Progressive degenerative disease of the hip joint is called coxarhtrosis. Coxarthrosis is more common in males. The disease manifests itself as pain and limited range of motion at the hip, or sometimes with complaints of knee and low back pain. Genetic background, history of past trauma and hip surgery, and advanced age are important risk factors in coxarthrosis development. Diagnosis at early stage is very important. Hip exercises, some analgesic medications and weight reduction may be sufficient for its treatment. Advanced cases benefit from physical therapy. Hyaluronic acid and glucosamine treatment may be beneficial in patients who are not at the terminal stage.
Total hip prosthesis surgery replaces both sides of the hip joint with prostheses made of metal or plastic material. It is usually applied following coxarthrosis, hip fractures, or avasvular necrosis. The time to implant the prosthesis is determined by patient’s age, sex, pain level and functional capacity. Surgeon’s knowledge and experience, proper patient selection, and postoperative care are important in terms o operation success.
Who is candidate for hip prosthesis?
Hip prostheses are implanted to patients whose hip joint has been severely damaged due to arthritis, hip dislocation or vascularization disorder, when other treatment options (drugs, physical therapy, intraarticular injections, and use of a walking stick) have failed. Hip prosthesis is the best treatment option in case of severe pain, limited range of motion and shortness that prevent daily activities. It is preferably applied to patients above the age of 60, but can also be applied to younger patients when necessary.- Arthritis of the hip
- Hip fractures
- Avascular Necrosis