Hip replacement in patients with coxarthrosis in Germany
Osteoarthritis is one of the most widespread diseases in the world. About 10% of world's population suffers from this disease. Most often the knee or hip joint is affected. This is a degenerative disease. It is associated with progressive atrophic changes and thinning of the cartilage. In short, the joint is "worn out", and as a result, doctors often have to implant an artificial one. Such operation is called endoprosthetics of the hip joint.
Coxarthrosis – Diagnostics
The main steps in the establishment of a diagnosis are:
- Clinical diagnostics. The doctor assesses patient's complaints. In the case of coxarthrosis, pain is usually observed not in the hip joint, but in the knee, groin, or buttock. The pain increases after the physical exertion. During the examination, the doctor detects the atrophy of the gluteus muscle on the lesion side. There is a soreness while the palpation of the inguinal region. One leg may be shorter than the other one.
- Laboratory diagnostics. It is impossible to diagnose coxarthrosis with the help of the laboratory methods. But they are required for differential diagnostics in order to exclude other diseases that cause damage to the hip joint. In the case of gout, the concentration of the uric acid in the blood increases, and in the case of arthritis, the inflammation markers appear. In the case of coxarthrosis, such changes are not observed.
- Radiography is an image of the pelvis and both hip joints. This is the main method of coxarthrosis diagnosing. Classical signs of dystrophic changes in the joint are determined exactly on the X-ray. Such signs include the narrowing of the joint gap, the growth of the osteophytes along the edges, and subchondral sclerosis. Often, X-ray changes do not correlate with the clinical picture. Therefore, medical treatment of coxarthrosis can be prescribed even when the significant signs of disease are absent on the X-ray.
- MRI is performed as a clarifying method. It allows to receive a 3D image of the hip joint structure. Also, it can be used for surgery planning.
Best clinics for the coxarthrosis diagnostics in Germany:
University Hospital Ulm
Hospital Neuwerk Maria von den Aposteln Moenchengladbach
Hannover Medical School (MHH)
Coxarthrosis – Treatment
In the case of coxarthrosis, some treatment is performed to reduce the pain, to maintain or restore normal working capacity. It is important to prevent the further destruction of cartilage and disease progression.
Conservative treatment methods in the case of coxarthrosis include:
- Physiotherapy. First of all, training is required in order to strengthen the quadriceps femoris muscle.
- Physiotherapy. Cold, heat, electrostimulation of nerves, etc.
- Drug therapy.
The purpose of drugs administration is to reduce the pain syndrome. Non-steroidal anti-inflammatory drugs are prescribed. If they are ineffective, narcotic analgesics can be used. When the signs of inflammation are present (in combination with the arthritis), glucocorticoids are prescribed. Hyaluronic acid can be injected in the joint every few months.
At the certain stage of the development of the disease, any treatment may become ineffective. In this case, the endoprosthesis of the hip joint is performed. The main indications for the operation are the following: chronic pain syndrome, which is poorly blocked by analgesics and significantly affects the quality of life, or a significant violation of joint function with a sharp restriction of the movements volume.
During the operation, patient's own joint is replaced with an artificial endoprosthesis. Many patients prefer to treat coxarthrosis in Germany. Doctors in this country have a huge experience in carrying out this surgical intervention. Dozens of thousands of surgeries for replacement of the hip joint are performed here annually.
The main advantages of endoprosthetics in Germany are:
- Functionality of the endoprosthesis. Only qualitative endoprostheses are implanted in Germany. They are very durable and wear-resistant. They have a low reactogenicity, do not provoke inflammatory reactions and are not rejected by the body. German artificial joints have high functionality. They provide a large volume of movements, allowing a person not only to restore mobility and working capacity, but also to go in for sports.
- Service life of the endoprosthesis. In Germany the average endoprosthesis service life is 20 years, which significantly exceeds results of other countries. When performing hip replacement in Germany, you will not need to undergo revision surgical intervention to replace a worn-out endoprosthesis for many years.
- Qualitative surgeries. Thanks to the special design of the endoprostheses, as well as the modern surgical techniques, German doctors reduced the traumatization of the tissues. Surgical access is performed through the incision of about 10 cm, while in most countries the incision up to 25 cm long is made. The result is a lower risk of complications, as well as a rapid healing of the operating wound.
After a surgical intervention, the patient will be provided with quality care and well-performed analgesia.
Best clinics for the hip replacement in patients with coxarthrosis in Germany:
University Hospital Ulm
Academic Hospital DRK Berlin Westend
Hannover Medical School (MHH)
Hip replacement – Rehabilitation
You can not only undergo hip replacement, but also go through rehabilitation in Germany. It begins as soon as possible after the surgery. The purposes of rehabilitation activities are:
- Prevention of complications
- Saving the best results after the surgery
- Full and rapid recovery of limb functionality
- Gait stabilization
There is an early phase of rehabilitation, when soft tissues are healed, and late phase, when bone structures are healed. The late phase can last three months or longer. After surgery, you can undergo a rehabilitation in Germany. The best rehabilitologists, manual therapists, masseurs, physiotherapists, and specialists in physical therapy are involved in the rehabilitation process.
Best clinics for orthopedic rehabilitation in Germany:
Max Grundig Clinic Buehl
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Author: Dr. Nadezhda Ivanisova
Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.
The program includes the following:
- Issuing of an invitation for getting a visa for treatment as quick as possible
- Fixing an appointment at a time convenient for you
- Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
- Arranging transfer from the airport to the hospital and back to the airport
- Provision of interpreting services and services of a personal medical coordinator
- If necessary, assistance in the organization of further surgical treatment
- Provision of a medical insurance against treatment complications covering up to 200,000 euro
- Preparation and translation of medical records and recommendations from the hospital
- Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc