Ortopedia Pediátrica. Traumatología y Reemplazos articulares: Discusión entre pares / 73 years old physiologically very active. ..

Javed Jameel

73 years old physiologically very active. ...
Operated elsewhere 7 months ago.
Unable to bear weight over the limb and painful rotation of hip...CT scan confirm NON UNION at fracture site with normal hip joint..
How to proceed
REPLACEMENT Vs OSTEOSYNTHESIS

Me gusta

Rahul B Tanga Javed I am unable to appreciate neck part.i feel cemented thr and early back to routine activities is a better option.rather than taxing him for 3rd one.even one screw has crossed acetabulum.so better to replace

Ayer a las 11:43 · Me gusta · 3
Javed Jameel Agreed Rahul...but patient is poor...can hemi solve the problem..?

Ayer a las 11:45 · Me gusta · 1
Rahul B Tanga If I am not wrong weight bearing part of dome is already destroyed. So no for hemi. Why don't you try Indian thr implants works out quite reasonable. Thr with 40 gm cement costs 18k. RCH from mumbai.

Ayer a las 11:47 · Me gusta · 5
Javed Jameel Ok...will discuss this with patient tomorrow. ..

Ayer a las 11:49 · Me gusta · 1
Rahul B Tanga If you want contact number of that guy will guide you trust me in my center I have done more than 15cases of same implant and all are doing well.

Ayer a las 11:52 · Me gusta · 2
Javed Jameel Yes Sri...me too think so...then what you say?

Ayer a las 11:52 · Me gusta · 1
Srinivas Daravathu Confirm in carm in different angles ,keep both bipolar and thr on table

Ayer a las 11:53 · Me gusta · 1
Srinivas Daravathu Lateral view shows head free of screws

Ayer a las 11:54 · Me gusta
Srinivas Daravathu May b a overlapping image in ap due to positioning of pt due to pain

Ayer a las 11:55 · Me gusta
Javed Jameel Will normal bipolar/thr do...or I will require calcar bearing one??

Ayer a las 11:56 · Me gusta · 1
Srinivas Daravathu Normal bipolar or Thompson prosthesis

Ayer a las 11:57 · Me gusta · 1
Javed Jameel Any chance of OSTEOSYNTHESIS??

Ayer a las 11:59 · Me gusta
Srinivas Daravathu No way

Ayer a las 11:59 · Me gusta · 1
Rahul B Tanga You can reconstruct calcar part with cement if patient is not arrodable

Ayer a las 11:59 · Me gusta · 1
Srinivas Daravathu Can't we use Thompson prosthesis for the same Rahul ?

Ayer a las 12:00 · Me gusta · 2
Javed Jameel And what's about abductors....it may be attached with proximal fragment...
Need circlage wiring

Ayer a las 12:01 · Me gusta
Rahul B Tanga Keep circlege wire on table might be helpful

Ayer a las 12:01 · Me gusta · 2
Rahul B Tanga No for hemi.

Ayer a las 12:01 · Me gusta · 1
Javed Jameel What do you think might be cause of failure...it looks quite a benign fracture preop..

Ayer a las 12:03 · Me gusta
Srinivas Daravathu Osteoporotic bone /early mobilisation

Ayer a las 12:04 · Me gusta
Rahul B Tanga Immediate post op xrays will be helpful

Ayer a las 12:04 · Me gusta
Javed Jameel

Ayer a las 12:05 · Me gusta
Javed Jameel

Ayer a las 12:06 · Me gusta
Javed Jameel These are the previous X rays

Ayer a las 12:06 · Me gusta
Srinivas Daravathu Inadequate fixation

Ayer a las 12:06 · Me gusta · 2
Rahul B Tanga I think day one fixation was not adequate and premature weight bearing adds to the saga

Ayer a las 12:07 · Me gusta · 2
Srinivas Daravathu No reduction achieved

Ayer a las 12:07 · Me gusta · 1
Javed Jameel There's no secondary loss of reduction...it looks like it was fixed in same position without reduction

Ayer a las 12:07 · Me gusta · 2
Vinit Yadav Dr Javed Jameel, ideal go for total hip...cemented.
One other option, under study,which v r doing here and at bhu, is reamed BHU hip device( bipolar prosthesis).

Ayer a las 12:10 · Me gusta · 1
Javed Jameel What's BHU hip device...is it available outside BHU?

Ayer a las 12:12 · Me gusta
Vinit Yadav Yup dr Javed Jameel, nebula is doing its marketting...

Ayer a las 12:13 · Me gusta · 1
Javed Jameel Cost?? Any pictures? ?

Ayer a las 12:14 · Me gusta
Vinit Yadav I think u work in jamia, if yes, u can ask dr Sandeep Kumar sir abt tht.

Ayer a las 12:14 · Me gusta · 1
Javed Jameel Ok

Ayer a las 12:14 · Me gusta
Vinit Yadav Its bipolar prosthesis wid few gud modifications done by prof a k rai frm bhu... Having publication in ijo as well.

Ayer a las 12:15 · Me gusta · 1
Javed Jameel Ok...will see

Ayer a las 12:18 · Me gusta
Nasir Ali Dr srinivas daravathu sir ,can u brief different type of prosthesis to be used in different particular situation when arthroplasty is to b done like
1. Thompson
2. Amp
3. Bipolar uncemented
4. Bipolar cemented
5. THR
6. Calcar bearing one , for which dr javed jameel were discussing.

Ayer a las 12:58 · Editado · Me gusta · 1
Nasir Ali Srinivas Daravathu sir, please specify

Ayer a las 12:59 · Me gusta · 1
Srinivas Daravathu Dr Nasir Ali pls refer rock wood textbook for simple description of what u want to know

Ayer a las 13:34 · Editado · Me gusta · 1
P Rajasekhar Rao do a regular dhs

23 horas · Me gusta · 1
Manish Budhia Now the option is bipolar cemented arthoplasty with fixation of GT with circlage wiring.Its a case of day one failure

23 horas · Me gusta
Naresh Chodha Yes as suggested by Rao

21 horas · Me gusta · 1
Felipe Maturana THR in my opinion, with cemented stem or uncemented with diaphiseal fixation

3 horas · Me gusta · 1