New Delhi: Doctors at Baba Saheb Ambedkar Medical College and Hospital successfully performed surgery on a 27-year-old man from Delhi who tested positive for HIV, Hepatitis B and Hepatitis C on his left heel bone Dislocation and fracture surgery. Feet, he braced himself after falling from a height.
Doctors said the surgery was performed with great caution to prevent any potential spread of blood-borne pathogens and to ensure the safety of the surgical team. In addition, the doctor successfully achieved perfect reduction of the subtalar fracture and dislocation. The patient’s condition is stable and the outlook is optimistic.
Subtalar dislocation is defined as a separation of the talocalcaneal and talonavicular joints and is often caused by high-energy mechanisms including falls from heights, vehicle collisions, and leg sprains.
Doctors said the patient suffered a subtalar fracture-dislocation, which alone would require orthopedic surgery. What is unique in this case is that the patient was found to be HIV, hepatitis B, and hepatitis C positive. This adds additional complexity and requires careful planning and execution to ensure the safety of the surgical team and the best outcome of the procedure. patient.
The surgery was performed on October 9 by Dr Ankit Khurana, assistant professor of orthopedics at the hospital, with the support and expertise of senior resident Dr Karan Rajpal and junior resident Dr Gyanendra Verma.
expansion
“Despite the challenging circumstances, I am pleased that the surgery went well under the guidance of our expert anesthesia team,” said Dr. Khurana, adding that the surgery lasted nearly 1.5 hours and included resetting the dislocated subtalar joint and stabilizing the calcaneus. (heel). bone) fractured with screws.
Dr Khurana told TOI that the patient was placed in a cast for four weeks and then gradually weight-bearing over the next eight weeks. “The patient will return to normal function, including walking and daily activities, over the next 2-3 months. Without surgery, he will be paralyzed in his left foot and without any assistance (such as crutches/canes) , he will have great difficulty walking for the rest of his life,” he said.
The HIV patient was then referred to a comprehensive counseling and testing centre.