Due to the sad demise of our beloved Dr.Shekhar Agarwal, his dedicated team of surgeons will be available for all your needs, please click on the below surgeon links to book an appointment with them
72 years old lady presented with complaints of pain in right hip and difficulty in walking for the last 6 months. She had undergone partial hip replacement (Hemiarthroplasty) 16 years ago.
There was no evidence of infection. The leg was short by 3 cm due to sinking of the previous implant in the femur. Preoperative X-ray showed loosening of femoral prosthesis. We planned for conversion to Total Hip Replacement. These cases require special surgical skills to remove the previous prosthesis without bone loss and special implants to get good fit in residual bone. As the patient had good bone stock we used uncemented total hip implants. Now patient is comfortable and the shortening of the leg has also been corrected.
At Delhi Institute of Trauma & Orthopaedics, in Sant Parmamand Hospital, we perform very complex knee and hip replacement surgery. One of the most complicated types of joint replacement surgery is revision hip replacement surgery. This surgery involves removing a previous implant that was in the hip joint that has become damaged due to injury or wear and tear and replacing it with new more advanced hip implants. This requires extremely high surgical technique and the surgery can often last many hours as the surgeon has to take many factors into consideration such as the age of the patient, the type of bone quality he observes in the patient, and the extent of damage found inside the joint or adjacent areas.
As an example, a 53 year old gentleman was presented to our hospital with pain in the right hip following a road traffic accident. He had a total hip replacement done 10 years prior to the accident and was walking comfortably before the accident. X-rays revealed a fracture of the pelvic bone (acetabulum) with posterior dislocation of the acetabular component. Fixation of the acetabulum fracture with screws followed by revision of the acetabular component with an uncemented cup was performed. As the femoral component was well fixed, it was not revised.
Essentially in this patient, we had to revise one component of the hip implant, and add screws in the pelvic area to give support to that area so that the bone unites where fractured. Post operatively, the patient is walking comfortably.
Delhi Institute of Trauma & Orthopaedics is one of the leading orthopaedic hospitals in India. Our teams of surgeons are dedicated to learning and practicing the most advanced surgical techniques and handling the most complex surgical cases.
