A team of doctors at Fortis Hospital, Shalimar Bagh successfully performed a rare hip replacement surgery to correct fractured neck of the left femur on a 102-year old patient recently. Within 48 hours of the injury, the patient was back on his feet. The team was led by Dr. (Prof.) Amite Pankaj Aggarwal, Unit Head Joint Replacement, Orthopaedics and by Dr. Umesh Deshmukh, Head of Anaesthesiology at Fortis Hospital, Shalimar Bagh.
The patient, Mr. Mangal Das Puri, was rushed to the emergency at Fortis Hospital, Shalimar Bagh with complaints of pain in the left hip region. The patient expressed his inability to bear weight on left lower limb. The patient used to walk without support before fall. Doctors examined his condition to find out that there was a fracture on the left proximal femur (fracture neck of femur). In view of his advanced age and the complications due to him being bed ridden, the team, after counselling and discussing with his family, made an informed decision to do a hemiarthroplasty or hemi-replacement of the hip joint.
A hemiarthroplasty is conducted to treat a fractured hip. This surgery is similar to a total hip replacement, but it involves only half portion of the hip. (Hemi means half, and arthroplasty means joint replacement.) It replaces only the ball portion of the hip joint, not the socket portion. In a total hip replacement, the sockets well as the ball sections are replaced.
The team of doctors from Orthopaedics, Cardiology and Anesthesiology discussed the various risk aspects and plan a recovery plan. Given the fact that the elderly patients with hip fractures are prone to develop infections in chest and urinary tract, deep vein thrombosis, bed sores, compromised cardio-pulmonary reserve and other complications, the plan was devised. The treatment was aimed at making the patient walk as early as possible. After careful examination of all aspects, Mr. Puri was operated with a cemented partial hip replacement of his left hip joint. The surgery was completed in 30 minutes. The intra-operative and immediate post-operative period was uneventful.
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