QUALITY OF LIFE(NEXT GENERATION) HIP SURGERIES , Bangalore , India - UNCEMENTED MODULAR BIPOLAR HIP ARTHROPLASTY IN 84 YR OLD WITH PARKINSON S DISEASE

  With the increased longevity and increasing geriatric population , hip fractures have increased in numbers and with the present generation of implants , surgeons  are able to provide excellent quality of life hip surgeries hitherto unavailable just a decade ago.We at orthoone orthopedic and joint replacement center are able to provide surgeries for patients with hip fractures, hip arthritis and redo hip surgeries  options which gives them an excellent quality of life and good results in patients with advanced age and multiple health problems (diabetes, HT , advanced age, neuro problems and liver cardiac and kidney diseases ).

The older concepts of cementing has been turned on its head by the present generation of highly refined and highly indivisualized / modular hip implant .
they provide superior fit minimalizing the risks , tissue trauma  and time in cemented implant.

WE PRESENT A COMPLICATED CASE  -

84 YR OLD PATIENT WITH PARKINSONISM , FLEXION AND ADDUCTION CONTRACTURES OF RT HIP AND ADDUCTION CONTRACTURE OF LT HIP

presented with this

 

 

SUBCAPITAL FRACTURE NECK

 

 

what we did-

 

 

PROXIMALLY COATED UNCEMENTED STEM

 

 

 

 

 

 

BIPOLAR HEAD - BEFORE IMPLANTATION

 

 

 

 

 

 

STEM AFTER IMPLANTATION

 

 

 

 

 

 

AFTER BIPOLAR HEAD -MATED TO STEM

 

 

POST OPERATIVE X RAY

 

WHAT  AND WHY WE DID

we chose an uncemented component due to the excellent stems now available and minimal morbidity to patient , less operative time , less tissue trauma  and to lessen cardiac complications in very old patients where surgery is a stress and risky.

 

 

we performed a right sided iliopsoas and adductor release(bilateral) and got very good correction of contractures and his hips which were flexed and adducted prooperatively were abducted and he can now walk comfortably with walker.

 

POST SURGERY -PATIENT STANDING ON DAY 1- walked few steps with walker

 

 

 Reference:

• Dalury DF etal. Modern proximally tapered uncemented stems can be safely used in Dorr type C femoral bone. Paper #194. Presented at the 2011 Annual Meeting of the American Academy of Orthopaedic Surgeons.