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Hip Osteoarthritis (Coxarthrosis). Treatment in Germany

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Cost for treatment

Hip osteoarthritis diagnostics
551
Hip osteoarthritis (coxarthrosis) treatment with bilateral hip replacement (hip endoprosthesis)
32348.5
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
15289.25

Academic Hospital DRK Berlin Westend

10/10
location_onGermany, Berlin

Department of Orthopedics, Traumatology and Endoprosthetics

The Hospital DRK Berlin Westend is a recognized academic hospital at the University Hospital Charité in Berlin. The hospital has more than 130 beds, 15 departments and 12 specialized centers, which represent all areas of modern medicine, including surgery, orthopedics (endoprosthetics), cardiology, etc. A team of about 1,
Hip osteoarthritis diagnostics
1398.1
Hip osteoarthritis (coxarthrosis) treatment with bilateral hip replacement (hip endoprosthesis)
32348.5
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
22476.9

Hospital Neuwerk Moenchengladbach

9.2/10
location_onGermany, Moenchengladbach

Department of Adult and Pediatric Orthopedics, Traumatology

The Hospital Neuwerk, which is in Moenchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the hospital has been a coordination center for the region for many years. The hospital has 310 comfortable beds for ist patients. Due to a wide range of medical services, the hospital offe
Hip osteoarthritis diagnostics
1679.25 help1379.25
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
22294.2
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
19644.95 help16544.95

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Adult and Pediatric Orthopedics, Traumatology, Endoprosthetics

The Catholic Clinic Koblenz-Montabaur positions itself as a modern medical facility, which provides high-quality diagnostics and treatment in accordance with the international standards. The medical complex is the Academic Hospital of the University Hospital Mainz, which gives patients the opportunity to have access to the most
Hip osteoarthritis diagnostics
1502.5
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
25830.75
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
25655.3

Brothers of Mercy Hospital Munich

10/10
location_onGermany, Munich

Department of Orthopedics, Traumatology, Spinal Surgery and Foot Surgery

According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German
Hip osteoarthritis diagnostics
1447.4
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
24070.45
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
23877.6

Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of Adult and Pediatric Traumatology, Orthopedic Surgery, Hand and Foot Surgery

The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into pract
Hip osteoarthritis diagnostics
1443.05
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
23945.75
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
24122.65

Vitos Orthopedic Clinic Kassel

9.2/10
location_onGermany, Kassel

Department of Adult and Pediatric General Orthopedics, Trauma Surgery

According to the Focus magazine, the Vitos Orthopedic Clinic Kassel ranks among the top German medical facilities specializing in the treatment of orthopedic diseases! The clinic is a specialized medical facility, which provides top-class diagnostics, treatment and rehabilitation of patients with musculoskeletal diseases. The cl
Hip osteoarthritis diagnostics
1493.8
Hip osteoarthritis (coxarthrosis) treatment with bilateral hip replacement (hip endoprosthesis)
34772.9
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
25769.85

University Hospital Ulm

9.2/10
location_onGermany, Ulm

Department of Adult and Pediatric Orthopedics

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Hip osteoarthritis diagnostics
1563.4
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
26970.45
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
27118.35

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Orthopedics, Traumatology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Hip osteoarthritis diagnostics
0
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
0
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
0

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Hip osteoarthritis diagnostics
1501.05
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
26027.95
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
26020.7

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Orthopedics, Traumatology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Hip osteoarthritis diagnostics
1943.3
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
39859.5
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
39781.2

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Orthopedics, Foot Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Hip osteoarthritis diagnostics
1640.25
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
29238.25
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
28868.5

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Hip osteoarthritis diagnostics
1495.25
Hip osteoarthritis diagnostics
1489.45
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
25360.95

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Hip osteoarthritis diagnostics
1789.6
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
34485.8
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
34548.15

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Orthopedics

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Hip osteoarthritis diagnostics
1589.5
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
27750.55
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
27144.45

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Hip osteoarthritis diagnostics
1612.7
Hip osteoarthritis diagnostics
1492.35
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
25417.5

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Orthopedics and Traumatology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Hip osteoarthritis diagnostics
1598.2
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
28814.85
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
29065.7
| from Booking Health GmbH

Coxarthrosis is one of the most common orthopedic diseases and the main indication for hip replacement. The disease develops in people over 40 years old and leads to complete joint destruction by the age of 70-80. You can undergo diagnostics, conservative therapy and surgical treatment of coxarthrosis in Germany. Booking Health will help you reduce the cost of treatment and organize your trip.

Content

  1. What is coxarthrosis?
  2. Conservative treatment
  3. Non-drug therapy
  4. Drug therapy
  5. Surgical treatment
  6. How is replacement surgery performed?
  7. Primary and revision replacement
  8. Recovery after treatment
  9. Why is it worth undergoing treatment in Germany?
  10. Treatment in Germany with Booking Health

What is coxarthrosis?

 

Hip osteoarthritis is a degenerative disease caused by the destruction of cartilage and the subchondral bone, which is located underneath. The disease is essentially a gradual "wear and tear" of the joint, which occurs with age. The rate of development of pathology depends on the number of the following factors:

  • Body weight.
  • Level of physical activity.
  • Structure of the musculoskeletal system.
  • Lifestyle, nutrition, metabolism, etc.

Coxarthrosis is manifested by chronic pain syndrome. The range of motion of the damaged joint gradually decreases. The function of its pulling backwards suffers first. Then the possibilities of rotation of the joint are reduced. A person spares a sore leg when walking, and therefore muscle atrophy on the affected side gradually occurs.

The disease is diagnosed with the use of medical imaging methods. They allow the doctors to see the signs of joint destruction even prior to the onset of the very first symptoms.

The main diagnostic method is X-ray. It is less informative than CT or MRI, but still, in most cases, X-ray examination is sufficient not only to make a diagnosis, but also to determine the stage of pathology. Most people go to the doctor after the onset of symptoms, when the destruction of the joint is obvious and clearly visible on the images.

When planning surgical treatment, computed tomography is often used. This method allows the doctors to examine the joint and surrounding tissues in all details.

Hip osteoarthritis is inflammation of the hip joint with wearing off its cartilage.

Treatment of hip coxarthrosis includes painkillers, physical therapy, surgery.

Cost of conservative therapy is from €3,010, cost of hip replacement is from €11,783. You can find other prices on the Booking Health website.

The best hospitals in Germany are:

  1. University Hospital of Ludwig Maximilian University of Munich
  2. University Hospital Frankfurt-am-Main
  3. University Hospital Rechts der Isar Munich
  4. Helios Hospital Berlin-Buch
  5. Clinic of Advanced Biological Medicine Frankfurt-am-Main

Conservative treatment

 

The conservative treatment can be drug and non-drug therapy. Its goal is to slow down the development of coxarthrosis, relieve pain and other symptoms, as well as improve the function of the limb. However, there are no treatment methods, which can restore the destroyed hip joint.

Non-drug therapy

 

Non-drug therapy is more effective. Unlike drugs, it allows the doctors to slow down the progression of the disease and delay the need for replacement surgery. Non-drug therapy is aimed at eliminating excessive load on the hip and strengthening the body's ability to carry this load.

The therapy has the following purposes:

  • Limb unloading. The patient can use a cane, crutches, or orthoses. The special orthopedic shoes are often chosen to compensate for differences in the length of the patient's limbs.
  • Muscle strengthening. For this purpose, special training is used, as well as cuff traction for the lower leg. The procedure is effective only at the early stages. The doctors use weights, which are gradually increased to build muscle. The specialists increase not only the weight, but also the duration of its use – up to several hours a day.
  • Weight loss. It allows the patient to reduce pain, relieve the joint and improve its function (increase the range of motion). It has been proven that weight loss reduces the symptoms of coxarthrosis and improves the quality of life. However, there is no evidence that weight loss slows down the degeneration of articular cartilage.
  • Lifestyle correction. The patient is advised to avoid physical activity, joint injuries, overheating and hypothermia. Lifestyle adjustments are also aimed at achieving and maintaining body weight targets.

Many non-drug procedures are used for symptomatic purposes. These may be physiotherapy, gymnastics, reflexology, acupuncture and others. The effectiveness of most techniques has not been proven. None of these treatment methods slows down the development of hip osteoarthritis.

Drug therapy

 

The main classes of drugs used for coxarthrosis are:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Chondroprotectors.
  • Glucocorticoids.
  • Opiates (narcotic analgesics).

NSAIDs are the main group of drugs. These medicines are taken by most people with coxarthrosis. However, they are all unsafe: 1% of people have gastrointestinal or other haemorrhages, which require hospitalization. The incidence of minor haemorrhage, which are insensitive or accompanied by mild abdominal pain, is even higher. Therefore, the doctors try to minimize the doses of drugs and the frequency of their administration, complementing the effect with non-drug measures.

At the initial stages of the disease, NSAIDs are usually taken on demand. That is, in cases where hip pain occurs or increases. This usually occurs after exertion, while after rest, the painful sensations disappear.

The course of the early stages of osteoarthritis can be undulating. The hip joint periodically becomes inflamed – reactive synovitis develops. During these periods, painkillers are used. When the symptoms of synovitis subside, medications are not used.

Chondroprotectors are a group of drugs with an unproven effect. These are components of animal cartilage. Some tests demonstrate a moderate symptomatic effect in knee osteoarthritis, but in coxarthrosis, the use of chondroprotectors is usually useless. These drugs are not used in Europe.

Glucocorticoids are strong, but very harmful drugs for the body, and therefore they can be used only in extreme cases. For osteoarthritis, they are used in short courses. They can sometimes be injected into the joint.

Opiates are powerful analgesics. The need for them arises only at the advanced stages of arthrosis. Grade 3-4 osteoarthritis is usually treated with replacement surgery, and therefore opiate therapy is provided only to those for whom this surgery is contraindicated.

Surgical treatment

 

In the twentieth century, a large number of operations were used for the treatment of hip osteoarthritis: stabilizing, decompressive, tropostimulating, corrective surgeries. As a result of these surgical interventions, movement in the joint was limited, friction decreased, the length of the limbs was restored, etc. However the effect of these operations was short, so they were almost completely abandoned in Europe.

Hip replacement (endoprosthetics) is the only effective surgical treatment. All other methods are considered inappropriate.

Hip replacement has the following benefits:

  • It solves the problem of hip osteoarthritis once and for all.
  • High efficiency – on average, 90%, and in the best German hospitals – up to 98%.
  • Low probability that a second operation will be required in the future – on average, 15-20%, and in Germany only 10% of patients need repeated interventions, and they are generally performed more than 10 years after the first operation.
  • Low risk of complications.
  • Quick pain relief.

The recovery of patients is even faster than after many organ-preserving surgeries. Depending on the fixation technique of the endoprosthesis, a person can maximally load the operated leg and walk without crutches already after 1-2 months.

How is replacement surgery performed?

 

The patients with coxarthrosis undergo total hip replacement. This means that the doctors replace not only the femoral, but also the acetabular (pelvic) part of the joint.

The surgical procedure is performed under general anesthesia. Spinal anesthesia can also sometimes be used. The duration of the surgical intervention is 1-2 hours. The doctor removes the patient's own joint and implants the components of the artificial joint in its place.

Orthopedists use two methods for endoprosthesis fixation:

  • Cement.
  • Cementless.

The cementless method is often used for hip replacement. The components of the artificial joint are pressed into the bone and fixed with screws. They are fused gradually with the patient's own tissues.

However, in elderly patients and in concomitant osteoporosis, the choice can be made in favor of cement. After "gluing" the artificial joint, the person is activated earlier and can load the operated leg earlier. This is important to reduce the risk of bone fractures near the prosthesis and to reduce the risk of complications caused by long-term decrease in the patient's mobility.

Primary and revision replacement

 

If a patient with coxarthrosis is operated on for the first time, such an operation is called primary hip replacement. If a person is operated with a previously implanted endoprosthesis, this is a secondary or revision hip replacement. The need for it arises infrequently. The better the hospital, the lower the risk that a second surgery will be required in the future.

Revision replacement is usually more complex than the first one. The operation takes longer and is more expensive. The surgical intervention is technically more complex and often gives unsatisfactory results.

During the first year after the primary hip replacement, the most common cause of revision surgery is infectious complications. This reason is the most unfavorable prognostically. Many patients will not have even one, but several operations, long-term conservative therapy and rehabilitation. Infection may develop even in the long term after replacement, but its risk gradually decreases.

Five years or more after primary hip replacement, the leading cause of revision surgery is aseptic loosening of the endoprosthesis. It is damaged due to wear and tear, technical errors during the implantation, or damage to the patient's bone tissue. Surgery for aseptic loosening involves the replacement of one or both components. In 60% of cases, the physician replaces only the femoral or only the acetabular part of the artificial joint.

Recovery after treatment

 

After surgery, complete restoration of the musculoskeletal structures affected by the disease and surgery takes at least 3-4 months. On average, the maximum function of the limb can be achieved after 6 months.

Rehabilitation begins at the hospital, where the patient undergoes hip replacement. From the very first day, the patient can get out of bed. He receives pain therapy, antibiotics, and anticoagulants. Most of the exercises are performed while lying in bed, and then standing next to it, using special devices.

Doctors in Europe use fast-track rehabilitation protocols. They involve early activation of the patient, training self-care, walking, sitting, getting up, basic household skills. With an uncomplicated postoperative period, discharge is possible within 4-7 days after hip replacement.

The high-quality early rehabilitation is especially important for the elderly and those weakened by concomitant diseases. It allows the person not only to improve the functional results of coxarthrosis treatment, but also to reduce the risk of complications.

A week later, minor loads on the operated leg are allowed. The load is gradually brought to the maximum. The most dynamic stage of rehabilitation begins in about a month. With the help of exercises, the patient can fully restore the function of the limb. The rehabilitation in Europe takes place in well-equipped Rehabilitation Centers. The high-quality rehabilitation ensures not only strong thigh muscles and maximum range of motion, but also the complete absence of pain.

Why is it worth undergoing treatment in Germany?

 

Germany offers advanced medicine. In terms of the quality of rehabilitation, this country holds a leading position even among other developed countries.

There are several reasons why it is worth undergoing coxarthrosis treatment in Germany:

  • Safe operations with minimal risk of complications.
  • The efficiency of replacement surgery for coxarthrosis in the best hospitals reaches 98%.
  • Affordable cost of treatment: here it is lower than in many other developed countries.
  • High-quality care, concomitant and symptomatic therapy, comfortable conditions in hospitals.
  • Rehabilitation based on a fast-track type of the program.

After the operation, you can undergo rehabilitation treatment in one of German Rehabilitation Centers in order to quickly return to a full-fledged and active life.

Treatment in Germany with Booking Health

 

To undergo treatment of coxarthrosis in Germany, please use the Booking Health services. On our website, you can find the cost of treatment in different German hospitals and compare prices. Please enter the name of the disease in the program, select a treatment method, and you will receive a list of hospitals where you can get medical care. By default, they are sorted by rating, but sorting by other parameters is also possible.

Please contact the Booking Health specialists to undergo treatment in Germany. Here are our benefits for you:

  • We will choose the best hospital whose doctors specialize in hip replacement for coxarthrosis.
  • We will help you overcome the language barrier, establish communication with the German hospital and your attending physician.
  • We will reduce the waiting time for the medical program and book a doctor's appointment on the most suitable dates for you.
  • We will reduce the price. The cost of treatment in Germany will be decreased due to the lack of additional coefficients for foreign patients.
  • We will take care of all organizational issues: our intermediary commits to meet you at the airport and accompany you to the hospital. We will provide you with interpreting services, help you prepare the documents, book a hotel and airline tickets.
  • We will elaborate the medical care program and translate medical records into German. You do not have to undergo previously performed diagnostic tests.
  • We will provide communication with the hospital after the treatment in Germany.
  • We will organize additional medical examinations, treatment in Germany or rehabilitation, if necessary.
  • We will buy medicines in Germany and forward them to your native country.
  • We will help you keep in touch with the hospital  after your treatment in Germany.

Booking Health makes treatment in Germany easier, faster and cheaper. We will fully organize your trip, and you will only have to focus on restoring your health.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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