Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 371397)
Hirslanden Clinic La Colline Geneva
Jean-Philippe CorsatSpecialized in: knee and hip surgery
Department of Knee and Hip Surgery
- 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
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About the department
The Department of Knee and Hip Surgery at the Hirslanden Clinic La Colline Geneva offers the full range of diagnostics and treatment in this medical field. The department is headed by Dr. med. Jean-Philippe Corsat.
The specialists of the department begin treatment of knee and hip diseases with the use of effective conservative techniques, but when there is no positive dynamics they perform surgical interventions. The surgeons of the department have a perfect command of minimally invasive techniques and widely use them in clinical practice. Knee and hip joint replacement surgeries are the most common operations.
The treatment is preceded by the comprehensive diagnostics using modern imaging methods, such as X-ray, CT scan, MRI, etc. The imaging diagnostic tests are also carried out after treatment completion, to assess its results.
The department’s range of medical services includes:
- Diagnostics and treatment of knee diseases
- Knee osteoarthrosis
- Patellar dislocation
- Cruciate ligament tear
- Diagnostics and treatment of hip diseases
- Hip osteoarthritis
- Hip dysplasia
- Axial femoral displacements and their complications
- Diagnostics and treatment of other diseases
Higher Education and Postgraduate Training
- 1987 - 1991 Senior Fellow, Department of Orthopedics, University Hospital Geneva.
- 1986 - 1987 Foreign Resident and Fellowship, Department of Orthopedics, Cochin’s Hospital, Paris.
- 1982 - 1986 Fellowship, Department of Orthopaedics at the University Hospital Geneva.
- 1981 - 1982 Residency, Department of General Surgery, Regional Hospital of Martigny (Valais).
- 1980 - 1981 Residency, Department of Digestive Surgery and Urology, University Hospital Geneva.
- 1973 - 1979 Study of Human Medicine, University of Geneva.
- Since 2010 Head of the Department of Knee and Hip Surgery at the Hirslanden Clinic La Colline Geneva.
- Since 1991 Orthopaedic Surgeon, Member of the Swiss Medical Association (FMH), Private Practice.
- 1991 - 1997 Attending Consultant for Orthopaedics, University Hospital Geneva.
Photo of the doctor: (c) Hirslanden AG
Accommodation in hospital
- Program [Description]
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
- Hospital: Hirslanden Clinic La Colline Geneva
- access_time Duration:
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