Total hip replacement, Hip Resurfacing Surgery India

Uncemented hip replacement part 3. MJRC

admin — Sun, 01 Jan 2012 05:48:59 +0000

Dr.A.K.Venkatachalam performs a cementless hip replacement in India. visit http://www.hipsurgery.in

Uncemented hip replacement part 2, MJRC

admin — Sun, 01 Jan 2012 05:45:30 +0000

Dr.Venkatachalam of www.hipsurgery.in performs an uncemented hip replacement. Hip replacements in India are offered for young patients with arthritis.

Cement less hip replacement India, MJRC part 1

admin — Sun, 01 Jan 2012 05:40:08 +0000

Dr.A.K.Venkatachalam performs an uncemented hip replacement. The patient has a neglected fracture dislocation of the hip.

Difficult primary total hip replacement for sequelae of pyogenic arthritis

admin — Fri, 11 Nov 2011 14:33:49 +0000

A forty year old Nigerian lady crippled by pyogenic arthritis in infancy received a primary total hip replacement. This restored her mobility and gave her a new lease of life.

It was a technically difficult procedure as the native acetabulum was dysplastic, the femur was high riding and had a small medullary canal.

Primary hip replacement was done with an cementless modular femoral prosthesis and cementless acetabular shell.

Modular cementless hip prosthesis

Difficult primary hip replacement

Birmingham Hip Resurfacing- British patient’s testimonial

admin — Wed, 14 Sep 2011 04:09:15 +0000

Stephen Richeley, a British citizen resident in Uganda shows his rapid recovery after a Birmingham hip resurfacing surgery in India. His surgery was performed at a super speciality hospital by Dr.A.K.Venkatachalam. Visit http://www.hipsurgery.in

Birmingham Hip Resurfacing India- British patient testimonial

Revision hip replacement for Ugandan in India

admin — Thu, 18 Aug 2011 09:39:10 +0000

Revision hip implant

Ugandan lady Esither Rubangura

A revision hip replacement was performed for a retired Ugandan midwife. A cemented hip replacement done in 2004 had loosened. She had severe bone loss in the femur and moderate bone loss in the acetabulum. Dr.Venkatachalam performed an uncemented revision hip replacement. He used the Wagner stem and Trilogy cup from Zimmer. Allograft bone was used to reconstitute acetabular and femoral bone loss.
The same patient had undergone a primary knee replacement last week.
Thousands of patients from Afrcian countries travel to India for joint replacements. Dr. Venkatachalam is a joint replacement orthopedic surgeon

Ceramic Hip replacement | Medical tourism India

admin — Tue, 21 Jun 2011 16:31:48 +0000

Ceramic hip replacement

A Nigerian patient sought a hip replacement in India. He was suffering from a neglected posterior dislocation of hip with avascular necrosis. He was given an advanced Ceramic on Ceramic hip. Although the US FDA only recently accorded sanction for ceramic on metal hip replacement, this procedure had been done by us since the last two years.

Total hip replacement in neglected acetabular fracture

admin — Sat, 18 Jun 2011 03:06:54 +0000

Hip replacement in neglected acetabular fracture
Dr.A.K.Venkatachalam
Consultant Orthopedic surgeon, Chennai,
www.hipsurgery.in
Acetabular fractures are often sustained in four wheeler accidents. Most patients are young. The ideal treatment is internal fixation in displaced fractures. In neglected fractures or following improper fixation, avascular necrosis and secondary osteoarthritis result. In such cases total hip replacement is required. This case report shows a total hip replacement for a neglected acetabular fracture.
Case report- Mr. S A, a 30 year old Nigerian male presented with a neglected acetabular fracture of two years duration.

The head of the femur is lying posteriorly on the ischium.
He was taken up for a one stage acetabular reconstruction and a total hip replacement.
Technique
Acetabular reconstruction was achieved with a cortico cancellous bone graft from the femoral head. The posterior wall was recreated with bone graft fixed in place by a contoured reconstruction plate.
After achieving a contained acetabulum, it was prepared to receive an uncemented Pinnacle cup. This multi holed cup was fixed with four screws. A Corail stem was used on the femora side. The bearings were Ceramic on ceramic. This case report can be seen here
E mail- drvenkat@kneeindia.com

Hip replacement options for ankylosing spondylitis India

admin — Fri, 13 May 2011 02:45:38 +0000

Mini hip prosthesis

Ankylosing spondylitis affects young men pre dominantly. The earliest manifestations are low back pain and gradually the disease results in hip pain stiffness and involvement of other joints. The spine is most commonly affected and can result in fixed deformities.
The diagnostic tests for ankylosing spondylitis consist of blood tests, x rays of the lumbar spine and other involved joints.
Hip involvement starts early. The permanent solution is Hip replacement.
Hip resufacing is possible in the early stages of the disease. However with totally fused joints, Hip replacement is the only option.
Since most patients are young, cementless hip replacements are preferred. Long lasting bearings like metal on metal, ceramic on ceramic, ceramic on cross linked poly are preferred.

Avascular necrosis treatment options India

admin — Thu, 05 May 2011 09:43:48 +0000

Avascular necrosis is the most common cause of hip pain in the young and middle aged population. The most common reason is idiopathic or unknown. Other causes include steroid intake, blood disorders, fractures of the neck of femur, alcoholism.
The disease is very common in the age group 20 to 50.
Treatment options are
1) Non surgical- This has a poor rate of cure.
2) Surgical- Surgical treatments can be further divided into joint replacement or non joint replacement. Non joint replacement measures are core decompression and regenerative therapy with bone forming stem cells. This modality of treatment is relatively new and is available in India at a modest cost.
Joint Replacement- This consists of hip resurfacing, BHR, Birmingham mid head resection (BMHR),Short stem hip replacements, Birmingham mid head resection and total hip replacement with an uncemented or cementless prosthesis.
The bearings used need to be long lasting and devoid of side effects. Metal on metal bearings are used in Hip resurfacing and BMHR.
Ceramic on ceramic or ceramic on metal or ceramic on poly bearings can be used with short stem and total hip replacements. Ceramic on ceramic bearings result in the least amount of wear. Metal bearings can produce some amount of wear particles.
Most procedures mentioned above are bone preserving operations with the exception of a total hip replacement.
We have been performing short stem hip replacements with the Proxima hip since the last 5 years.