November 27, 2022

AASRA Hospitals successfully conducts world’s first robotic total hip replacement for a polio patient

BENGALURU: AASRA Hospitals has set a record for conducting world’s first Robotic Total Hip Replacement for a polio patient with history of an unsuccessful Girdle Stone Arthroplasty. Team of Expert Doctors from Aasra Hospitals under leadership of Dr Jagadish Hiremath conducted this surgery to enable a polio patient to walk after two years of wheelchair confinement. In addition to this with such precision surgery, the patient will be able to walk within a day after the surgery and will return to normal lifestyle within next four to six weeks.

N, a 48 year old polio patient, had difficulty to live a normal life after he suffered a fracture a few years ago. He underwent Girdle Stone Arthroplasty 2 years ago at a major Orthopedic hospital but ended up being unable to move or walk post the surgery.

He approached AASRA Hospitals inquiring about a possible solution to be able to move and walk like before. He was advised at AASRA Hospitals to undergo a robotic total hip replacement surgery. Post surgery his limb is restored to its previous length, just as it was prior to Girdle Stone Arthroplasty. Senior consultant orthopedician and robotic surgeon Dr. Jagadish PC led the team that conducted the surgery.

The patient had presented with two challenges for the surgeons. Firstly the polio affected limb is short, it was further shortened due to unsuccessful Girdle Stone Arthroplasty. Second problem was the weak porotic bones on the right side:

a. Due to polio

b. Due to confinement of the patient to the wheelchair for a two year long period

A Robotic Total Hip Replacement Surgery was done and a specially modified implant was placed in the hip joint. This special implant comes with a metal liner and offers dual mobility. In cases of polio affected patients the muscles around the joint is wasted in addition to the underdeveloped bones leading to frequent dislocation of the hip joint which works like a ball and socket model. The special implant used by AASRA Hospitals addressed this problem by using an additional metal liner in the implant. In addition to this the joint has been given a dynamic stabilization by using an additional ball in the femoral end (thigh bone) of the hip joint giving an advantage of dual motion to the joint. With this the chances of patient suffering dislocation post the surgery has been brought down to near ZERO.

The surgery was conducted by using MAKO Smart Robotics platform – one of the most advanced robotic surgery equipment available. AASRA has the unique distinction of having brought the MAKO robot for the first time to Karnataka. The team of surgeons at AASRA Hospitals was able to achieve perfection despite the problem of long-standing polio affected limb.

Dr. Jagadish Hiremath, Chairman of AASRA Hospitals said, “The complication in this case was that the patient suffered a fracture in the polio limb. The patient had undergone a Girdle Stone Arthroplasty to the same limb instead of a total hip replacement which complicated the case by shortening the limb further and confining the patient to a wheelchair. Finding AASRA Hospitals equipped with advanced surgical robotics and knowing about AASRA Hospitals as a centre of excellence in joint replacement, the patient approached us for help. We are happy that we have been able to achieve what he asked us to do.”

“There has been no documented evidence in any medical literature across the world of a robotic total robotic hip replacement surgery conducted in a case with this kind of complications. With conventional surgery surgeons have to work based on the gut feeling and skill during the surgery. With robotic surgery we could plan everything in detail from how much to cut to how much to insert the implant and where to stop etc… Hence we were able to achieve a perfect alignment of the implant. The limb shortening has been removed and restored to the original length of his polio limb. With a little physiotherapy the patient will be able to walk shortly” added Dr. Hiremath.

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