Nigerian teen jumps back to life after rare hip surgery

MUMBAI: City doctors performed a very unusual surgery where both hips of a fourteen-year-old Nigerian boy were reconstructed saving him from disability. Chisom probably became the only patient in the world to undergo such a procedure.

It all started with a slight pain in his thighs after returning from school one day. However, over a period of a few weeks, Chisom's pain and limp got progressively worse. It reached a stage where he was unable to get out of bed or walk.

His worried parents consulted several doctors in Nigeria but were unable to come to a diagnosis. Finally, a local orthopaedist took a hip X ray and diagnosed him with bilateral slipped capital femoral epiphysis (SCFE). It is an uncommon condition seen in adolescents, wherein the ball begins to separate from the rest of the thigh bone due to a weak growth plate. It is more common in adolescent boys. Untreated, this condition can disrupt the blood supply to the ball of the hip joint and result in a lifetime of pain and disability.

The patient to the Kokilaben Ambani Hospital, where Dr Alaric Aroojis, consultant paediatric orthopaedic surgeon quickly stabilized and sent the boy for an emergency xray and CT scan. The diagnosis revealed that he had suffered a severe displacement of the ball of both hip joints.

According to Aroojis, "This is the first time a patient has undergone this complex procedure on both hips. To the best of my knowledge and after a detailed search of scientific literature, I have been unable to find a similar case performed elsewhere in the world and certainly not in India. It goes to show that with the proper infrastructure, we in India, are on par with the best in the world."

Dr Wudbhav Sankar, assistant professor at The Children's Hospital of Philadelphia, who recently reported on the largest multicentre series of treating severe unstable SCFE with this complex procedure in the reputed American volume of the Journal of Bone & Joint Surgery too said, "In my experience, I have not encountered a single case where this procedure was performed on both hips."

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