Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 667144)
Hospital Lindberg Winterthur
Barna BoldogSpecialized in: orthopedic surgery, traumatology
Department of Orthopedic Surgery and Traumatology
- 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 of 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 Orthopedic Surgery and Traumatology at the Multispecialty Hospital Lindberg under the lead of Dr. med. Barna Boldog treats congenital and acquired diseases, injuries and inflammations of all parts of the musculoskeletal system and spine. These include bones and joints, ligaments, tendons and muscles which are responsible for movements.
The orthopedic team of the Department around Dr. med. Barna Boldog offers treatment for a broad range of clinical cases: limbs bone and spine fractures, joint dislocations, muscle strains, bone tumors and infections as well as advanced arthroses (knee and/or knee joint), in which the joint is totally or partially replaced with a prosthesis.
A focal point of the Department is treatment of patients with knee complains. If conservative means cannot provide a sufficient result in case of arthrosis, joint-preserving surgeries and artificial knee joints placements can be performed. These options ensure reliable pain relief, a better joint flexibility and a more secure walking ability. Depending on the extent and position of the wear of the joint, joint parts (so-called unicompartmental sliding prostheses), kneecaps-joints with friction bearing (femoropatellar prostheses) or surface joints (total knee prostheses) are implanted.
Due to approved surgical procedures and the state-of-the-art equipment, specialists of the Multispecialty Hospital Lindberg guarantee the high level of precision and the greatest possible safety to all patients of the Hospital.
The range of medical services of the Department of Orthopedic Surgery and Traumatology:
- Spine Surgery
- Joint replacement/artificial joints (hip, knee, shoulder, etc.)
- Arthroscopic interventions (arthroscopy)
- Surgeries on cartilage
- Injection surgeries
- Hand and foot surgery
- Sports injuries
Photo of the doctor: (c) Privatklinik Lindberg
Accommodation in hospital
- Program [Description]
Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)
- Hospital: Hospital Lindberg Winterthur
- access_time Duration:
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