Patient Kishore Moon consulted Dr. Saurabh Talekar, an orthopedic surgeon in Kandivali, Mumbai, at Wholistic Care Centre with severe hip pain. He had a fall at home, due to which he was unable to walk and was bedridden.
Initially, the doctor performed a physical examination, discussed the medical history, and asked the patient to undergo an x-ray. The x-ray showed a fracture of the femur neck. After analysing the x-ray and the patient’s overall health, Dr. Saurabh Talekar suggested hemiarthroplasty.
He explained the benefits of arthroplasty to the patient and his family, and they gave their consent for the procedure.
Hemiarthroplasty(partial hip replacement)
Hip hemiarthroplasty is a procedure that replaces a part of the hip. It is generally performed in cases of traumatic accidents where the femoral head is fractured, like high-impact falls that dislocate and fracture the hip.
Hemiarthroplasty requires less surgical time, and there is less loss of blood. Further, the risk of dislocating the hip after the surgery is also minimum. Neck of femur fractures make patients bedridden.
Even at an advanced age it is recommended to operate and mobilise the patient out of bed as early as possible to avoid complications related to long term bed rest.
Complications of non-operative treatment can be Urinary track infections, Lung infections, bedsores, deep vein thrombosis, pulmonary embolism.
Surgical procedure
After completing all the pre-operative tests, the patient Kishore Moon was cleared for the procedure. He was administered an epidural that made his lower region numb while awake.
During the procedure, Dr. Saurabh Talekar, an experienced orthopedic surgeon in Kandivali, Mumbai, replaced the fractured femur head with an implant. He detached the femoral head from the femur and hollowed out the inside of the femur. Then he inserted a metal stem firmly inside the femur. Finally, he closed the incision with sutures and bandaged it.
Recovery
The surgery was completed without any complications, and the doctor prescribed pain medications and other medicines for quick recovery.
On the second day after the surgery, the patient was made to walk. He was started with physical therapy in the hospital, which he had to continue even after discharge. Physical therapy is necessary for regaining flexibility and strength in the hip.
Patient Kishore Moon had to visit Wholistic Care Centre for follow-ups so that Dr.Saurabh Talekar could monitor his progress.