Twelve-year-old girl Suvarna (name changed) was suffering from severe hip problem since three years which led to difficulty in walking, squatting, sitting cross-legged and literally crippled her from attending to her daily chores. It was a case of tuberculosis (TB) of the hip based on aspiration cytology. This was reaffirmed through an MRI scan when the patient was brought to Narayana Multispeciality Hospital in Mysuru.
Speaking about the replacement surgery, Dr Varadaraj, Consultant Orthopedic Surgeon of Narayana Multispecialty Hospital, said, “We follow standard protocols for all investigations and treatment modalities at our hospital. In this case, extra precaution was taken since it is a paediatric case of TB hip. Only after a pre-op anaesthesia check-up and assessment of blood parameters to ascertain her being fit for surgery did we go ahead.”
“Hip replacement is not common among children. However, patients with juvenile ankylosis hip due to TB may need a total hip replacement. Ankylosis is a kind of stiffness of the joint due to abnormal adhesion and rigidity of the bones of the joint,” he added.
The surgery was for 90 minutes and the team was led by Dr Jayavardhan, consultant orthopaedic surgeon, Dr Prasanna, anesthetist and Dr Maneesh S Giri, consultant paediatrician led by Dr Varadaraj, consultant orthopaedic surgeon.