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Showing posts from December, 2012

MINIMALLY INVASIVE HIP FRACTURE SURGERY USING SWISS NAIL IN A 85 YEAR OLD ON PACEMAKER & RENAL FAILURE, Bangalore

    85 yr old woman hypertensive , chronic renal failure, diabetic , on pacemaker ( High risk for surgery) came from a town 500 kms away as  the local doctor referred her to us  for the treatment of the badly comminuted trochanteric fracture             we used a Swiss Titanium / Proximal femoral nail/ PFNA  - 17 cms , Incision- 2 cms Surgery time 35 min Blood loss 30- 40 ml Anaesthetic team involved a cardiac anaesthetist and a regular one pacemaker( set to 74 , synchronous mode) technician was in theater no electrocautery used Patient doing well , walking with walker by second day .                   Intra operative photo of swiss nail         post operative x ray   THIS CASE ILLUSTRATES THE IMPORTANCE OF OUR TEAMS CAPABILITY TO HANDLE HIGH RISK CASES.     

OXINIUM - HIP AND KNEE REPLACEMENTS - REVOLUTIONARY NEW BEARING SURFACES

          Advantages of Oxinium Bearing (30 YEAR HIP/KNEE)  for Hip and Knee replacement surgery-         1. very low incidence of allergy-low nickel  content(very biocompatable) 2.very low wear and friction rates- as in ceramic 3. 4900 times more resistant to scratching than cobalt chrome 4. no brittle fractures as seen with ceramics 5. 20% lighter  than co-cr 6.less poly wear compared to co-cr 7. no chipping , squeaking or fractures as seen with ceramics.         in short it combines the advantages of both co-cr and ceramics obviating the disadvantages of both .   CONTACT US ON +919448444746 FOR OXINIUM HIP AND KNEE REPLACEMENTS

WORLD CLASS FACILITIES FOR JOINT REPLACEMENT SURGERY- THE JOURNEY TO BANGALORE , INDIA

                            1.  email us  / send all ur scanned x rays , CT and MRI films and reports                              2. SKYPE with us for appointment and costs , VISA letter and assistance                                     3.    ORTHO ONE , bangalore - where  u meet the doctor & appointment                                                                       is fixed for surgery   4. ADMISSION  TO  SINGLE ROOM - IN HOSPITAL  5 .ENTRANCE TO OPERATION THEATER  6.STAINLESS STEEL LAMINAR AIR FLOW OPERATION THEATER  7.POST OPERATIVE RECOVERY AND ICU  8. BACK TO THE ROOM AND 9. DISCHARGE - TO HOTEL -till suture removal / physiotherapy  at hotel 10.HEAD HOME  

TWO STAGE REVISION HIP REPLACEMENT SURGERY( smith & nephew - CEMENTED HIP REPLACEMENT FOR A FAILED INFECTED FIXATION (done elsewhere), Bangalore ,India

  STAGE 1 - IMPLANT REMOVAL AND SPACER INSERTION   68 yrs  old woman presented to us with failed fixation , done elsewhere for a hip fracture (not only had it failed ,  it was infected too ) presented to us with severe hip pain and raised infection parameters. STAGE 1 - Remove the infected and cut out /failed  implant , debridement and place an antibiotic impregnated/eluting spacer(french) hip prosthesis with german antibiotic eluting  collagen sponge + antibiotic cement + intravenous antibiotic  4 weeks (culture grew e . coli ) followed by oral antibiotics 6 weeks FRENCH ANTIBIOTIC  SPACER PROSTHESIS                                             intra operating picture after prosthesis and cementing   immediate postoperative check x ray         3 months post operative x ray           x ray at 3 months follow up   (fracture united well/no infection )        she is comfortable walking with walker and has no pain now  .  

SUCCESSFUL TOTAL HIP REPLACEMENT SURGERY( DEPUY - J&J)-in a high risk rare blood condition(SICKLE CELL DISEASE),Bangalore

CASE STUDY OF A SUCCESSFUL TOTAL HIP REPLACEMENT,IN A   HIGH RISK  RARE BLOOD CONDITION- SICKLE CELL DISEASE 28 year old girl with sickle cell disease HBS 73 % HBA 24%-  with bilateral avascular necrosis of hips , presented with hip pain (L). Sickle-cell disease ( SCD ), or sickle-cell anaemia (or anemia , SCA ) or drepanocytosis , is an autosomal recessive genetic blood disorder with overdominance , characterized by red blood cells that assume an abnormal, rigid, sickle shape. Sickling decreases the cells' flexibility and results in a risk of various complications. The sickling occurs because of a mutation in the hemoglobin gene . challenges for surgery and surgeon - 1. sickle crisis- during or after surgery 2.bleeding - increased risks 3. Deep venous thrombosis - higher risk 4. infection - higher risks 5. loosening - due to repetitive microinfarctions . sickling is precipitated by  due to acidosis, dehydration and hypoxia. surmounting the obsta

CENTER FOR HIP , KNEE AND ADVANCED ORTHOPEDIC SURGERY, Bangalore

ORTHO ONE ORTHOPEDIC & JOINT REPLACEMENT CENTER We are an exclusive orthopedic and joint replacement center in the heart of south bangalore, providing world class orthopedic surgery options, 1.PRIMARY KNEE REPLACEMENTS 2. HIFLEX KNEE REPLACEMENT 3. GENDER KNEE REPLACEMENT 4. OXINIUM KNEE REPLACEMENT 5. REVISION KNEE REPLACEMENT 6. PRIMARY HIP REPLACEMENT 7. CERAMIC HIP REPLACEMENT 8. OXINIUM HIP REPLACEMENT 9 CEMENTED HIP REPLACEMENT 10. REVISION HIP REPLACEMENT 11 SHOULDER SURGERIES 12. GERIATRIC HIP FRACTURE SURGERIES 13. PEDIATRIC AND ADULT - COMPLEX TRAUMA SURGERIES 14. ORTHOPEDIC SURGERIES 15 ARTHROSCOPIC SURGERIES 16. ELBOW SURGERIES. ADDRESS- ORTHO ONE ORTHOPEDIC AND JOINT REPLACEMENT CENTER 307, CITIBANK ATM LANE , 10 MAIN , 3RD BLOCK , JAYANAGAR, BANGALORE, INDIA PH -919448444746 918022448355 www.orthoone.co.in visit us  on facebook - Orthoone bangalore