Fortis Cancer Institute Launch

Dr Suresh Joshi, Pediatric cardiac Surgeon

Dr Haresh Dhodeja,Nephrologist

Dr Kaushal Malhan, Orthopedic surgeon

Indian Express


Hindustan Times


Times OF India

DNA



Orthopedic team led by Dr. Kaushal Malhan, Consultant Orthopedic Surgeon, Wockhardt Hospitals performed a revision hip replacement surgery on a 29 year old girl from Philippines.


29 year old Elvira was suffering from a congenital birth defect wherein her hip bone had not developed and her hip had no cup since birth.  At the age of 21 she had her first hip replacement surgery in Philippines. However the surgery was not a successful one and after a month of her operation she had to undergo a second surgery on the same hip. The second surgery was also not a success and Elvira’s left leg was shortened nearly by 6 cms due to dislocation of her hip joint. Since then she continued to be in pain and had difficulty in walking and performing all the simple day to day chores. Her physical condition restricted her life to a great extent and she lived a compromised life without being able to enjoy the pleasures that one enjoyed at her age. This left Elvira in pain, frustrated, mentally depressed and she decided to sit back home and not interact with any one, for over 3 yrs.

To distract herself from and get out of her agony Elvira decided to go for her graduation in 2005 and completed Pharmacy graduation in 2009. Meanwhile destiny gave her a second chance, having suffered for so long Elvira mustered the courage to rectify her problem and decided to come down to India and get operated upon her hip once again.

“Elvira’s problem was a complicated one as she had already undergone hip replacement before and both those operations were failures. The surgeries had damaged Elvira’s bone and now we had to be very careful while performing the revision replacement surgery so as to not damage her bones any further”, said Dr. Kaushal Malhan.

“Her surgery involved removing the previous cemented Hip Replacement, and implanting new specialized components after having reconstructed the bone socket, which was had never developed since child hood. We needed to make up for the loss of bone that occurred due to lack of development and damage in the previous 2 failed operations” he added.





The length of her shortened leg was also corrected and made equal. The implants used have been put in a manner that allows her to sit on the floor without the risk of dislocation, as is seen in conventional Total Hip Replacement (THR) surgery. Elvira is very comfortable post surgery and has already started sitting properly in a manner which she has not been able to do for years. Her pain is completely reduced and now she is hoping to study further to become a doctor.

“My parents consulted a Pediatric doctor at Philippines to sort my problem but we could never get the right direction and the Doctors were not able to offer any solution as mine was a birth defect. Since then I had a compromised gait and could not do all those regular activities which a child of my age used to. When both my surgeries failed I almost lost all hopes and the thought of living a challenged life devastated by morale. But like the saying goes every cloud has a silver lining! I too saw some hope after 8 years. My fiancé read about total hip replacement surgery in a magazine and we got curious and searched on the internet to know more about it. That’s when we read about the credentials of joint replacement surgeries at Wockhardt Hospitals and expertise of various joint replacement surgeons including Dr. Kaushal Malhan who has done some interesting and compelling replacement surgeries. Hence we contacted Wockhardt Hospitals and once everything was finalized we decided to fly down to India for my surgery” said Elvira.

“I no longer have to limp, I am no more in pain and most importantly I can now do everything I had dreamt of doing all these years. This has given a new meaning to my life and I would like to make the most of it now without losing a single opportunity!! All I want to say is there is a solution to every problem, only thing is we need to hunt out for the opportunity and everything else falls in place”, says Elvira with a comforting smile on her face.

Dr.Kaushal Malhan, Orthopedic Surgeon

A 91-year-old man, who was suffering from end-stage knee arthritis, successfully underwent a highly specialized bilateral Tissue Preserving Total Knee Replacement (TKR) surgery that was performed with close to minimal blood loss.Patient was able to walk after few hours post operation

Bone Deformity Correction with Limb Lengthening

Chandrakant Kothere was 39 years old when he suffered multiple compound fractures on his right tibia, extensive soft tissue damage and skin loss following a road accident. He was advised immediate amputation of his leg in a city hospital where he had undergone initial treatment. Since the patient was determined not to compromise his life at such young age, this Hindustan Petroleum employee chose to get the fractures of the leg stabilized.
The doctors there went ahead to treat him with stabilization of the bones and subsequent plastic surgery procedures to provide a skin cover. But in a few months following the treatment, the condition worsened as the site of infection on the leg had not healed. The fracture on the leg remained un-united. Unable to bear his body weight, the broken leg bowed in disproportion and he became shortened by almost three inches on one side. The writhing pain only worsening with time, it was almost impossible for him to walk without a pronounced limp.

The surgery was performed in two stages. The first stage was to clear all the infected and un-united bone at fracture site; align the leg and fix the bone fragments using a ring shaped Ilizarov External Fixator. A further cut was made in the top bone fragment so that the middle bone segment could be moved to take up the left over defect to correct the leg length.

In three months following the first surgery, the middle bone segment was moved downwards -- 1mm a day -- to achieve complete continuity. At this stage the second surgery was performed to slip a special titanium plate from under the skin to fix all three bone fragments together to achieve a solid union. Bone grafting was done at this stage. It took further two months for these bones to heal fully and the patient finally got a straight leg with normal leg length.

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