Idrissa Ordinaire, a 22-year-old young girl from Niger suffered from sickle cell disease. She presented at Wockhardt hospital with an inability to walk for several months. A detailed history revealed that she had undergone an attempt for a total hip replacement for Avascular Necrosis of her right hip joint in her home country which failed.
Unfortunately, in view of her altered anatomy with a dysplastic socket and an extremely narrow femoral canal with the operating surgeon was unable to complete the total hip arthroplasty successfully. Also, at the time of the index surgery, the patient sustained a long spiral fracture of the proximal femur complicating the existing scenario further, and the surgical procedure was abandoned, and an excisional arthroplasty was performed instead.
Dr Mudit Khanna, Senior Consultant, at the Joint Replacement Unit of Wockhardt Hospital, Mumbai Central, said, “The case presented to us with several challenges. The patient had reamed thin due to which her surgery was failed and also drs at Niger failed to put ball in surgery due to which patient was immobile and bed ridden.)
“The patient is a known case of sickle cell anaemia too. There are specific implants available to address avascular necrosis of the hip arising from sickle cell disease. However, this case presented a revision scenario with a complicated and failed primary surgery. The implant options to deal with such a scenario is limited. She and her family needed to be fully aware of the existing risks and possible complications as there was a possibility that we may have to abandon the procedure at any stage of the surgery and accept the present condition.”
“While I was in pain, I could still manage to do some activities prior to my first surgery in Niger. But after my first surgery, I was left crippled and bedridden and couldn’t do any of my daily activities. My mother would help me to get dressed, and eat. I can’t tell you how it feels to be back on my feet again. I shall always remain grateful to Dr Mudit Khanna and the entire team of Wockhardt Hospital who gave me this precious gift of being able to walk again,” concluded Patient Idrissa Ordinaire.