AIIMS Bhubaneswar has added another feather to its cap by performing a successful Quadruple Joint Replacement surgery on a crippled patient. A 37-year-old woman from the Aul Block of the Kendrapara district was admitted to AIIMS Bhubaneswar with intensely painful arthritic knee and hip joints.
She was taking multiple medications for her rheumatoid arthritis. Unfortunately, she was crippled due to severe hip and knee arthritic involvements. She was only able to walk to the bathroom with the assistance of walking aids, and then only with great difficulty. There was no movement in the hip joints, and her knees barely moved. She required joint replacement on all four joints.
A team of physicians evaluated the patient and planned simultaneous hip and knee replacement surgeries. Four joint replacements in a single setting present the patient and surgeon with a number of challenges.
During surgery, blood parameters were used to assess the patient’s haemorrhage and surgical stress. The hip replacements were performed first, followed by the knee replacements. The operation could be performed in three hours. The patient was managed in the ICU for two days. She began walking on the third day and was pleased with the results.
Due to flawless team management, the patient’s young age, and the absence of comorbidities, the operation was successful. The implant and surgery costs were covered by the government through the BSKY scheme.
Dr. Sujit Kumar Tripathy and Dr. Mantu Jain were the chief orthopaedic surgeons, while Dr. Sritam Swarup Jena led the anaesthesia team. In the past, AIIMS Delhi has only reported a single instance of an Odia patient receiving all four joint replacements in one setting. This is the second reported case worldwide and the first of its kind in Odisha in which all four joints were replaced in a single setting.
Prof. (Dr.) Ashutosh Biswas, executive director of AIIMS Bhubaneswar, met with the patient and inquired about her recovery progress. Dr. Biswas commended the team for managing such a complex case and restoring the patient’s mobility. Such operations are uncommon and must be performed with extreme caution, according to Dr. Biswas.
Medical Director Dr. Dillip Parida also congratulated the Doctors on their accomplishments.
Notably, for such a crippled patient, it is crucial to consider multiple joint replacements at the same time, as one or two joint replacements are insufficient to allow the patient to walk. It is possible in the hands of professionals with the proper equipment.