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PATIENT STORY
From Severe Hip Infection to Walking Again: Rupak Biswas’s Recovery Journey
Rupak Biswas underwent staged treatment for severe infection-related destruction of his right hip, followed by robotic-assisted hip replacement under the care of Dr. Samarth Arya at Manipal Hospital, Old Airport Road, Bengaluru.
Condition: Infection-related hip joint destruction
Treatment: Two-stage infection management and robotic-assisted hip replacement
Care location: Bengaluru
Rupak Biswas, a young patient from West Bengal, had been experiencing severe pain in his right hip caused by an infection that extensively damaged the joint.
He consulted Dr. Samarth Arya at Manipal Hospital, Old Airport Road, Bengaluru. During surgery, complete cartilage destruction and a significant collection of pus were identified, requiring a carefully planned two-stage treatment.
01 · The Challenge
A severe infection had extensively damaged Rupak’s right hip joint. The cartilage was completely destroyed, and the collection of pus indicated an active infection that needed to be controlled before hip replacement could be considered.
02 · The Treatment
The infected bone and tissue were removed, and the joint was thoroughly cleaned during the first stage. After three months of intravenous antibiotics, Rupak underwent a second-stage robotic-assisted hip replacement.
03 · The Outcome
The hip-replacement surgery was completed successfully, and Rupak began mobilising the following day. He is recovering well, currently walking with support and progressing towards independent mobility.
Understanding His Condition
Rupak presented with severe right hip pain and extensive joint destruction caused by infection. The damage affected the cartilage and surrounding bone, significantly limiting movement and daily activities.
During the initial surgery, a substantial pus collection and complete loss of cartilage around the hip joint were identified. Implanting a permanent hip replacement while an active infection remained could have increased the risk of persistent or recurrent infection.
A staged treatment plan was therefore followed. The first priority was to remove infected tissue, clean the joint and control the infection before proceeding with definitive hip-replacement surgery.
Understanding Grade 4 Knee Osteoarthritis
A hip-joint infection can damage the cartilage, bone and surrounding tissues. Symptoms may include severe pain, restricted movement, swelling, fever or difficulty placing weight on the affected leg.
Treatment depends on the severity and duration of the infection, the extent of joint damage and the patient’s overall health. It may involve surgical cleaning, removal of infected bone or tissue and an extended course of antibiotics.
When infection has caused extensive joint destruction, hip replacement may be considered after clinical assessments and investigations indicate that the infection has been adequately controlled.
Two-Stage Robotic-Assisted Hip Replacement
At Manipal Hospital, Old Airport Road, Bengaluru, Rupak was treated by Dr. Samarth Arya, Consultant in Orthopaedics, Joint Replacement and Robotic Surgery.
During the first stage, the infected and damaged bone was removed, and the hip joint was thoroughly cleaned. Rupak then received intravenous antibiotics for three months to help eliminate the infection.
After the infection was brought under control, he underwent second-stage robotic-assisted hip replacement. Robotic technology supported personalised surgical planning and accurate positioning of the hip components according to his anatomy.
Controlling the Infection Before Joint Replacement
Managing infection was the most important first step. Placing a permanent implant before controlling the infection could have increased the risk of complications.
The staged approach allowed the damaged and infected tissue to be removed, followed by an extended antibiotic course. The hip replacement was performed only after appropriate clinical evaluation.
This approach aimed to create a safer environment for the new hip implant while restoring joint stability, movement and function.
Supported Through Treatment and Recovery
Rupak received coordinated care throughout both stages of treatment and recovery at Manipal Hospital, Old Airport Road.
Following robotic-assisted hip replacement, he was mobilised the next day under medical supervision. He is recovering well and currently walking with support as he continues physiotherapy and rehabilitation.
He is expected to progress gradually towards improved strength, balance and independent mobility based on his recovery and clinical assessment.
Is Severe Hip Pain Limiting Your Mobility?
Persistent hip pain, difficulty walking, restricted movement or symptoms associated with a previous joint infection should be evaluated by an orthopaedic specialist. A detailed assessment can identify the extent of joint damage and determine whether infection treatment, physiotherapy, hip replacement or another treatment may be appropriate.