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From Severe Hip Pain to Walking Again | Dr. Sunil Kini | Mrs. Meherunnesa’s Revision Hip Replacement

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Video summary

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]