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Case Presentation THR ,B/L TKR and LCP Fixation

Case Presentation THR ,B/L TKR and LCP Fixation. Dr.R.K.Pandey Sr. Consultant Orthopeadic Orthonova Hospital ,& Rockland Hospital New Delhi ,India. Case Study. Mrs.Parvati 70 years female. Presented with Neglected Fracture Neck of Femur.

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Case Presentation THR ,B/L TKR and LCP Fixation

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  1. Case PresentationTHR ,B/L TKR and LCP Fixation Dr.R.K.Pandey Sr. Consultant Orthopeadic Orthonova Hospital ,& Rockland Hospital New Delhi ,India

  2. Case Study • Mrs.Parvati 70 years female. • Presented with Neglected Fracture Neck of Femur. Almost bedridden for six years ,developed severe Osteoporosis due to inactivity. • Same patient showing B/L severe OA Knee with osteoporosis stress Fracture on left side with kyphotic tibia.

  3. Pre Operative X-ray

  4. Pre op X-ray of Rt. Knee with OA

  5. Pre Op X-ray of the Left Knee Showing Kyphotic Tibia along with stress fracture and severe OA

  6. Immediate after THR Post OP X-ray

  7. Left side TKR and LCP fixation • Left side TKR performed after 4 week of THR . • TKR done with Intramedullary Extension Rod and osteotomy with LCP and Bone Grafting.

  8. 3 month follow up X -Ray

  9. 6 Month Follow up showing complete fracture union with good alignment

  10. After 6 month of left side TKR right side TKR performed (A/P View)

  11. Stair Climbing

  12. Lateral View THANKS

  13. Case Presentation Dr.R.K.Pandey Consultant Orthopaedics Surgeon Orthonova Hospital, New Delhi,India

  14. Revision THR • Mr.Rajesh 48 years male with history of RTA in 2001 had fracture dislocation right hip treated conservatively by traction. Then after 2 months patient underwent hybrid THR. After 7 year post THA patient presented with severe Pain and difficulty in walking in 2007.

  15. X ray showing massive osteolysis around actebulum although the stem is well fit .

  16. Post OP follow up

  17. 6 Month follow Up A/P and Lateral View

  18. Sitting cross leg THANKS

  19. Case presentation Dr R.K .Pandey Consultant Orthopaedics Surgeon Orthonova Hospital , New Delhi, India

  20. Pre Op –X Ray • Mr.Maksood Ahmed /M/52 years • Patient presented with Intracapsular Fracture neck of femur . • Difficulty in walking and severe pain. • Uncemented THR done .

  21. Pre and Post Operative X-Ray

  22. Clinical Photograph showing cross leg sitting

  23. Patient Sitting crossleg THANKS

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