|
Updated 7/9/08
Warning - Photos below are
very vivid and real surgery!
This case is a healthy 43 year old female patient with
Advanced AVN, in this case a large Metal on Metal Total Hip Replacement was the
ideal solution for her to return to an active life and be pain free.
Vicky
Hi Vicky,
Your friend’s surgery went well yesterday and she is pain free and comfortable.
During the surgery there was a large AVN lesion up to half of the femoral head.
In spite of this we tried all the tricks in the book to do a resurfacing. The
head neck junction was involved and the residual bone was chalk like and soft.
These features made a resurfacing impossible. Since the head –neck junction was
involved a BMHR was also not feasible . Therefore she had a stem with an
anatomical head metal on metal bearing.
This will serve her very well and I have no doubt in my mind that she will be
delighted with the result.
I have attached the operative photographs.
Since she had very small bone size I used the ASR components. I use the ASR for
almost all Asian women due to the small bone size. I find a distinct advantage
with the ASR in patients with small bone size.
With best regards
Vijay bose
chennai
appearance at initial dislocation
did not meet our criteria for resurfacing
head neck junction involved
More than half gone when using a resurfacing trial
specimen after resection - half the head deficient
very soft and chalky bone
anatomical MoM head with a stem that was used |
