Total Hip Replacement after failed PFN

75 years old gentleman had a fall in washroom 2 years back. He sustained fracture right hip for which fixation with PFM (nail & screws) was done elsewhere. Patient was never pain free, he had to take painkillers everyday and had to use walker for support.  As the fixation was not adequate for this type of fracture, the nail was broken after 1 and half year and patient got bed ridden. The patient had additional problems like his Cardiac by-pass surgery was done 5 years ago, he is on pacemaker, he has CKD (chronic kidney disease).
His serum creatnine is 6.3 (maximum normal is 1.4), hemoglobin is 7.4, cardiac function is only 25% (ejection fraction) and his limb is 2 cm short. He has not walked for last 6 months.
Challenges are:
§ Severe Osteoporosis (because patient is bed ridden for 6 months)
§ Poor muscle power ( because he is not using this limb properly for last 2 years)
§ Loss of bone in upper part of femur ( due to previous implants)
§ Broken nail in femur (very difficult to take out)
Dr. Ashwani Maichand & Team in consultation with cardiologist and nephrologist decided to go for hip replacement. All the old broken implants were removed, non cemented hip replacement was done by MIS technique. The surgery and post op period was uneventful. Patient had to undergo dialysis before and after the surgery. 3 units of blood was transfused but thanks to our anesthesia and ICU team that patient came out unscathed.

He was made to stand with a walker day one took his first pain free steps in two years after two days.

       X-Ray after PFN fixation

   X-Ray after PFN failure

    X-Ray after Hip replacement



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
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.