Hip osteoarthritis surgery
Are you looking for the cause of your hip pain or you don't know exactly what is causing your hip pain?
Then let yourself be guided by our diagnostic Hip pain guide and come to the most likely diagnosis.
First, a Hip arthrosis a conservative therapy tries. If this fails, however, there is still the option of treating the disease with an operation. Another indication for surgery can also be that you want to prevent yourself from lying on the floor arthrosis form permanent deformations of the joint. There are different surgical procedures that are selected depending on the individual condition of the patient.
Which type of operation is used depends primarily on the underlying cause of the osteoarthritis and what stage it is in. In addition, personal factors of the person concerned also influence the decision, such as his or her Age, be job, be Suffering and whether there are any other diseases. In principle, the joint-preserving operations of the joint replacement operations (Hip prosthesis) differ.
Appointment with a hip expert?
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Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
- Lumedis - your orthopedic surgeon
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
The most frequently performed therapy to treat hip osteoarthritis while preserving the joints is the so-called Corrective osteotomy. In this procedure, a misalignment is damaged joint eliminated to the natural axial relationships in the hip restore. There are several techniques to do this, all of which have one or more in common bone and the acetabulum is then brought back into its correct position. The main aim of this is to prevent the progression of existing osteoarthritis. This is why this operation is particularly popular with children and adolescents. Changes in the joint that do not yet represent the full picture of osteoarthritis, but will almost certainly lead to hip osteoarthritis, can also be addressed with such an operation. These include, for example Bone malpositions in connection with broken bones, too steep or too shallow femoral neck angle and too shallow acetabulum.
However, the operative measure that is most common is the Hip replacement, with a so-called Endoprosthesis is used. Usually this is a total endoprosthesis (TEP), which means that the entire joint (i.e. both the acetabulum and the femoral head) is removed and replaced with artificial joint parts. The prosthesis is usually made of either plastic or metal. In addition, one differentiates between cementless and cemented Prostheses. The cemented prostheses are made of plastic in the Thigh bone and their advantage is that patients can be mobilized again practically immediately after the operation. However, there is a risk that the prosthesis will loosen again over time. Therefore, this option is particularly suitable for older patients.
For younger patients, the cementless prosthesis is usually used, in which the prosthesis is anchored in the thigh and the bone is then to grow into the prosthesis. As a result, it achieves a higher degree of consolidation than the cemented prosthesis and therefore has a longer service life. Even if the prostheses now last quite a long time, one should always bear in mind before an operation that, especially if it is done at a young age, the probability is relatively high that the patient will have to undergo an alternate operation in the course of his life and thus have to do it again This procedure exposes the strains and risks. Therefore, the decision should be to one early surgery not frivolous to be hit.
During this kind of Hip osteoarthritis surgery there is often quite a high blood loss. Therefore, bruises often occur in the hip area. In addition to the blood vessels, nerves can also be damaged during the procedure, although the risk of this is minimal if performed correctly. Injuring or crushing a nerve can cause either pain or temporary or permanent weakening of the gluteal muscles.
The operation of a hip joint osteoarthritis is a major procedure that is therefore fraught with complications and risks. The focus is on the risk of a postoperative thrombosis the deep leg or pelvic veins. These can initially cause permanent damage to the leg and, in the worst case, be carried off and become one Pulmonary embolism lead, which often has a fatal outcome.
As with any operation, hip replacement can lead to wound healing disorders and infections of the wound. These are usually easy to get to grips with, but in rare cases deep prosthesis infections occur, which inevitably leads to the prosthesis being removed.
In addition, there are rare, serious complications: some patients can allergy develop against the implant, which would also require an exchange of the prosthesis. Sometimes there is Leg length difference or the bones never heal properly after the operation.
In exceptional cases it can happen that the pain persists even after the operation, however, with a rate of 95% of the prostheses that are still functional after 10 years, hip replacement is an extremely good therapy option.
Another possibility in the context of surgical therapy for hip arthrosis is that Synovectomy. The inner skin of the joint capsule is removed, as this shows a high tendency to inflammation in osteoarthritis, which can often lead to joint effusions.