Dr. Rajeev K Sharma performs rare total femur replacement surgery on Uzbekistan patient at Apollo Hospital

After undergoing three failed surgeries to treat multiple point recurrent cancer on the leg bone in Uzbekistan, 24 year old SobidjOn Juraev lost all hope of ever leading to a normal life.

Rare cancer care done by Dr Rajeev K Sharma pic 1

 

The resurrection of cancer despite several rounds of treatment had posed serious threat of a leg amputation or worse, a disarticulation of the hip. At this stage, the patient and his family members had decided to pack their bags and heading to India to seek medical intervention.

Rare cancer care done by Dr Rajeev K Sharma pic 2

The young Uszbek got much needed medical succor in New Delhi.

Rare cancer care done by Dr Rajeev K Sharma pic 3

In what could be termed as a rare and difficult surgery lasting eight hours, Dr. Rajeev K Sharma, Senior Consultant, Orthopedics and Joint Replacement Surgeon along with his team including Dr. V.P Singh, Cancer Surgeon at Indraprastha Apollo Hospitals, New Delhi, removed the entire cancer-affected bone right from the hip to the knee, replacing it with an artificial Total Femoral Replacement implant.

Rare cancer care done by Dr Rajeev K Sharma pic 5

The difficult surgery which was a combination of Hip and Knee Replacement has successfully cured the patient of cancer, eliminating the risk of a permanent disability, according to a statement issued by Apollo Hospital. A failure to get rid of the cancer affected bone would have lead to two eventualities: either a disarticulation of the hip (surgical removal of the entire lower limb at the hip level) or an amputation of the leg to save the life of the man. However, both these situations would have resulted in permanent disability. A successful surgery that not only rid the man of cancer, but also gave him a new hip and knee joint, has given a fresh lease of the life to him.

Rare cancer care done by Dr Rajeev K Sharma

Sobidjon had tumour (bone malignancy) at multiple points on the bone between the knee and hip. He first underwent a total hip replacement in June 2011, which failed. The same was followed up by two more surgeries in his home country, which temporarily kept the cancer at bay but failed to have the desired result. Sobidjon Juraev found it difficult to walk and lead a normal life. The risk of recurrent cancer also posed a threat of permanent disability for the young man.
After struggling with the ailment for four years, the family decided to travel to India to seek better medical treatment and cure for the debilitating disease.

Dr. Sharma pointed out: “We examined the patient thoroughly and discovered that the cancer in the Right femur bone had recurred. Now, it was at three points in the right femur bone between the hip and the knee, necessitating an amputation which would have been a life-long disability for a young man. Total Femoral Replacement in this case was a very difficult and rare surgery as it was a kind of a combination of hip replacement, knee replacement and thigh bone replacement. To be able to get rid of the cancer completely, we needed to remove the entire stretch of thigh bone from the right hip to the right knee and reconstruct the same artificially. It was a challenging surgery as it involved the removal of whole thigh bone at the same time. The challenges included threat of post-surgical infection, knee and hip instability and damage to the nerves and vessels of the area. However, in an eight hour procedure we successfully removed the full cancerous thigh bone and replaced it with an artificial Total Femoral Implant.”

In such cases, the surgery is followed by a prolonged process of rehabilitation and physiotherapy which helps the patient regain the limb’s lost strength, strengthen the muscles and get back on feet. The patient is responding well to the surgery and hopes to get back to his normal youthful life soon after four tumultuous years. India will always remain a positive memory in his life as it gave him a fresh hope of survival.

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