Saturday, 13 January 2018

6 year post hybrid technique in rt periprosthetic fracture femur

The rt hip under went distal cementing and proximal uncemented in a 80 year old lady who presented 6 years later with no local issues in the hip. This was considered a quick operation for an elderly peri prosthetic fracture for early mobilisation with an uncememeted hip. the porocoat distally was removed to reduce the stem cement bonding.Happy to see no major lysis or sinkage 6 years down the line

posterior dislocation 2 year post posterior stabilised knee

This happenned while she was getting up from a foot stool like devise ( possible high flexion). felt a clunk and could not walk. presented with an FFD of 30 with no further flexion or extension with xray below showing subluxed knee.
 Under GA  it reduced in full flexion and anterior force ie anterior draw and was stable with no further instabilty or laxity, no clinical laxity in any range.  This was the first time I saw this and hope fully the last time. so watch out high flexion guys who show videos of squats and more ? She is 6 months post reduction with no further issues yet