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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 483053)

Hospital Neuperlach Munich

location_on Munich, Germany
9.8/10 from 11 Votes
Specialized hospital
Matthias Jacob

Head Physician
Dr. med.

Matthias Jacob

Specialized in: traumatology, orthopedics, reconstructive surgery

Department of Traumatology, Orthopedics and Reconstructive Surgery

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • physical examination
  • review of medical records
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • indicators of inflammation (CRP, ESR)
    • indicators blood coagulation
  • x-ray examination of the hip
  • MRI scan of the hip
  • preoperative care
  • hip replacement (hip endoprosthesis)
  • symptomatic treatment
  • control examinations
  • physiotherapeutic procedures
  • orthopedic appliances
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations

How program is carried out

Preliminary preparation for hip replacement includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.

Preoperative examination, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. According to its results, the most suitable endoprosthesis is selected.

Hip replacement. The operation is performed under general anesthesia. The patient lies on his side, the affected leg is bent and fixed in this position. The surgeon makes an incision 15-20 cm long, minimally traumatizing the muscles and nerve endings. Through this incision, miniature instruments are inserted to remove the damaged joint structures. Healthy bone is adjusted for further reliable implant fixation.

The surgeon installs a femoral stem in the center of the upper part of the femur. Ball-shaped head of the joint is fixed on it. The surgeon also implants a special liner that facilitates movement of the leg and protects the structures of the prosthesis. After the primary fixation of the prosthesis components, the doctor assesses the joint range of motion, as well as the length and symmetry of the lower limb.

The implant is fixed with cement or cementless method. The doctor treats the operating field with antiseptics, conducts its final revision and sutures the wound layer by layer. A temporary drainage is installed in the joint, and a bandage is applied on top.

Postoperative care. During the first day after the intervention the patient stays in the intensive care unit, under round-the-clock medical supervision. After that, with a smooth course of the postoperative period, the patient is transferred to a regular ward and the drains are removed. The range of motion expands gradually, from light toes movements to walking. Walking with the use of walking aids is allowed in 3-5 days after the operation.

Required documents

  • X-ray examination of the hip joints
  • MRI scan of the hip joints, if available
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About the department

The Department of Traumatology, Orthopedics and Reconstructive Surgery at the Hospital Neuperlach Munich offers the full range of conservative and surgical treatments for patients with musculoskeletal injuries and diseases of any severity. The department specializes in the treatment of bone fractures, including complex pelvic and spinal fractures, treatment of facet arthrosis, hip and knee replacement surgery, arthroscopic interventions for pathological lesions of the shoulder and menisci, as well as in the treatment of hand diseases and injuries, correction of congenital and acquired foot deformities. The department's medical team has state-of-the-art imaging equipment, with the help of which the doctors can accurately determine the nature of pathological changes in the musculoskeletal system and select the most effective treatment in accordance with the individual needs of the patient. Should surgical treatment be required, the preference will be given to arthroscopic and laparoscopic surgical techniques, since after such operations the patient can quickly restore mobility and return to his usual lifestyle. The department's doctors work in accordance with the recommendations of the German Society for Orthopaedics and Trauma Surgery. More than 1,700 patients undergo treatment in the medical facility every year. The Chief Physician of the department is Dr. med. Matthias Jacob.

The department is a certified Trauma Center (certificate of the German Trauma Society), and therefore it offers its patients highly effective treatment of both simple and very severe injuries, multiple bone fractures, soft tissue injuries, etc. The trauma surgeons admit patients 24-hours a day. A great advantage of the department is the availability of a helipad for transporting patients in critical condition. The department provides conservative and surgical treatment of musculoskeletal injuries. Each clinical case is considered individually, after which the patient will be provided with optimal treatment. Conservative treatment involves the use of modern plaster casts and special splints. If surgery is required, the doctors resort to minimally invasive interventions. For example, to treat complex joint fractures, the doctors perform arthroscopic interventions using special instruments (an arthroscope) and a miniature camera with a light source. To perform such surgical procedures, the surgeon makes only one small incision of a few millimeters in size. The patients with hip fractures undergo minimally invasive surgery to implant the plates in order to fix damaged bones. Laparoscopic interventions exclude severe trauma to healthy tissues and allow the patient to restore mobility after surgery in the shortest possible time. In addition, the department's doctors have successful clinical experience in the treatment of geriatric injuries and fractures in the elderly. The exceptional professionalism of the department's trauma surgeons allows them to perform effective surgery, after which an elderly person can fully restore mobility.

An integral part of work of the department's medical team is the treatment of back pain, spinal fractures and osteoporotic fractures in elderly patients. The therapeutic options include both conservative and surgical methods. Prior to spinal surgery, the patient undergoes comprehensive imaging diagnostics (X-ray, CT and MRI). Whenever required, neurosurgeons are involved in the therapeutic process. With satisfactory clinical indications, the specialists perform minimally invasive spinal surgery to avoid damage to the surrounding soft tissues, nerves, muscles and blood vessels. One of the main focuses of the department's orthopedists and traumatologists is the treatment of vertebral fractures. If diagnostic tests show that ligaments and muscles provide stability to the fractured vertebral body, then the patient does not require a surgical correction. In such cases, the doctors use pain therapy and physiotherapy. If the stability of the vertebral body is impaired, then doctors decide to perform a surgical intervention, since the lack of proper treatment can lead to impaired control of the functions of the bladder or intestines, sensory disorders, movement disorders and other irreversible consequences. In this case, the most common surgery is spondylodesis – immobilization of adjacent vertebrae due to their fusion. In some cases, it is necessary to completely replace the vertebral body using a special titanium prosthesis. The first-line treatment for patients with back pain is physiotherapy and intake of painkillers. If these therapeutic measures do not lead to the desired result, the orthopedists perform blocks by injecting painkillers.

The department's service range is complemented by arthroscopic joint surgery, as well as knee and hip replacement surgery. The department has high-tech medical equipment for sparing and highly effective joint surgery. At the initial stages of arthrosis, the department's specialists use only drug treatment and physiotherapy. In case of severe knee and hip arthrosis, the only effective treatment option is the replacement of the affected joint. Depending on the stage of the pathological process, the patient may require either partial or total joint replacement surgery. The specialists use in their clinical practice only high-quality endoprostheses with a long service life, which are selected for each patient individually, taking into account his anatomical features. The department also specializes in revision surgery to replace previously implanted endoprostheses. When performing joint replacement surgery, the doctors mostly use minimally invasive techniques.

The department's key clinical focuses include:

  • Conservative and surgical treatment of the musculoskeletal injuries, including especially severe ones, multiple bone fractures and soft tissue injuries
  • Conservative and surgical treatment of back pain, spinal fractures and osteoporotic fractures
  • Arthroscopic surgery (for example, for meniscal injuries, rotator cuff tear, etc.)
  • Knee and hip replacement surgery, including revision surgery to replace previously implanted prostheses
  • Conservative and surgical treatment of hand diseases
    • Hand fractures and injuries
    • Compression syndromes (for example, carpal tunnel syndrome and cubital tunnel syndrome)
    • Hand and finger arthrosis 
    • Rheumatic hand lesions
    • Dupuytren's contracture
    • Trigger fingers
  • Surgical correction of congenital and acquired foot deformities
  • Other medical services

About hospital

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