Revision Hip Replacement after Fusion

            Initial Pre Op CT showing Acetabulam & Femur Fracture    

                                                                                                                                                                                                                                      Post Op X-Ray showing Long Stem non cemented THR
    
Post Op X-Ray Pelvis both hips                                                    

 29 years old gentleman from Ambala had a runover road traffic accident 4 years back. The soft tissue over the left hip was totally damaged and the bone was exposed. He had multiple fractures on left side of pelvis, left femur and left hip joint. These fractures were fixed with plates and screws at some other hospital . Now the patient has fused hip, totally stiff knee joint (movements 0 degree) and is not able to sit on a chair. He can walk few steps with walker but after that he starts having pain in back. He cannot drive and can’t use western toilet.  His limb is short by 2 cms.

X-Ray showed that his left hip joint is totally damaged and left pelvic fracture is still not united. He also has a long plate (DHS) in left femur. The challenges in this case are 2 non-moving joints in the same limb (hip & knee), a large implant, very little intact bone in pelvis, young high demand patient.
In this patient 5 surgeries were done in same sitting. It took Dr. Ashwani Maichand & Team 7 hours to do this tedious procedure, 6 units of blood were transfused and patient was kept in ICU for 24 hours after surgery.
The procedure done were :
1.       Soft Tissue Flap Rotation by plastic surgeon to cover the exposed left pelvic bone.
2.       Implant removal (DHS Plate)
3.       Mobilization of Knee
4.       Reconstruction of left hip (acetabalum)
5.       Non-cemented ceramic hip replacement
The patient was able to walk full weight bearing from the very next day. Mow he is able to bend his knee upto 100 degree, can sit on a chair and can use western toilet.  The limb length has been restored.
Upcoming Events
 
 
  • Coming up with a mega campaign "Lets Fight Arthritis" on the occasion of World Arthritis Day, at A4 Block, Gauri Shankar Mandir, Paschim Vihar, New Delhi. The campaign will be on 9th October 2016(Sunday). 

  • Health Awareness Campaign on 28th August at Gurudwara Singh Sabha E Block Karampura, Delhi.

  • Coming up with a mega campaign on Spine & Back Pain on 5th June 2016 at Gurudwara New Ranjeet Nagar (near Satyam Ciema), Patel nagar, Delhi in association with Sukhmani Charitable Trust, Delhi.

  • Coming up with an awareness campaign on Arthritis Management & Control on 22nd May 2016 at Guru Ram Dass Charitable Medical Centre - Gurudwara Sri Guru Singh Sabha, Moti Nagar, Delhi.  

  • Mega campaign on Arthritis Management on "Mother's Day" 8th May 2016 at West Patel Nagar, Delhi - 110008

  • Mega campaign on Arthritis Management in association with "Varishth Nagrik Kesari Club" - Punjab Kesari Delhi on 6th April 2016 (Wednesday)

  • Dr. Ashwani Maichand Participated in Shoulder Conclave 2016 at JWT Marriott, Pune

  • Dr. Ashwani Maichand was the Table instructor for young doctors at Cadaver Joint Replacement Training on 21st February 2016 at All India Institute of Medical Sciences (AIIMS)

  • Arthritis Awareness campaign on 28th february 2016 from 10 am to 1 pm at Minomax Knee & Shoulder Clinics (8/29, West Patel nagar, Delhi, India)

  • Participating as a speaker on "Dificult cases of Hip & Knee Replacement" in 2nd Masters Course in Arthroplasty at Meril Academy, VAPI, Gujarat from 4th to 6th February 2016

 
 

 

 

 

 

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Contact Us
Dr Ashwani Maichand
M.S., M.Ch. (Ortho)
Fellowship Joint Replacement
Specialist : Knee & Shoulder
 
Dr. Rahul Kakran
M.s., M.Ch (Ortho)
Specialist : Minimal Invasive Spine Surgery (MISS)
  
Dr. Rajni Koundal
BPT
Consultant Physiotherapy
 
For Appointment : 9999074745
( Mr. Sunny ) 
 
For Upcoming Events : 9999071715
( Mr. Sarabjeet Singh)
 
Address : 
 
MinOmaX Knee & Shoulder Clinics
8/29, West Patel Nagar,opp. D.A.V. Sr. Secondary School (near Metro Pillar no. 198, Delhi-110008)
Timings : Daily 5:00 PM to 7:00 PM  ( Except Sunday).
 
Please Take Prior Appointment to avoid inconvinience.