Surgery to to replace ‘dyplastic hip’ conducted at Fortis Hospital
Srinagar: After walking with a limp all her life, Rafiqa, 68, of Kashmir took fresh bold steps after a reconstructive surgery at Fortis Hospital Delhi. Born with a ‘dyplastic hip’ which prevented her from walking normally, she conducted her day to day activities with much difficulty, often experiencing cramps and sometimes intolerable pain.
It was frustrating and agonising.
Life took a turn, however, when she met Dr Dhananjay Gupta, Director and Senior Consultant, Orthopedics, Joint Reconstruction and Replacement Surgeon, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, and his team, who performed a total hip replacement surgery on her.
Seventeen years ago, in an attempt to gain complete mobility, Rafiqa had undergone a sub trochanteric valgus osteotomy surgery (the weight bearing axis was changed so that painful area moved out of the loading area of the hip) in Amritsar. The pain in her hip joint decreased but the limping persisted. It had recently started bothering her again making it difficult for her to go about her daily tasks. Initially uncertain and hesitant about going through another surgery, Rafiqa and her family members decided on total hip replacement when her pain became unbearable.
Because of Rafiqa’s age an extremely cautious approach had to be taken. The surgery was extremely intensive, yet had to be handled carefully.
Due to the time that had lapsed between the previous surgery and this one, there were some obstacles. One was removal of the blade plate which had been implanted 17 years back. There was a chance the plate might not come out and removing it might cause a fracture. The proximal femoral anatomy was distorted and it was difficult to negotiate the stem into the canal again, posing the threat of fracturing the shaft. There was also a high chance of infection occurring during the replacement surgery. The acetabulum (the socket of the hip bone into which the head of the femur is placed) was very shallow and had to be recreated. The soft tissue sleeve around the deformed hip could not be relied upon to give stability and there was a shortening of 2 cm and addressing it in such contracted soft tissues may have resulted in nerve damage manifested as ‘foot drop’.
Commenting on Rafiqa’s remarkable recovery, Sandeep Guduru, facility director, of the hospital said, “The case was laborious because the doctors had to circumvent the challenges of old age and the remnant implications of the previous surgeries. However the team conducted it in a precise manner, addressed each problem step by step.”
Rafiqa said that she had waited several years to walk without a limp and never thought she would one day do so.
“This surgery was something I was initially very unsure of. I didn’t want another complex procedure to be performed where the recovery time would be long drawn and also feared complications that might make me to lose whatever mobility I had. However the success of this surgery would not have been possible without the dedication and hard work of my doctors.”
A hip replacement surgery becomes necessary when there is too much pain and the doctor has to surgically remove the hip joint and replace it with an artificial joint often made from metal and plastic components. It is a treatment option that is increasingly being used to ensure recovery in a short span of time, improve the quality of mobility and life for patients, enable better physical exertion, do away with the pain and make walking easier.