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Posts Tagged ‘hip replacement surgery along with bilateral knee replacement surgery

Patient with multiple flexion deformities walks again

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After a sabbatical of one year, I am back. This news would be of interest and a blessing to those who advised to go for hip and knee replacement surgery. Last month on August 11th 2010, Manipal Hospital performed hip replacement surgery along with bilateral knee replacement surgery and soft tissue release surgeries on a single patient – 10 surgeries in one single sitting

For the first time in India and the world, The Department of Orthopaedics at Bangalore based Manipal Hospital performed 10 surgeries on a patient in the same sitting with minimal blood loss with excellent results. The patient was stable throughout the intra-operative period and did not require post-operative ICU care. Patient recovered and took her first steps on the second post-operative day.

Mrs. Nagamma, 59 years old, complained of pain in both her hips and knees since 15 years and was unable to walk or sit for the past 6 months. The pains were gradual in onset and progressed with time. It was associated with gradually progressive Flexion Deformity; i.e. Bent hips and knees. She was able to move at home with the aid of a walker for the past 2 years and since the last 6 months, she was completely bedridden. She is a known case of Rheumatoid Arthritis but has no other illnesses. On examination, she was found to have Fixed Flexion Deformities of 50 degrees in both the hips and 60 degrees in the Right Knee and 50 degrees in the Left Knee. After thorough investigations and evaluation along with Medical and Rheumatology clearance she was

taken up for surgery on 11th August, 2010, wherein ten surgeries were performed on her viz. Bilateral Hip Replacement surgery along with Bilateral Knee Replacement surgery and 6 soft tissue release surgeries.


Fig: Mrs. Nagamma with the doctors of Department of Orthopaedics at Bangalore based Manipal Hospital

According to Dr. R.D Chakravarty, HOD, Orthopaedic Department, Manipal Hospital who spearheaded the surgical team, “First, she was placed flat on her back and Adductor Tenotomies were carried out on both her Hips, to correct the Hip Adductor deformities. Later, she was turned over to prone position and Hamstring Release procedure was done on both her Knees to correct the Knee Flexion deformities. Next, she was placed in a Right Lateral Position, i.e. on her right side with left side up and a Total Hip Replacement was done on her Left Hip. Similarly, she was shifted to a Left Lateral position, and a Total Hip Replacement was done on her Right Hip. After this, she was again placed Spine and Total Knee Replacement Surgeries were done on both her Knees. Total blood loss during the surgery was 800 ml. She was transfused two Units of Whole Blood to make up this loss. She tolerated the procedure well and post operatively was shifted to the ward as she was stable. She was put on Parenteral Antibiotics and Analgesics along with Anticoagulants and Anti DVT therapy.

She was made to get up from bed and walk on the second postoperative day and she responded well. With rigorous Physiotherapy and encouragement for Rehab, she is now moving with the help of a walker to meet her daily requirements and is also able to bend her knees comfortably till 90 degrees.”

Dr. S.C. Nagendra Swamy, COO, Bangalore Region, Director Shared Strategic Services noted, ” Keeping in mind that such an extensive surgery has never been attempted anywhere in the world before and also remembering the foreseeable risks associated with such an undertaking, we took care to perform a very thorough and meticulous preoperative planning. I applaud Manipal Hospital Orthopaedic team for competently performing such a delicate and rare surgery successfully and with such amazing results.”

Speaking to media persons Dr. H. Sudarshan Ballal, Medical Director, Manipal Hospital said, “In the West, surgeons rarely face these kinds of cases. Whereas in India, the patient tends to neglect due to financial and social reasons and finally comes at the last stage with such gross deformities. Correcting such deformed joints involves great technical skill and straightening a deformed joint can result in neurovascular damage if done without proper expertise and equipment. We are indeed blessed to have a professionally competent team and the best facilities to be able to perform a surgery of this magnitude without a hitch.”

Manipal Hospital, Bangalore is India’s first hospital to be ISO 9001:2000 certified for Clinical, Nursing, Diagnostics and Allied Areas. Manipal Hospital has been repeatedly ranked amongst the ten best hospitals in India.