56 years old lady , 11 years post bilateral Total Knee Replacement. Developed acute infection on the left knee. Debridement carried out but infection did not settle. Patient taken up for 2 stage revision surgery.
1. 1st stage revision done and k- nail along with antibiotic loaded cement spacer placed in the joint.
2. Wounds healed but patients presented with supracondylar fracture 9 weeks after the 1st stage revision.
3. She was taken up for revision surgery. Thorough debridement was done.
4. Bone defects on the femur and the tibial side were reconstructed with trabecular metal cones and Rotating hinge- Total knee replacement with long intramedullary stem on the femur.
60 years old lady underwent Bilateral total knee replacement done elsewhere for osteoarthritis. Post op uneventful and patient progress was poor leading to Independent ambulation. At 7 months she fell down while walking and dislocated the left knee. She was treated with closed reduction and knee brace. She presented to us with Recurrent dislocation at one month. Procedure: Revision Total Knee Replacement was done using special Constrained Condylar Implants. The patient is no longer in pain and can walk comfortably.
37 years young lady presented to us with pain in the right hip on walking. She had a fracture of the roof of the hip joint(acetabulum). She had undergone surgery for the fracture which had healed. A lot of patients develop arthritis of the hip joint after this kind of fracture. This lady not only had pain but also shortening of the affected leg. She wanted correction of both the pain and the shortening. She successfully underwent Total Hip Replacement. The advantages of modern surgical techniques that we use are as follows:
1. We used a Ceramic head for this lady which is the latest bearing surface being used all over the world for ladies.
2. We corrected all the shortening at the time of surgery and thus patients legs are now equal in length.
3. By doing Minimal Invasive Surgery we did not remove her old implants as removing old implants leads to more damage to the bone as per current understanding.
43 years old farmer sustained fracture neck of femur 2 years ago and was treated by cemented hemiarthroplasty at his native place. He had persistent pain in the right hip which increased in the last 3 months. X-ray showed that his prosthesis had broken inside the femur. He needed the old prosthesis to be taken out and a new implant to be put in. The biggest surgical challenge was to take out that broken stem from the femur without further damage. We successfully took out the prosthesis and implanted a new hip. He is now walking with minimal support.