondary osteoarthritis of hip with dislocated head and shortening of left leg. He has undergone uncemented Total hip replacement at Sant Parmanand Hospital. Intraoperatively posterior acetabular wall defect was reconstructed using bone graft and fixed with screws. He has regained his normal leg length and his walking comfortably without any support and pain free.
Total hip replacement(THR) in Subtrochanteric Fracture Femur with Osteoarthritis Hip 65 years old gentleman presented to us following a trivial fall at home and sustained subtrochanteric fracture of right femur. He had a history of fracture acetabulum of right hip 5 years back and had developed painful osteoarthritic hip. He has undergone uncemented Total hip replacement at Sant Parmanand Hospital . The fracture has been stabilized using fully porous coated long femoral stem with encirclage wires. Both his problems of osteoarthritis hip and subtrochanteric fracture have been tackled by the same surgery. Patients has been discharged and has been mobilized the very next day from surgery and he is walking comfortably.
Total Hip Replacement(THR) following Surgically Intervened Fracture acetabulum with Implant in situ 45 years old gentleman operated case of fracture acetabulum with ORIF with plating done in 2008. Patient now presented with pain around left hip and difficulty in walking. On examination patient had grossly decreased movement at left hip. Radio-graphically suggestive of secondary osteoarthritis left hip with implant in situ. Now he has undergone uncemented Total Hip Replacement. Intraoperatively plate was visible intraarticularly, so one plate was cut and partially removed. Now patient has been discharged and walking comfortably and pain free.
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.
September 9, 2013:
A 71 year old male had a road accident fracturing his left acetabulum as well as sustaining a transverse fracture of the posterior wall. 3D CT reconstruct and judet views showed break in anterior column, posterior column as well as the posterior wall fracture and a dislocated femoral head. Open Reduction and Internal Fixation through Kocher Langen Back Approach was done. Posterior wall was fixed with 3 compression screws and posterior column reconstructed over the wall. Head was reduced back in place. Anterior column reduction was done indirectly using a collinear clamp.