Friday 11 June 2010

79 year 10 years post acetabular fracture fixed elsewhere presented with Trochanteric fracture. Patient ASA grade 2, non diabetic and pretty active. The judet views showed adequate posterior column and wall. Planned for a THR. Cemented or uncemented. 36 head if possible.


We decided to remove the implant only if it was interfereing and finally went thru modified hardinge and did a cemented repalcement. We wanted a larger head diameter with an uncemented cup but due to the presence of 2 intraarticular screw we cemented the same and a calcar replacement stem with wiring of the trochanter.


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2 comments:

  1. drkris13 June 2010 at 21:54

    sir what was the preinjury status of the joint
    rom? painful?

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  2. Dr Jacob Varghese13 June 2010 at 22:22

    Stiff with minimal pain.Lives in hilly region and could climb uphill with bearable pain as per patien's words. He use local ayurvedic concoction for pain relief(Balm). He is hypertensive and was willing to take the risk for any surgery.

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