From Severe Hip Pain to Walking Again | Dr. Sunil Kini | Mrs. Meherunnesa’s Revision Hip Replacement
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The video introduces the case of Mrs. Meherunnesa, a 57-year-old woman from Bangladesh who sought medical attention due to worsening left hip pain that had persisted for two years. Although she had previously undergone a total hip replacement for end-stage arthritis, she experienced severe pain just one year after her initial surgery. Medical investigations, including blood tests and an ultrasound scan, revealed that the source of her suffering was an infection in the left hip joint. Consequently, the medical team advised her on a two-stage revision procedure to address the complication effectively.
The first stage of this complex treatment involved removing the original implants and replacing them with an antibiotic spacer while performing thorough debridement to clean the infected area. Mrs. Meherunnesa received antibiotics for approximately six weeks during this phase, and her progress was closely monitored through regular blood tests and clinical examinations to ensure the infection was completely eradicated. Once the infection was confirmed to be gone, she proceeded to the second stage of the surgery, which involved implanting a cage and definitive components on the femoral side to restore the function of her hip joint.
Following the successful completion of the revision surgery, Mrs. Meherunnesa demonstrated remarkable recovery speed and mobility. She was able to bear weight immediately the next day with the assistance of an aid, showing significant improvement in her ability to move around. By approximately six weeks post-surgery, she had progressed to walking with minimal support, effectively regaining the independence she had lost due to the infection. The video concludes with a heartwarming moment where Mrs. Meherunnesa expresses her gratitude and joy at being able to work again as a cleaner, stating that all staff members are now better off because of her improved health.
Read the full video transcript
[music]
>> I first saw Mrs. Meherun Nesa, a
57-year-old national from Bangladesh
who came to me with increasing
complaints of left hip pain for the past
2 years.
Uh she apparently underwent a left total
hip replacement for end-stage arthritis.
But uh 1 year post-surgery, she
developed severe pain in the left hip.
Investigations by us showed that uh
she had an infection in the left hip uh
which we found out through blood tests
and uh ultrasound scan.
So, we advised her that she would need a
a two-stage hip replacement procedure.
And during the first stage, she
underwent explantation of the implants
and an implantation of an antibiotic
spacer, a thorough debridement, and
antibiotics for about 6 weeks. Once we
were sure that the infection was gone
through blood tests and a clinical
examination, she underwent the second
stage of what we call as revision or a
redo total hip replacement procedure,
wherein we implanted a cage
and
definitive components on the femoral
side as well. So, patient could weight
bear immediately the next day after
surgery with the help of an aid.
She's approximately 6 weeks post
surgery, and she's able to walk with the
minimal support.
Sister, I am a cleaner. All staff are
I make one extra better.
>> [music]