Physical therapy
The possibilities of physical measures in hip arthrosis are very diverse. Some conceivable measures are listed below:
- Physiotherapy (physiotherapy)
- Massages (also: underwater massages)
- Moist heat (Moor packs,..)
- Mobilization, muscle strengthening, muscle stretching and coordination training.
- Thermotherapy (heat-cold therapy)
- Hydro- and balneotherapy (water-air therapy)
- Electrotherapy (current therapy)
- Pulling treatment on the leg (with a weight of approx. 1 kg) to achieve relaxation of the hip muscles.
Orthopedic technical measures
- Cane or forearm crutch on the healthy side. The patient has to learn a special walking technique when using this measure: First the walking stick and the sick leg are placed together forwards, only then the healthy
- So-called buffer heels
- Wedge cushions, seat elevations, arthrodesis chair, relief orthoses
Nowadays, hip arthrosis operations are performed to prevent an impending deformity on the one hand, but also to combat pain or to recover. The choice of the surgical procedure for hip arthrosis depends to a large extent on the indication criteria.As a result, various surgical procedures are available.
Detailed information on the therapy of hip arthrosis can be found in our book Hüftarthrose Hierunter fall: Today, stiffening (= arthrodesis) of the hip is only performed in special cases. The stiffening primarily results in freedom from pain. However, if a hip endoprosthesis is unavoidable, it is very difficult to insert it if the hip has already been stiffened in advance.
As can be seen from the descriptions, the different conversion osteotomies can only be used very individually. Certain conditions must always be fulfilled. It can therefore be stated that joint-preserving operations are used to correct malpositions of one or both joint bodies.
In the area of the hip joint, the main aim is to improve mechanical stress and delay the progression of arthrosis. The chances of success of a repositioning osteotomy are higher if the joint-preserving operation is performed in the early stages of arthrosis. Thus, the chances of success decrease with increasing arthrosis stage.
More about surgery for hip arthrosis General risks and complications Specific consequences: Complications An endoprosthesis operation initially involves the complete removal of all destroyed parts of the joint. These removed parts of the joint are then replaced by artificial ones. As a result, patients are usually free of pain.
In the meantime, hip prostheses as such have become quite “durable”, although replacement operations are particularly common in young and active patients. Therefore, the time of surgery should be chosen carefully. However, if the quality of life is considerably limited, e.g. by night pain, a hip prosthesis operation should be performed.
It should also be remembered that the risk of loosening increases with increasing implantation time. It can therefore be stated that younger patients with severe hip arthrosis should undergo surgery if all conservative treatment options have been exhausted. Detailed information on the topic of complications of hip arthrosis can be found in our book Hüftarthrose
- Cause of the arthrosis, stage of the disease, previous course
- Pain, suffering
- Are there other joint diseases
- Individual factors (age, general condition and accompanying diseases)
- Compliance and motivation, work situation, social status, patient activity level
- Joint preserving operationsCorrective osteotomies of the femur and pelvisIf a hip arthrosis is diagnosed, it is always checked whether the complete replacement of the hip joint (hip endoprosthesis) can be prevented by a joint preserving surgical measure. In doing so, we primarily consider possible prearthrotic changes, i.e. specific changes that would almost inevitably lead to the development of arthrosis in the respective joint areas.
- An angle of the femoral neck that is too steep or too flat, which is corrected, for example, during an intertrochanteric repositioning osteotomy of the femur,
- A too shallow socket, which can be deepened by the so-called pelvic osteotomy,
- Malpositioning after bone fractures
- Planning and preparation: Implants, instruments Foreign blood-saving measures Intraoperative X-ray possibility Plan sketch
- Implants, Instruments
- Foreign blood saving measures
- Intraoperative X-ray possibility
- Plan sketch
- Implants, Instruments
- Foreign blood saving measures
- Intraoperative X-ray possibility
- Plan sketch
- The formation of hematomas = bruising,
- Wound healing disorders,
- Wound infections,
- Deep leg vein thrombosis,
- Embolism,
- Vascular and/or nerve injury
- Leg length difference
- Mostly temporary gluteal insufficiency (= permanent weakening of the gluteal muscles)
- Widening of the hip silhouette
- Delayed fracture healing,
- Failure to heal bone fractures,
- Implant failure,
- Loss of correction, pain persistence (pain remains)
