Post bloodless hip replacement, 60-year-old awaits a new heart 

Ahmed Musa, a 60-year-old Mulund resident, awaiting heart transplant, successfully underwent bloodless hip replacement surgery at Fortis Hospital, Mulund. Doctors treating him call it a rare feat as he was a very high risk case due to him suffering from end stage heart disease

Post bloodless hip replacement, 60-year-old awaits a new heart
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  • There are millions of people in this country who need an organ for survival. If they get an organ, they can get a new life. Each year, hundreds of people die while waiting for an organ transplant.
  • There is a shortage of organs, and the gap between the number of organs donated and the number of people waiting for a transplant is getting larger. As only one per cent of them get an organ at the right time.
  • Similarly, Ahmed Musa, a 60-year-old Mulund resident, who was awaiting heart transplant, successfully underwent bloodless hip replacement surgery.
  • According to his treating doctors, Ahmed Musa had a fall at home and started complaining of severe pain in his hip. With him unable to walk, Musa was then rushed to hospital where an X-Ray revealed that he had a fracture in hip.

“The fracture in his hip was significant and required surgery. It was very tricky to decide on operation as he was on blood thinner because of his cardiac problem,” said Dr Sachin Bhonsle, who later dared to operate on Musa.

Bhonsle explained that being a cardiomyopathy patient, Musa’s heart was not able to pump enough blood. “He was on waiting list for a cardiac transplant and put on cardiac pacemaker. He was also on blood thinner which made things difficult for us for surgery,” said Dr Bhonsle.

According to doctors, a regular hip replacement causes 200-250ml loss of blood. “We ruled out the regular hip replacement option as it very risky Musa’s life at a high risk as he would not have been able to pull through with the amount of blood lost.  Normally in such case, to control bleeding, a device called electrocautery is used. But, in Musa’s case, he had pacemaker that could have damaged by electrocautery,” elaborated Dr Bhonsle.

Post bloodless hip replacement, 60-year-old awaits a new heart
Dr Sachin Bhonsle, Senior Consultant Orthopaedic Surgeon Fortis Hospital, Mulund with Ahmed Musa

After meticulous consideration, Dr Bhonsle and team decided to opt for the MIS (Minimally Invasive Surgery) route.  “We opted for MIS to prevent blood loss. We made a small incision and ensured the muscles are separated and not cut for the hip joint to be replaced. The surgery was successfully conducted with absolute precision without using electrocautery. The patient lost just 25-30 ml of blood and the surgery was successful,” said Dr Bhonsle.

Post the success of the surgery, Musa witnessed significant relief, walked home on third day and is now walking without any discomfort with his hip functioning to its full potential. Musa now awaits another miracle in the form of heart donation so that he can undergo heart transplant.