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Home/Large Joints and Extremities/India Surgeon Performs Rare Feat
Large Joints and Extremities

India Surgeon Performs Rare Feat

August 20, 2012 1 min read Premium comments

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India Surgeon Performs Rare Feat
Source: Wikimedia Commons and Hk kng nach Vorlage von de:Benutzer:OrthoPat
Secondary

Perhaps only in India do the opportunities exist to perform such rare surgery. As reported by the Times of India, joint replacement surgeon Harsimra Singh, M.D., gave new life to a 50-year-old man whose bones, from the age of 35, were bent stiff to 90 degrees. At the age of 20 Gurdev Singh was struck down with rheumatoid arthritis and has been crawling for the past 15 years. His hands had gnarled and his knees deformed at right angles, making it impossible for him to stand straight.

Though Dr. Singh at first believed that routine knee replacement implants were unsuccessful in such cases, he discussed it with experts in the UK. After consultation he decided to perform a hinged knee replacement, which involved a specialized implant imported from Germany. Harsimra corrected the entire deformity during the surgery that lasted three hours, he said.

Post-surgery, Gurdev underwent physiotherapy sessions and walked with the aid of a walker and knee support braces. “The knee support braces and walker are now discontinued and he is allowed to walk with a stick, ” said Dr. Singh. “Such cases represent great challenge for the surgeon. Till long ago, we did not have the technology or expertise to treat such patients. Today, we can offer a chance of a normal life to patients, with even the most severe forms of arthritis, ” he said in the August 1 news release. To be able to stand up and walk on his own is like a second life for Gurdev—“By making me walk again, the doctor is nothing short of God to me, ” he said.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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