COMPLEX REVISION TOTAL HIP REPLACEMENT WITH PROXIMAL FEMORAL REPLACEMENT IN A 40 YR OLD

                                                   40 YR OLD CAME WITH THIS

SHE HAD HIP PAIN ON LEFT SIDE , THIS WAS DONE 25 YRS BACK(??TUMOR)- WE PLANNED A THR WITH PROXIMAL FEMORAL REPLACEMENT PROSTHESIS

CEMENTED STEM

UNCEMENTED PINNACLE GRIPTION CUP

CERAMIC HEAD

POST OP X RAY

DR DEEPAK INAMDAR - HIGH PERFORMANCE KNEE REPLACEMENT TRAINING AT CHULALONGKORN UNIV, BANGKOK

DR DEEPAK INAMDAR-UNAVAILABLE ON APRIL 2,3 AND 4 - AS HE IS ATTENDING A HIGH PERFORMANCE KNEE REPLACEMENT TRAINING AT CHULALONGKORN UNIV , BANGKOK , THAILAND.
AVAILABLE FOR CONSULTATION ON SATURDAY APR 5 ,2014.

COMPLEX REVISION HIP SURGERY IN A 73 YR OLD WITH FAILED HIP SURGERY (done elsewhere) ,Bangalore , INDIA

73 YR old female , operated elsewhere with a failed hip fracture surgery came to us , with this

preop CRP -
TC -WNL

we planned a revision -calcar replacement stem(intraop gram stain negative for bacteria)

cables and wiring (charnleys ) for trochanter

wiring of trochanter


calcar replacement long stem- in place with wires

bipolar head introduced

prosthesis reduced



wiring of trochanter done with cable(CHARNLEY)

post op x ray

Complex total hip replacement surgery in a patient with protrusio acetabuli (rheumatoid arthritis) ,- bangalore , india

65 yr old , rheumatoid arthritis lady came to us on a wheel chair, not able to walk -
she had a history of RA , on steroids , osteoporotic bone and diabetic

pre op plan -

correct shortening of 2 cms
lateralize hip center
build up base of acetabulum with mashed morcelized bone graft
use oversized cup to get a peripheral fit with screws
v. off set 54 mm and h offset 50 mm

we used pinnacle uncemented cup - 180 degree coverage

                                                     cup insitu fixed with two screws

neutral liner UHMWHDP

LINER INSITU

SUMMIT UNCEMENTED STEM

COCR -32 HEAD

COCR HEAD INSITU

HEAD MATED TO SUMMIT STEM

AIMS ACHIEVED-

shortening 2 cms - gained

cup lateralized 

cup 50 peripheral fit and offset targets achieved intraop

in addition - iliopsoas , adductor and it band released

Total elbow replacement surgery in bangalore , India

Indication for elbow replacement surgery -
arthritis - post traumatic or inflammatory
Types -
Indian -INR 20-25000 approx -cost of implant only
IMPORTED - inr 140000-145000 approx -cost of implant only

stay - 5/6 days
hospital charges extra , excellent packages available .
call and fix appointment - 919448444746

High tibial osteotomy surgery in bangalore - JOINT PRESERVATION SURGERY for knee arthritis

HIGH TIBIAL OSTEOTOMY / JOINT PRESERVATION SURGERY FOR EARLY KNEE ARTHRITIS -- DELAYS KNEE REPLACEMENT SURGERY .
Degenerative arthritis and malalignment can cause the knee’s protective tissues to wear on one side more than the other in a repetitive cycle of damage. 
a technique known as an osteotomy can realign the knee, taking pressure off the damaged side. high tibial osteotomy wedges open the upper shin bone (tibia) to reconfigure the knee joint. The weight-bearing part of the knee is shifted from degenerative or worn tissue onto healthier tissue.
A high tibial osteotomy is generally considered a method of prolonging the time before a knee replacement is necessary because the benefits typically fade after eight to ten years.

This procedure is typically reserved for younger patients with pain resulting from instability and malalignment of knee (early knee arthritis) .

IF YOU WANT TO DELAY KNEE REPLACEMENT , YOU WANT TO BUY TIME ? but want to reduce your knee pain - CONTACT US FOR JOINT PRESERVATION SURGERIES , learn more
call for app 919448444746

computer navigation in knee replacement surgery- MYTH AND FACTS , Bangalore , india

Journal Of Bone And Joint Surgery in November 2012 titled Computer-Navigated Versus Conventional Total Knee Arthroplasty: A Prospective Randomized Trial 
By Young-Hoo Kim, MD1; Jang-Won Park, MD1; Jun-Shik Kim, MD1 

This RANDOMIZED study clearly shows NO DIFFERENCE in clinical results, alignment and survivorship (life) of knees that underwent computer navigated total knee replacement or conventional total knee replacement WITHOUT USING computer.Furthermore a META-ANALYSIS has been conducted by Tao Cheng, Xiao-YUN Pan, Xin Mao, Guo-You Zhang, Xian-Long Zhang and published in the knee journal in August 2012; which shows computer navigated total knee replacement does NOT lead to clinical results superior to conventional total knee replacement. Click the following link in google to read the above research paperhttp:

//www.thekneejournal.com/article/S0968-0160(11)00195-5/abstracthttp://www.thekneejournal.com/article/S0968-0160(11)00195-5/abstract