March 16, 2011
3 times failed hip replacement was successfully corrected with a complicated hip revision surgery at Fortis Hospitals Mulund

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A team of Orthopedic Surgeons at Fortis Hospitals, Mulund led by Dr. Sachin Bhonsle, Consultant Orthopedic and Joint Replacement Surgeon, performed a complicated hip revision surgery on a 45 year old man who had a three times failed hip surgery in the previously.

Patient Mr. Vijay Joshi, age 45, underwent left hip surgery in mid 90’s. During surgery his blood vessels got severely damaged resulting into avascular necrosis which made hip replacement a necessity. (Avascular Necrosis is a disease resulting from the temporary or permanent loss of the blood supply to an area of bone. Without blood, the bone tissue dies and the bone collapses and the joint becomes arthritric).

He underwent first hip replacement in 1998. A year later he got severe hip infection due to which doctors had to perform a second hip replacement on him in 1999. The second hip worked for 4-5 yrs, but it thereby loosened out leaving his hip with severe pain.

“This case is a fine example of a very complicated hip replacement operation. Mr. Joshi’s hip had had become very fragile and brittle with a huge amount of scarring due to three previous operations in 10-15 years and needed high degree of accuracy & meticulous asepsis. I had to remove existing hip replacement as well as plates and screws already in the bone and then carefully position a brand new hip joint. It was highly challenging to perform a fourth revision without harming the bone any further and ensure we give the best result in long term to avoid further revision,” said Dr. Sachin Bhonsle

“Having undergone three surgeries before (one regular surgery and two hip replacements), I thought that a fourth correction could never be performed on my hip and I will have to lead a challenged life for the rest of my years. However, I did not lose hope,” said Mr. Vijay Joshi.

“I realized that the real reason for my misery has been a lack of treatment at the hands of right experts. Since my hip had become very fragile and vulnerable, I realized that I can no longer take a chance and will consult the best medical centre with proven expertise in the area of hips. This led me to come to Fortis Hospitals, which had a proven centre of excellence for joints. I consulted Dr. Sachin Bhonsle at the hospital, who had the experience of doing some complicated hip replacement surgeries with finesse.”

The surgery was successful with an uneventful recovery and patient was discharged after few days. Dr. Bhonsle is very optimistic that the patient will lead a normal life and will not require another revision in his lifetime.

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