A center of mobility in focus of attention: the hip joint
The second largest joint of the human body comes first in another category: the loss of quality of life when there is a disease. With pain in the hip you move less and less unnatural – and often trigger further orthopedic problems.
Hip diseases are not necessarily an aging symptom. On the contrary: Early diagnosed, excessive wear and consequential damage can be slowed down in time or completely prevented. Therefore, pay attention at a young age to stress pain, foreign body sensation or difficulties with certain movements.
On this page you will find an overview of the most common hip complaints and some examples of their therapy. For a hip arthroscopy I like to call on the support of my cooperation partner, the internationally renowned hip expert Professor Markus Schofer.
On the subject of arthroplasty: In advanced hip osteoarthritis, artificial joint replacement is often the best therapy. In younger patients, an attempt is made to implant the endoprosthesis without cement, although a cemented hip prosthesis causes fewer complications. However, we physicians assume an average „life“ of 15 years before a replacement of the prosthesis becomes necessary. The change operation is then uncomplicated in an uncemented endoprosthesis. For this reason, most surgeons prefer this method in patients under the age of 65 years.
DIAGNOSTICS & TREATMENT
Femoro-Acetablary Impingement (FAI)
Protruding bones on the acetabulum, pinching the tendons and soft tissues.
Arthroscopically. Ablation of the protruding bone substance.
Osteoarthritis and early osteoarthritis
Excessive wear of the hip cartilage due to age or overload.
Arthroscopically. Modeling of the cartilage with regeneration or transplantation of cultured autologous tissue.
Free joint body
Cartilage or bone fragments separated by overstressing or disease become stuck between the femoral head and the socket.
Arthroscopically. Removal of the fragments, remedying the consequential damage.
Chronic inflammation (bursitis trochanterica, synovialitis, rheumatism)
Tissue irritation, hardening and sticking, triggered by the immune system of the body.
Medication and physiotherapy. In the late stage, surgical removal of the inflammatory focus.
femoral head necrosis
„Bone infarction“: death of a bone part due to lack of blood flow.
Arthroscopically. Bore the femoral head to re-stimulate circulation.
Coxa saltans (snapping hip)
Skipping main tendon of the thigh muscle when bending or stretching.
Physical therapy. In severe cases: loosening or scoring the tendon, arthroscopic.