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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 667357)

Samsung Medical Center Seoul

location_on Seoul, South Korea
9.8/10 from 16 Votes
Specialized hospital
Park Youn Soo

Head Physician
Prof. Dr. med.

Park Youn Soo

Specialized in: adult and pediatric orthopedics, orthopedic surgery

Department of Adult and Pediatric Orthopedics, Orthopedic Surgery

Program includes:

  • 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.

Required documents

  • 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 Adult and Pediatric Orthopedics, Orthopedic Surgery at the Samsung Medical Center offers the full range of services in these medical fields. The department specializes in the treatment of all diseases and injuries of the musculoskeletal system. The department is headed by Prof. Dr. med. Park Youn Soo.

A highly qualified medical team has in its arsenal many effective conservative methods and proven surgical techniques. The treatment program is developed for each patient individually with due consideration of the specific clinical picture, general patient’s condition and their wishes. 

The range of medical services of the department includes:

  • Diseases and injuries of the knee
    • Sports injuries (for example, damage to the cruciate ligament or semilunar cartilage)
    • Degenerative arthritis
    • Rheumatoid arthritis
    • Other pathological conditions
  • Hip diseases
    • Aseptic necrosis of the femoral head
    • Degenerative arthritis
    • Rheumatoid arthritis
    • Other diseases
  • Diseases of the upper extremities
    • Diseases and injuries of the wrist joint
    • Diseases and injuries of the elbow joint
    • Diseases and injuries of the upper limb peripheral nerves
    • Other pathologies
  • Diseases of the shoulder and shoulder joint
    • Ligament injuries
    • Dislocation
    • Frozen shoulder
    • Degenerative arthritis
    • Rheumatoid arthritis
    • Other diseases
  • Spinal diseases
    • Herniated lumbar intervertebral disc
    • Herniated cerebral intervertebral disc
    • Degenerative diseases of the spine
    • Spinal stenosis
    • Spinal deformities
    • Other diseases
  • Pediatric orthopedic diseases
    • Congenital developmental defects
    • Growth disorders
    • Infections
    • Oncological diseases of the musculoskeletal system
    • Injuries of the musculoskeletal system
    • Other diseases
  • Benign and malignant tumors of the musculoskeletal system
    • Bone tumors
    • Muscle tumors
    • Nerve tumors
    • Limb tumors
    • Spinal tumors
  • Joint replacement surgery (mainly hip and knee)
  • Treatment of sports injuries
  • Other medical services

Curriculum vitae

  • Study of Medicine at the Seoul National University.
  • Fellowship, Joint Reconstruction, Clinic for Orthopedics and Arthritis, Toronto, Canada. 
  • Residency at the Seoul National University Hospital.
  • Internship at the Seoul National University Hospital.

Clinical and Research Interests

  • Total hip arthroplasty and revision surgery.
  • Hip osteotomy.
  • Hip fracture surgery.
  • Avascular necrosis of the femoral head.

Membership in the Academic Societies

  • Member of the Editorial Board of the Korean Orthopedic Association.
  • Board Member of the Korean Hip Society.

Photo of the doctor: (c) Samsung Medical Center 


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