Ganga Operative Arthroplasty Course 2008

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Case List

 

1 48 Year old male with pain of months duration in both hips
2 36 year old male with pain of months duration in both hips.

Bilateral hip Avascular necrosis;
Left Stage IV
Right Stage I
3 65 year old male with pain in both hips.

Avascular necrosis of left hip with secondary degenerative osteoarthritis
4 44 year old lady with history of pain in both hips.

Diagnosed to have osteoarthritis of both hips with mild protrusio acetabuli.

Restricted rotation of left lower limb

Relevant investigations:
Ca++: 8.8 mg/dl, Phosph 2.9 mg/dl, Alk. Phos 84 I.U.
5 Male with pain of months duration in both hips
6 50 year old lady with Rheumatoid arthritis and pain of months duration in both hips

Protrusio acetabuli with medial wall compromise

For acetabular reconstruction with ring or cage
7 52 year old male with pain of months duration in both hips
8 34 year old male

AVN Right Hip status core decompression and bone grafting done 10 years ago.

At present patient has a painful limp of the right hip.
9 48 year old male with pain of months duration in both hips

DHS cut-through with trochanteric fracture
10 60 year old male with h/o Bilateral Osteo arthritis .

Minimal Varus (+)

Grade I mediolateral laxity

ROM – 0 deg – 120 deg flexion
11 55 years old female with h/o Osteo arthritis of Rt knee

Varus with subluxtation

Minimal mediolateral instability

ROM – 0 deg– 120 deg flexion
12 52 years old female with H/O Osteo arthritis of Rt knee

Minimal mediolateral instability

ROM – 0 deg– 120 deg flexion
13 60 year old femlae with H/o osteoarthritis of both knee .

Posterior subluxtation of Rt knee (+)

ROM : 300 – 1300 FFD - 300
14 68 year old male with H/o of pain in both knees.

Minimal varus deformity (+)

Grade II mediolateral instability (+)

ROM – 0 deg - 120 deg
15 61 year old female with H/O Osteo arthritis of both knee.

Tibial thrust sign (+) while walking

ROM – 0 deg - 125 deg
16

49 years old female with H/o Osteo arthritis of both knees.

O/E Lt side:
Minimal arthritis on Lt side with Grade I laxity.