Complex Primary Total Hip Replacement (THR) in a 50 year old Gentleman, done for treatment of Severe Crippling Arthritis of Left Hip for Childhood Injury

The Hip joint of our body is a “Ball and Socket” joint, in which, the upper end of the thigh bone - the Femoral Head ( Ball), moves freely inside the socket Acetabulum (Cup), in the Pelvic bone. It bears the whole body weight while standing and walking. This joint moves so smoothly in many directions, helping us to stand, walk, run, climb stairs,sit on a chair, squat on the ground, and even sit cross legged( Padmasan). Arthritis is a problem affecting the hip joint , which leads to damage to the smooth surfaces of this ball and cup, and leads to pain in the hip joint region and restriction of the above mentioned normal movements, in varying degrees.As you all know , MOBILITY IS IMPORTANT FOR LIFE and Arthritis of Hip joint, leads to significant difficulty in doing day to day activities. Many reasons can lead to Arthritis, like Previous Injury to the joint, Infection, Reduced blood supply to the Femoral Head ( AVN), sometimes Defects of Hip joint which occur at birth and so on. It develops over many months or years. Recently, we treated a 50 year old Gentleman who had developed , severe Arthritic changes of Left Hip due to Childhood injury,who was severely crippled by pain, deformity and 7 cm of True shortening and 10 cm of apparent shortening, which had developed over nearly 45 years.In a 6 hr surgery , a COMPLEX PRIMARY TOTAL HIP REPLACEMENT (THR) was performed in this patient by a team led by Dr. B. S.Murthy and assisted by Dr. V.A.Senthil Kumar. The patient’s Acetabulum (Cup)was reconstructed and Replaced with an Artificial Metallic Cup and Ball was replaced with a new Metallic Ball with a long stem, with a Subtrochanteric Femoral Shortening Osteotomy. See the photos, which are self explanatory.

Recurrent Dislocation Shoulder, Latarjet Procedure

Some youngsters (mostly between 20 and 40 years of age), more often men than women, have a problematic condition called “RECURRENT DISLOCATION OF THE SHOULDER”. Basically, the ball of the shoulder joint slips out of it’s socket . First time it is caused by significant injury, fall while playing in the playground or an accident when the arm and hand are in a throwing position. Initially it is so painful , that pain reduces only by relocating the ball in it’s socket. It becomes recurrent, if in the following weeks or months or years,repeated dislocation ( slipping of ball out of the socket ) happens with trivial injury or in sleep too. Such patients need an MRI and Surgical treatment like Arthroscopic Bankart Repair( Key hole surgery). But, sometimes the socket gets partly eroded by repeated dislocation, in which case, keyhole surgery cannot be performed, rather a open surgery called as LATARJET PROCEDURE, is required, which prevents further recurrent dislocations. Photo and video show the results after such a procedure in a young man- see the excellent function, and he is back to all activities, without fear of SHOULDER DISLOCATION.

- Dr. V.A. Senthil Kumar

A bed ridden 72 years old lady made to walk by combined efforts of ORTHOSPINE SURGEON and ORTHO ONCOSURGEON IN MAX HOSPITAL DELHI NCR

A 72 years old frail lady already suffering from Metastatic Ca Cervix with multiple comorbidities like CAD( stented) and Renal disease, had severe back pain and became bedridden due to pain and progressively weakness of legs. D11 vertebra was found collapsed in X rays. On evaluation for metastatic disease , MRI revealed Pott’s (TB) spine D11/12 with D 11 collapse with pus collection and cord compression. Combined team of Dr.V.A.Senthil Kumar, the Orthospine Surgeon and Dr.Vivek Verma with Dr.Ozair Khan , went ahead and performed a 6 hour long procedure on 24/6/2020- Long segment MIS fixation of spine -D9/D10/D12/L1/L2 ( open Surgery avoided to reduce blood loss and reduce operative time) followed by ALD ( Anterolateral Decompression) surgery in the same sitting by REMOVAL OF 10TH AND 11 TH RIBS to Decompress the cord and pus removal. She was started on ATT. She was discharged on 30/6/2020 .Her legs have improved power now and she is now walking again with just a stick support and is painfree.

- Dr. V.A. Senthil Kumar

Introduction

Dr. V.A. Senthil Kumar

Dr. V.A. Senthil Kumar is Associate Director and Principal Consultant in the Department of Orthopedics and specialised in Spine Surgery, Skeletal Trauma and Arthroscopy in Max Super Speciality Hospital, Vaishali, Ghaziabad & DOSC (Delhi Ortho Spine Centre). Also, designated as the Head of the Orthospine Unit. He gives exclusive Consultation Services in his personal Clinic, DOSC (Delhi Ortho Spine Centre).