Total Hip Replacement for Acetabular Fractures

Anterior Column Fracture With Fracture Of Neck Of Femur

22 years old male, fractured his hip ball and socket in car accident		He was treated with fixation of socket fracture in the first stage. After eight weeks he had replacement of his hip, making him normal again

For Late Presentation In Fractures Of Acetabulum

At times, a person following acetabulum fracture may present late, when the hip has remained subluxed for a long time. This leads to pain, limp and difficulty in walking.Operation to align broken bones is not of much use at this late stage. Only way one can solve the problem is by replacing the hip joint.

Late presentation after a transverse fracture		After cemented hip replacement

X-ray showing central dislocation of hip due to mal/nonunion of complex acetabulum fracture		Bone model showing reconstruction using metallic ring		X-ray after operation showing Total hip replacement with acetabular reconstruction ring

For Complication Of Acetabulum Fracture

60 yr. old gentleman fell down from a moving bus while trying to get down, fracturing his hip socket		His C.T.scan showed central dislocation of the hip

He was operated by anterior approach and the acetabulum was reconstructed		The head showed changes of avascular necrosis, causing hip pain

He was treated with cemented hip replacement		Final function after hip replacement

A young man sustained fracture of acetabulum, which even after fixation, led to arthritis and protrusio acetabuli, a know complication of this fracture. He underwent successful non cemented hip replacement with bone grafting for the protrusio.

X-ray showing arthritis after old fracture acetabulum		X-ray after hip replacement

X-ray after hip replacement		Function after hip replacement

X-ray before operation		X-ray after operation

Case 1

Our centre specialises in correction of Previously failed Hip surgeries

• Hip is a ball and socket joint
  • Which allows movement in all directions
  • A failed treatment makes the patient bed ridden

• Hip joint is situated deep inside the body
  • It is surrounded by important nerves and vessels
  • It is difficult to approach surgically
  • It’s anatomy is difficult to master
  • Hence only an experienced surgeon can give success in these difficult cases

Here we present our successes where others failed

60 years old gentleman had car accident Breaking his right hip socket He was not operated initially His hip developed very severe arthritis as The femoral head ( The ball of ball and socket joint) Got damaged over a period of time. He underwent hip replacement surgery. Within 6 weeks he was back to his work.

Hip Socket Fracture

Picture showing damaged ball		Column fragment indenting the femoral head

Picture during hip replacement surgery		X-ray after surgery

Case 2

This 55 years of gentleman Had hip socket fracture. This was not operated. He developed hip arthritis of mortar and pestle variety.

Before Operation Mortar and pestle appearance		After Operation

To convert failure to success requires thorough knowledge It requires detailed study of the case to analyse what went wrong In previous surgeries It also requires surgical skill to undo And restore the damage Here are some cases which failed at other centres And how they were set back to normalcy.

23 years of man had motor cycle accident Damaging his hip socket and ball. First surgery failed. He came to my centre. After analysing his case it was realised that he would need very special kind of artificial joint. Today he is back on his feet and resumed his job as Medical representative.

X-ray showing damaged ball and socket		Picture during operation showing damaged joint

Head used as Graft		Special type of socket known as cage. fixed

Non cemented cup And femoral prosthesis		X-rays after the operation

X-rays after the operation		X-rays after the operation

A case of miserable man who had two failed surgeries Hip replacement require a lot of experience An un experienced surgeon performing the surgery can make the patient worse.

This gentleman underwent hip replacement surgery.

Final successful surgery