Navigation Links
Fortis Hospitals Puts 27 Year Old Nigerian Back on her Feet After Multiple Joint Replacement Surgery
Date:5/13/2010

MUMBAI, India, May 13, 2010 /PRNewswire/ -- Fortis Hospitals Mulund, Mumbai, performed a multiple joint replacement surgery on a 27 year old young Nigerian patient. Rebacca underwent a hip and a shoulder replacement surgery by Dr. Sachin Bhonsle, Consultant Orthopedic Surgeon, after years of suffering in pain and immobility.

Rebecca was suffering from a sickle cell disease since birth; an inherited (genetic) disorder where the RBC (red blood corpuscles) assumes an abnormal shape of a sickle under certain conditions. Any stress, injury, or operation can lead to change in shape of the RBCs. But they are extremely sensitive to drop in oxygen saturation of blood. This causes immediate 'sickling'.

Sickle cells contain abnormal haemoglobin, known as 'haemoglobin S', which causes the cells to have a sickle shape. Sickle-shaped cells don't move easily through blood vessels. The clumps of sickle cells block blood flow in the blood vessels that lead to the limbs and organs. Blocked blood vessels can cause pain, serious infections, and organ damage. It can be at times life threatening.

    Commonest problems encountered are:

    1. Sickle crises - painful abdominal emergencies because of
       blockage of blood vessels to abdominal viscera.

    2. Anaemia - red blood cells are easily destroyed and their
       life span is reduced causing anaemia.

    3. Avascular necrosis (AVN) of bones - certain bones with
       peculiar blood supply undergo AVN because of blockage of the artery.
       Once the blood circulation is lost the bone crumbles and the adjoining
       joints undergo arthritis. Commonest are hip and shoulder joints.
       Remodelling of entire skeleton is affected sometimes.

In Rebecca's case the disease was severe to the degree that 93% of her haemoglobin was abnormal. This resulted in extreme abdomen pain and loss of blood supply to bones. Due to the lack of blood flow in her bones she developed avascular necrosis in her hip joint and right shoulder. "She came to us in a complete immobile state with a painful right hip and shoulder which were completely damaged. The sickle disease had affected her knees as well" said her surgeon Dr. Sachin Bhonsle, Consultant Orthopedic Surgeon.

"We had three major challenges before we decided to go ahead with the surgery. Firstly, control of her Sickle cell disease - Rebecca had 93% 'haemoglobin S' (HbS). Subjecting her to trauma of a major surgery like joint replacement, associated blood loss and stress would have precipitated a life threatening sickle crisis. To reduce her HbS to about 30% we had to perform an exchange transfusion. Exchange transfusions involved removing blood with HbS and replacing it with fresh blood of compatible donors. It took about five days to restore the HbS to a safe level, after which she was ready for surgery.

Secondly, there was the challenge of doing a shoulder and hip replacement at same time. Thirdly, when doing a joint replacement on very young patient it is important to perform a joint replacement surgery which would give her a long lasting and better quality of life."

After proper examination we decided to go ahead with the replacement of right hip and shoulder. A decision was taken to use an 'uncemented hip replacement' of a robust construction, which has a potential to last a lifetime. A ceramic bearing was chosen for this hip which again will never wear out.

Dr. Bhonsle used a minimally invasive approach to replace Rebecca's right hip whereby the hip joint was reached by minimal disruption with just a 4 inch cut. Because of avascular necrosis the bone quality was very hard and difficult to prepare, but it was achieved using careful and specialized instrumentation. Uncemented prosthesis was securely implanted and a ceramic bearing was fitted. Rebecca's hip was ready to use. Similar minimal invasive approach was taken to the shoulder joint. Cemented shoulder prosthesis was selected and secured.

Rebacca was able to walk on the 2nd day of her surgery. Following the surgery her pain has gone completely. She had a speedy recovery and was able to get back to her normal course of life within few weeks of the surgery.

    For More Information Please Contact:

    Priyam Bortamuli
    PR & Communication
    Email - priyam.bortamuli@fortishospitals.in
    Mobile - +91-9845558559

    Or enquiries@fortishospitals.in


'/>"/>
SOURCE Fortis Hospitals Limited
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. Childrens Hospital of Wisconsin One of Two Pediatric Hospitals in Nation to Implement EOS Scanner
2. Osteotechs MagniFuse(TM) Distributed to 68 U.S. Hospitals as Product Revenue Surpasses $1 Million
3. Childrens Hospitals and Clinics Launch Direct Access Interpreter Phone Lines for Non-English Speaking Callers
4. Carefx Portal Solution to Deliver First Time, Statewide Access to Patient Data Among Hospitals in the LSU Network
5. Telehealth: Nurse Support Initiatives for Hospitals from Corathers Health
6. BD Launches Be a Flu Fighter Campaign to Promote Influenza Awareness and Prevention in Schools, Hospitals and Laboratories
7. HHS Activates Additional Components of National Disaster Medical System to Help U.S. Hospitals Treat Survivors of Earthquake in Haiti
8. Aurora Hospitals Named Among the Nations Best
9. Cardinal Health Helps Hospitals Save More Than $20 Million In Pharmaceutical Costs; Connect Low-Income Patients With Affordable Medications
10. Pitcher Joaquin Benoit, PADF Team Up to Send a Much-Needed Christmas Present to Haitis Hospitals
11. Healthcare Scoring System Allows Hospitals To Increase Charity Care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... , June 24, 2016 The Academy of ... recommendations that would allow biopharmaceutical companies to ... entities that make formulary and coverage decisions, a move ... of new medicines. The recommendations address restrictions ... appear on the drug label, a prohibition that hinders ...
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ... company developing innovative inhaled drugs, announced today that it ... Russell Investments reconstituted its comprehensive set of U.S. ... "This is an important milestone for Pulmatrix," said ... increase shareholder awareness of our progress in developing drugs ...
(Date:6/23/2016)... , June 23, 2016 Any dentist who ... challenges of the current process. Many of them do not ... the technical difficulties and high laboratory costs involved. And those ... offer it at such a high cost that the majority ... Dr. Parsa Zadeh , founder of Dental ...
Breaking Medicine Technology:
(Date:6/25/2016)... Long Beach, CA (PRWEB) , ... June 25, 2016 , ... ... from UCLA with Magna Cum Laude and his M.D from the David Geffen School ... San Diego and returned to Los Angeles to complete his fellowship in hematology/oncology at ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of ... recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at Work ... Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses ...
(Date:6/24/2016)... ... 24, 2016 , ... A recent article published June 14 on ... article goes on to state that individuals are now more comfortable seeking to undergo ... such as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills ...
(Date:6/24/2016)... Marne, Michigan (PRWEB) , ... June 24, 2016 , ... ... awareness about the dangers associated with chronic pain and the benefits of holistic treatments, ... for individuals who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary ... Dallas that it will receive two significant new grants to support its work ... marked its 25th anniversary by recognizing patients, medical professionals and scientists for their ...
Breaking Medicine News(10 mins):