The patient is Ms. PTX (71 years old, residing in An Cuu Ward, Hue City), with a history of artificial hip replacement 17 years ago and had surgery again due to loose joints a year ago. Over the past 4 months, the patient has experienced increased pain when walking, has to use a walking stick, has difficulty moving and has a decreased quality of life.
Through examination and imaging diagnosis, doctors recorded widespread bone loss, fracture around the artificial hip joint, fracture of the bone fusion device, axis deviation and shortening of the upper limb by 7cm - a severe and complicated injury, with the risk of losing limb function if not intervened promptly.
After being admitted to the Department of Joint Surgery - Sports Medicine of the Center for Orthopedics - Plastic Surgery (Hue Central Hospital), the patient was indicated for surgery to replace the hip joint and more than half of the femur using the Megaprosthesis technique.
According to Prof. Dr. Pham Nhu Hiep - Director of Hue Central Hospital: "Megaprosthesis is a complex technique, requiring high expertise and maximum coordination between specialties: joint surgery, anesthesia, resuscitation, diagnostic imaging and rehabilitation, to ensure accuracy and thoroughness in cutting and assembling artificial implants. Megaprosthesis technique is considered the optimal solution for severe injuries that previously had a high risk of amputation".
The surgery lasted nearly 4 hours with maximum support of human resources and modern equipment. |
After nearly 4 hours with maximum support in terms of human resources and modern equipment, the surgery performed by Dr. Nguyen Nguyen Thai Bao, Head of the Department of Joint Surgery - Sports Medicine and the team was successful, restoring the structure and function of the limb, while restoring the length of both legs to be equal. After surgery, the patient recovered well, could stand on his own and began the rehabilitation process.
Prof. Dr. Pham Nhu Hiep acknowledged and highly appreciated the efforts, qualifications and spirit of mastering specialized techniques of the team of the Department of Joint Surgery - Sports Medicine. Basically, in Vietnam, limb preservation is only performed for bone cancer patients using biological methods. With the Megaprosthesis technique, the biggest advantage is that patients can walk and move immediately after surgery compared to the old method.
Currently, Hue Central Hospital is the first hospital in the Central Highlands region to effectively deploy the Megaprosthesis technique. The application of this technique is not only an effective treatment solution for cases such as extensive fractures, bone loss, complications after joint replacement, but also opens a new door of hope for patients with bone cancer, complex bone lesions, contributing to improving the quality of life for patients.
Thuy Nhung
Source: https://baophapluat.vn/benh-vien-trung-uong-hue-thuc-hien-thanh-cong-phau-thuat-thay-khop-hang-va-xuong-dui-bang-ky-thuat-chuyen-sau-post552887.html
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