Professor MD Thomas Gösling
Arthritis is the most common cause of pain in the hip joints, motion reducing and discomfort. When all of those problem reach highest degree and pain has become severe and persistent, replacement of the hip may be considered as a mean to improve your life quality. Hip replacement surgery ranks second on popularity among the joint replacement after knee prosthetic surgery.
Only a specialist can decide whether you need joint replacement but you could check some symptoms that you are probably should go on operation:
If you have most of above symptoms you may be a candidate for hip replacement surgery. But there also some contraindication that could make you illegible for prosthesis:
The surgery can be performed traditionally with open method and by arthroscopy which is minimally invasive method. In hip replacement segment a range of classical method is still quite high and arthroscopic surgery is used rarer than for knee or shoulder replacement.
During operation, first, the surgeon makes a cut about 10-15 cm long to open an access to inner joint surface. Then, he/she removes diseases bone tissue until it stays clean and healthy. Then, the doctor inserts an implant and fixes it with cement or using cementless method. The second technique involves biological mechanism stimulating the bone cells growing. For this purpose the implant surfaces are made porous that allows a bone growing into implant. Which of the methods is better still contradictory, both of them have theirs pros and contras.
The materials used for implants are metal, plastic and ceramic in combination with each others. Some recent studies indicates that metal is less safe material and many joint surgeons in Germany suggest plastic or ceramic implants.
The parts prosthesis consists of are the same non regardless to the material and type of fixation: a stem, ball, liner and socket. Normally, they are made of different material and your orthopedist suggest you the better option. Presently, combination of ceramic and polyethylene is considered as the most progressive.
The surgery is mostly performed under general anesthesia and lasts for about two hours.
Anterior hip replacement is minimally invasive alternative to traditional operative method. The incision for access to joint is made in frontal area of the hip and allow to surgeon working between muscles. The muscles are not detached from the bones, that provides lesser pain and shorter recovery. The frontal approach gives the possibility to avoid sitting on the side of incision assuring, thus, less pain. Another advantage is that anterior replacement prevents joint dislocation.
Half hip (or partial) hip replacement is a type of surgery when only the ball is replaced in diseased joint but socket stays untouched. As a rule, this operation is carried out for traumatic injuries and not so common for arthritis treatment as total hip replacement.
After operation you should stay in rest for five – six days. It is recommended to keep cushion between your legs to avoid wrong load on your joint.
You should start physiotherapy in a few days after surgery and keep on it from two weeks till several months depending on your doctor recommendations. You should avoid twisting movement and do not bend past 90 degree.
There some rules helping to protect you from undesired load:
If you consider hip replacement surgery it is reasonable option to apply to Clinic of Braunschweig. With choice of medical centers and clinical departments in different locations you can find your best solution on joint implantation in Germany. Have a consultation or apply for treatment online.