Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 667297)

St. Lukas Clinic Solingen

location_on Solingen, Germany
9/10 from 23 Votes
Specialized hospital
Markus Meibert

Head Physician
Dr. med.

Markus Meibert

Specialized in: adult and pediatric surgery

Department of Adult and Pediatric 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
Type of program :
Expected duration of the program:

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About the department

The Department of Adult and Pediatric Surgery at the St. Lukas Clinic Solingen offers the full range of surgical treatment of pathologies, including sparing minimally invasive surgery. The department's areas of specialization include general, abdominal surgery, traumatology, hand surgery and pediatric surgery. It also has special experience in the field of hernia repair (certification of the German Hernia Society). If clinically indicated, surgical treatment can be performed on an outpatient basis. Whenever possible, the surgeons of the department prefer sparing minimally invasive interventions.

The department is headed by Dr. med. Markus Meibert. The specialist has rich clinical experience and is a member of the Professional Association of German Surgeons.

Abdominal surgery focus is responsible for hernia repair (inguinal hernias and anterior abdominal wall hernias), thyroid, stomach, liver, colon and rectum, gallbladder diseases. The scope of tasks also includes planned interventions to resect benign and malignant diseases of the pancreas and esophagus. In many cases, operations can be performed using minimally invasive technique.

An important area of ​​the department's work is the surgical treatment of gastroesophageal reflux disease, in which the acid contents of the stomach enter the esophagus. Heartburn and belching are the most common symptoms of this pathology. The most common cause of the development of the disease is diaphragmatic hernia. In most cases, the doctors perform minimally invasive operations using special tools and a miniature camera. This type of surgery has several advantages, in particular the absence of pain syndrome, small postoperative scars and a short hospital stay.

The department is a recognized Center for Cancer Surgery. The doctors are also increasingly using minimally invasive techniques to treat malignancies. Particular focus is on surgery to treat intestinal, cecal, pancreatic, liver and esophageal tumors. Oncological diseases require a careful diagnostics before treatment planning. The achievement of the best result requires close cooperation of all specialists involved in the treatment, ranging from radiologists and pathologists to specialists in the field of internal medicine, oncologists, radiation therapists, surgeons and gynecologists. The treatment tactics are developed individually for each patient, as part of interdisciplinary tumor boards. 

In addition to the treatment of adults, an important department's focus is surgical procedures in children. The specialists of the department apply special approaches in the treatment of children. Along with knowledge of organ systems, the pediatric surgeons understand the growth and maturation of children. In addition, young patients require a special approach and understanding of their needs, fears. Surgery in children can also be performed on an outpatient basis, for example, in the treatment of diseases of the genitourinary tract, injuries.

The main clinical focuses of the department include:

  • Hernia surgery
    • Shouldice hernioplasty (with and without special meshes)
    • Endoscopic interventions to treat hernias
  • Thyroid surgery
  • Stomach surgery
  • Liver surgery
  • Colorectal surgery (diverticulosis, ulcerative colitis, Crohn's disease)
  • Gallbladder surgery
  • Pancreatic surgery
  • Esophageal surgery
  • Surgical treatment of peritoneal carcinomatosis
  • Traumatology (professional, sports and other types of injuries)
    • Conservative and surgical treatment of tendon, joint injuries and bone fractures
    • Shoulder tendon reconstruction
    • Total hip replacement surgery
    • Knee arthroplasty
  • Cancer surgery (special focus on the treatment of intestinal, rectal, pancreatic, liver and esophageal cancers)
  • Minimally invasive surgery
    • Esophageal diverticulum removal
    • Dilatation in esophageal stenosis
    • Antireflux surgery
    • Stomach interventions to treat morbid obesity
    • Partial stomach removal
    • Liver cyst removal
    • Partial liver resection
    • Spleen cyst removal
    • Splenectomy (spleen removal)
    • Small bowel surgery
    • Removal of tumors with localization in the retroperitoneal space
    • Diagnostic procedures for suspected cancer
    • Surgery to treat rectal prolapse
  • Pediatric surgery
    • General interventions
    • Surgery to treat urinary tract diseases in boys
    • Treatment of injuries in children
  • Other surgical options

Photo of the doctor: (c) St. Lukas Klinik GmbH 

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