50 years lady presented with history of multiple times surgically intervened ipsilateral fracture neck of femur and shaft of femur right lower limb. She presented to us with complaints of pain in right hip region and difficulty in bearing full weight on right leg.
Present xray showed united fracture shaft of femur with plate in situ and nonunion osteotomy site with plate in situ
We did uncemented dual mobility constrained cup with long stem Total Hip Replacement
Now patient is walking comfortably with walker.
60 years female presented to the OPD with progressively increasing pain and limp right hip region for the past 2 yrs.
On examination she had severe deformities of the hip with 3 cm shortening. She was barely able to walk without support
Radiographs showed secondary OA right hip (severe dysplasia)
Management of dysplastic hip is tricky as locating true acetabulum in these cases can be difficult and challenging. Also soft tissue are severely contracted and there is alteration in the morphology of femur & acetabulum. We have done Uncemented Total Hip Replacement with acetabulum at anatomical position which requires expertise.
Now patient is walking comfortably with walker and without limp.
A 48 year old gentleman underwent bilateral primary Total Hip Replacement in 1994. A revision Right Total Hip Replacement(THR) was done in 1997 due to early component loosening. He was comfortable for the last 15 years. He presented to us with complaints in hip and thigh region since last 1 year. Pain had progressively increased over a period of time. On examination there was no gross instability or any evidence of infection. X-rays showed loosening of the femoral component.
A re-revision Total Hip Replacement with uncommented acetabular cup and long uncommented Wagnerstem has been done. Patient was comfortable and walking with a frame at 2 weeks.
SM 62 years female (follow up case of left Total Hip Replacement in 2010) fell down at home and sustained periprosthetic fracture of femur. With increasing number of hip replacements periprosthetic fracture are also becoming common. Managing this fracture is difficult as they are prone to delayed and non union. We routinely get patients with periprosthetic fracture in our department and with time we have gained expertise in treatment of these fractures. In this patient, implant was well fixed so we did Open Reduction and internal fixation (long reverse Distal Femoral Locking Plate). Patient is comfortable and walking with walker.
34 years old lady had developmental dysplasia of right hip. She had limp while walking since childhood for which she was operated 3 times . She now had difficulty in walking and her right leg was short by 6 cm. We did Uncemented Total Hip Replacement in which we create new artificial joint. Total Hip Replacement in dysplastic hip is technical challenging surgery and very few centers across India are successfully performing this surgery. Now her legs are equal and her walk has improved. She is very happy with the result of operation.