The main goal of the rehabilitation program is to return the strength and ability to walk, and to be able to perform all other activities without risk, as well as achieving the best possible stability, capacity and durability of the artificial joint.
The hip is a mobile joint, it is one of the largest and the most important joints, since it has an inevitable role in the development and preservation of the correct architecture of the entire locomotor system, that is, the body’s statics and symmetry.
It is therefore understandable that the prevention of hip injury occupies a special place from the aspect of preserving the health and normal mobility of each individual, but also from the health and economic aspect.
Hip fracture – Hip operation
The concept of hip fracture involves various types of fractures of this joint, but usually it refers to fractures of the upper part of the femur bone near the compound with pelvic bone. Depending on the place, the type and severity of the fracture symptoms can be different, but in any case they cause pain of different intensity and limitation, or the inability to move the injured part.
Treatment of hip fracture, depending on the clinical picture, may be conservative or surgical.
Conservative methods include long-term immobilization, that is resting, with the use of drugs such as analgesics and corticosteroids, but this therapeutic approach is often insufficient and reserved for a small number of patients with minor fractures.
Most often the surgical intervention (hip operation) is necessary, and in some cases it is also necessary to install an artificial hip.
Endoprosthesis of the hip (artificial hip)
Operation of the hip – The most common reason for the implantation of total hip joint endoprosthesis is hip arthrosis or fractures (whether fresh or obsolete).
What kind of arthrosis are there?
With primary arthrosis is not known the cause of arthrosis, while secondary arthrosis occurs because of rheumatic or similar illness, as well as post traumatic conditions or earlier operations.
Operation of the hip with the installation of total endoprosthesis, or artificial hip (artificial hip), is one of the most common and most successful operations in orthopedics. Modern technologies for the development of hip prosthesis, high-quality biomaterials and advanced operating technique allow rapid post-operative recovery and complete pain disappearance that was present before surgery.
Types of hip replacements
When selecting a type of prosthesis, each patient is individually treated and many factors are taken into account. Some of them are patient’s age, the degree of damage of the hip joint, the anatomical characteristics, the expected degree of physical activity, the initial illness or previous intervention. Cementless hip replacement is implanted in younger patients with the necessary preserved bone structure that will grow in the prosthesis and achieve firmness. This type of prosthesis is also implanted in most of our patients.
With elderly patients and patients with inadequate bone quality (usually osteoporosis), we install a cement replacement. The patient’s age is only one of the factors influencing on the decision fn the type of implant replacement.
Revision of total hip replacement (hip reoperation)
The revision of total hip replacement (hip reoperation) is a standard procedure today, both in our institution and in the world. With the increase of the number of total hip replacements, there are more and more hip revisions (hip reoperations).
In time, there are small movements in the bone and the wasting of the prosthesis material, which causes pain during moving, that can be increased over time. For these reasons, it is necessary to do an orthopedic examination once a year and to make an X-ray footage of the hip replacement.
Besides repairing the fracture, injuries and implantation of the prosthesis, there are the so-called biological procedures and interventions where the affected joint function is brought into functional condition with regenerative therapies (PRP and ACP) or biological operations (stem cells) without the artificial hip, this is mostly with younger people.
How to perform hip surgery
After preoperative preparation and decision on which type of anesthesia is the most adequate (block anesthesia, spinal or general anesthesia), the operation is approached. It is important to note that damage to the musculature is minimal, which enables rapid rehabilitation with the preserved function of the hip muscles.