Colle’s Fracture / Broken WristDecember 8, 2017
MIO Tibial PlatingDecember 8, 2017
A 78 year old Patient had an RTA and sustained a Hip injury. He was diagnosed as having a Central fracture dislocation (Bicolumnar Fracture). He was not operated by the treating Orthopedic Surgeon considering the Risks involved at the Age. He presented to us after 7 months with ProtrusioAcetabuli with AVN of Femoral head.
His major Complaints were:
Severe restriction of daily activities
Night pain and Rest Pain
Difficulty in Sitting and Getting up
Pre Op Xray
Discussing the risks involved, the Patient was asked to undergo a hip replacement to alleviate his symptoms.
CT Pelvis was done to get a better understanding of the defects.
- S Defect in anterosuperior wall
Posterior wall was intact
Defect in anterosuperior part of head
Challenges of Surgery
- Defect Reconstitution
To get the Perfect Rim fit
Early mobilization considering the advanced age
Restoring near normal Hip Centre
It was decided to use a Trabecular Metal cup and Uncemented Stem on the Femoral side Head and neck
The graft was Fixed with the Screws through the cup
Rim fit Gription Cup was placed and sufficient lateralization was achieved