BLK rectifies a case of faulty Hip Replacement Surgery done earlier
THE CASE
A 25-year-old, Iraqi lady came to India to find the right treatment for
her Dysplastic Hip Joint. She had undergone an unsuccessful Hip
Replacement Surgery in her country. Much to her dismay the surgeon
was unable to identify the true socket and erroneously developed
another socket in the iliac wing of the pelvis and implanted an
acetabular cup much above the true acetabular socket. Accordingly, the
femoral shaft was also shaped and shortened to match this cup and a
total Hip Joint was constructed along the ilium. The Hip failed within
no time with total disruption of the joint causing more misery to the
Iraqi lady. She was bedridden for one year and later came to BLK Super
Speciality Hospital, India to find the right cure.
THE PROCEDURE
The team at BLK was confronted with the task of salvaging the Hip and
providing her a stable construct on which she would be able to walk
again. A surgery was performed to remove the old acetabular cup with
all its screws and debris. The index acetabulum was identified by
imaging techniques. The dysplastic acetabulum was reamed and
reconstructed with bone grafts and then a 'Tripolar Acetabular Cup'
was implanted in correct version and inclination. The bigger challenge
was yet to come with the high riding femoral head, which was about 4 to
5 cms above the newly constructed acetabular rim. There were severe
muscle contractures and scarring from previous surgery that did not let
the femoral head reduce in the acetabular socket. After wide soft tissue
releases and stripping the soft tissue up to the mid shaft of femur, the
reduction of the femoral head was accomplished and a stable construct
was achieved, thus, salvaging a difficult situation.
THE RESULT
After the surgery the patient was very relieved and her discomfort was
almost gone. The revision surgery gave her a new hope to lead a
normal life. She is happy, healthy and all geared up to give a fresh
start to her life.