Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 589965)
Catholic Clinic Koblenz-Montabaur
Martin HaunschildSpecialized in: adult and pediatric orthopedics, traumatology, endoprosthetics
Department of Adult and Pediatric Orthopedics, Traumatology, Endoprosthetics
- 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.
- X-ray examination of the hip joints
- MRI scan of the hip joints, if available
You may also book
About the department
According to the prestigious Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology, Endoprosthetics at the Catholic Clinic Koblenz-Montabaur ranks among the top German medical facilities specializing in the treatment of orthopedic diseases!
The department offers comprehensive diagnostics, surgical and conservative treatment of all musculoskeletal disorders in adults and children. Also, the department provides an outpatient rehabilitation. The field of endoprosthetics is marked by the endoCert certificate, which indicates high treatment standards. The focus is also on the treatment of injuries of varying severity, including in elderly patients. The department is headed by Dr. med. Martin Haunschild.
The department has state-of-the-art operating rooms fitted out with equipment for carrying out sparing minimally invasive interventions, computer navigation systems, which help to install a prosthesis with millimeter accuracy. After surgical treatment, each patient receives a proper care and, if necessary, he will undergo rehabilitation.
In the field of endoprosthetics, the department's specialists often have to deal with knee and hip replacement surgery. The spectrum is complemented by revision interventions, which are required for example, in the case of mechanical complications or prosthesis displacement. Endoprosthetics is performed using high-quality prostheses from the world's leading manufacturers. If necessary, the implantation of individually manufactured prostheses is possible.
It is worth noting that the department has an in-house Bone Bank, which helps to immediately repair bone defects before joint replacement surgery. In most cases, the operation is performed using minimally invasive techniques, which ensure the prompt recovery of the patient.
The field of conservative orthopedics focuses on the treatment of back and spinal pain. One of the most popular and effective methods offered by the department's doctors is minimally invasive X-ray-guided infiltration. Also, the coagulation of small intervertebral joints in the lumbar spine is often used here. Both procedures are performed under local anesthesia. In order to consolidate the result, it is recommended the patient to undergo physical therapy, which strengthens the muscles of the back and abdomen.
A specially trained team takes care of the musculoskeletal system of young patients, because in this case it is important not only to cure the pathology, but also to ensure the proper physical development of the child. The pediatric orthopedists have vast experience in the treatment of congenital and acquired deformities and dysfunctions of the musculoskeletal system (for example, hip dysplasia, Perthes disease, flatfoot, axial deformities of the lower limbs, etc.). Also, the field of their competence includes the treatment of growth disorders in children.
The main clinical focuses of the department include:
- Knee, hip and shoulder endoprosthetics
- Replacement of small joints of the limbs
- Revision interventions after joint replacement surgery
- Joint-preserving interventions in osteoarthritis and axial defects of the pelvis and lower limbs
- Knee corrective osteotomy
- Hip corrective osteotomy
- Intertrochanteric corrective osteotomy
- Orthopedic oncology (treatment of musculoskeletal malignancies)
- Conservative treatment of pain in the back and spine
- Foot surgery
- Valgus deformity of the great toe (hallux valgus)
- First metatarsophalangeal joint arthritis (hallux rigidus)
- Hammer and claw toes
- Pathological changes in the middle and rare foot
- Pediatric orthopedics
- Hip dysplasia
- Femoral head epiphysiolysis
- Perthes disease
- Coxa vara, coxa valga, coxa antetorta
- X-shaped and O-shaped axial deformities of the lower limbs
- Flatusalgus foot
- Treatment using auxiliary orthopedic aids
- Outpatient surgery (if indicated)
- Emergency diagnostics and treatment of injuries of varying severity
- Imaging diagnostics for the determination of the injury effects
- Conservative and surgical treatment of ligament injuries and bone fractures
- Conservative and surgical treatment of injuries in children
- Treatment of fractures near the hip joint (joint-preserving operations and replacement surgery)
- Treatment of fractures in the shoulder and upper arm
- Treatment of nonhealing and infected fractures
- Surgery to treat injuries of the soft tissues, tendons, nerves and blood vessels
- Treatment of inflammatory processes and burns
- Geriatric traumatology
- Reconstructive surgery
- Treatment of chronic wounds
- Closure of soft tissue defects after injuries
- Scar revision
- Repair of anterior abdominal wall hernias, incisional and inguinal hernias
- Other medical services
Photo of the doctor: (с) Katholischen Klinikum Koblenz - Montabaur
Accommodation in hospital
- Program [Description]
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
- Hospital: Catholic Clinic Koblenz-Montabaur
- access_time Duration:
There are 97 hip osteoarthritis (coxarthrosis) treatment hospitals on Booking Health websiteShow all clinics