हिंदी
On presentation, the patient (Darshan Singh) was wheelchair bound, in acute pain and discomfort and his hip joint was completely damaged and infected. He had sought treatment at several hospitals unsuccessfully but was not satisfied with the line of treatment. He finally approached Fortis Hospital Mohali in January this year, where he was advised to undergo the two-stage total hip replacement surgery as it would remove the infection and allow for the implantation of the artificial joint.
Dr Sandeep Gupta, Senior Consultant, Orthopedics, Fortis Hospital Mohali, said, “Hip joint infection is caused by either pyogenic bacteria or tubercular bacteria. While the disease progresses slowly in the case of tuberculosis, there is a rapid destruction of the hip joint when affected by pyogenic bacteria. Total hip replacement surgery has given a ray of hope to many patients with damaged hip joints but needs careful planning and execution in such cases.”
Elaborating on the surgical procedure, Dr Gupta, said, “We follow a strict treatment protocol while conducting two-stage total hip replacement. Stage I requires meticulous removal of the dead and infected bone along with synovium and insertion of antibiotic-loaded cement spacer. In this case, articulating spacer was made which not only delivered high-dose local antibiotics to cure the infection, but also allowed the patient to be mobilized with a walker. The surgery lasted two hours. Following the first operation in January 2021, the second stage surgery was performed after two months in March wherein the implant was inserted into the joint. The patient is now fully pain-free and independently mobile.”
