Hip Osteoarthritis (Coxarthrosis): Complications

The following are the most important diseases or complications that can be caused by coxarthrosis (hip osteoarthritis):

Musculoskeletal system and connective tissue (M00-M99).

  • Absolute leg shortening due to loss of substance in the hip joint.
  • Activated coxarthrosis (osteoarthritis with signs of inflammation: Calor (overheating), pressure and movement pain, effusion, soft tissue swelling) – e.g. after heavier load.
    • Detritus synovialitis (inflammatory reaction of the synovium (joint mucosa)) or
    • Periarthrosis coxae (tendopathy (inflammatory changes in the tendons or tendon sheaths), the muscles surrounding the joint).

    By sparing or therapeutic measures, the activated coxarthrosis can regress and return to a pain-free state

  • Movement restriction to stiffening of the joint.
  • Collapse of the joint surfaces
  • Functional leg shortening due to changes in pelvic statics.
  • Hyperlordosis of the lumbar spine (hollow back).
  • Contractures – permanent shortening of the muscles with resulting joint constraint.
  • Valgus malposition (knock knees)
  • Varus malalignment (bow legs)

Psyche – nervous system (F00-F99; G00-G99)

  • Insomnia (sleep disorders)

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).

  • Chronic pain

Surgery (in this case: postoperative condition after total hip arthroplasty).

  • Abrasion between the head and cup material of the prosthesis.
  • Aseptic (without involvement of pathogens) prosthesis loosening – prosthesis change required.
  • Leg length discrepancy
  • Implant fracture
  • Infection of the prosthesis – late infection requires replacement of the prosthesis
  • Dislocation tendency of the hip joint
  • Periarticular (located around a joint) calcifications – up to 50% of patients are affected; function is usually not affected
  • Periprosthetic fracture (the bone in which the prosthesis is anchored is broken) – bes. affected are patients with osteoporosis (bone loss)
  • Thrombosis risk (very high) – bes. are affected obese and women.