Dr. Avinash Alva

21/04/2026

08/03/2026

Complex primary total hip replacement can restore function, limb length and permits pain free function for many years. This highly technical procedure was performed on a 30 year old with hip disease lasting 15 years.

26/02/2026

Complex primary hip replacement. A well executed procedure allows lifelong painfree walking. In this case the surgery has also restored the normal length of the leg ! A life-changing moment for someone suffering for over 25 years.

01/02/2026

3 highly Complex cases last week . Complexity due to soft bone, delayed presentation & severity of trauma. Each case demanding planning, patient & precise technical ex*****on.

Case 1 - Total hip replacement - Ankylosed hip with protrusio, medial wall defect, pelvic dysplasia and superior migration in a young patient (Ank spond). Poor long term mobility meant soft bone & difficult anatomy.Opted for a medialised (+ closed) cup without graft after careful reaming, achieving a peripheral rim fit thanks to intact anterior and posterior wall.

Case 2 - Total knee replacement - Severe knee arthritis with a 80 deg FFD (!) & 30 deg arc of movement.Poor mobility & resultant bone quality. This necessitated 2 mm additional femoral cut, release of patellofemoral ankylosis, medial & posterior release + PCL release. We achieved a 5 -120 deg ROM with a pck implant. Brace here for few days to prevent recurrence.

Case 3 - Open segmental tibia fracture (part of polytrauma). Thorough early debridement, 6-8 L saline wash, nailing & primary closure (+vac)