Apollo Hospitals performs Quadruple join replacement surgery

By NT Bureau Published on Jul 28, 2018 01:13 PM IST

Chennai: Apollo Hospitals has performed a rare quadruple join replacement surgery on a 23-year-old man to let him stand and walk after four years.

According to doctors, Amit Kar from Bangladesh started to develop joint pain in his neck, hip, knees and back when he was 16 years old.

Following this, the condition rapidly worsened in the next few months, when his hip and knees became stiff, inflexible and extremely painful making him completely immobilised.

Amit later was found to be suffering from Ankylosing Spondylitis, a condition that destroys the spine and hip commonly and sometimes other joints like knees and shoulders.

This condition is more common in males and occurs in the 20-30 age group which is the prime of one's life, the doctors said.

Addressing the media here on Friday, Dr Arun Kannan, orthopaedic surgeon from Apollo Hospitals who performed the surgery said, "After being wheelchair-bound for more than four years and trying several therapeutic modalities in Bangladesh, Amit was brought to Apollo Hospitals with completely destroyed and fused hip joints and severely damaged and deformed knee joints."

The patient's knee joints were bent at 90 degrees, making it impossible for him to walk.

Following this Kannan and a team of doctors at Apollo Hospitals decided to perform a rare quadruple joint- replacement surgery.

Replacement of four joints (both hips and both knees) is termed as quadruple joint-replacement surgery.

This significant procedure requires multidisciplinary care, meticulous surgery, safe anaesthesia, ICU back-up and dedicated rehabilitation for a proper recovery.

Regarding the surgery, Kannan said, "It was performed in two stages in two weeks" time.

In the first stage, the right hip and right knee were replaced and in the second stage, the left hip and left knee were replaced. Both stages required awake fibreoptic intubation - a specialised anaesthetic technique - where the airway tube is placed while the patient is awake."

Kanna further said that Amit has now recovered and is undergoing rehabilitation therapy. "Since Amit had not walked for several years, his hip and knee muscles were weak and could not support him.

Hence, specialised rehabilitation techniques were used to help him regain muscle-tone and strength. Initially, he was walking with the support of a walker, and now he is able to walk independently," he added.