Dear patients,
In 2019, it became possible for residents of the Leningrad region to perform hip replacement for free(VMP). The number of quotas is limited!
Doctor’s advice: building No. 4 office 28 DAILY on weekdays from 16: 00 Office administrator: Anastasia Nikolaevna Sergienko Contact phone number: +7(921)-410-62-63 (from 09-00 to 17-00 on weekdays)
- Hip replacement surgery is a surgical intervention that aims to restore a mobile, painless joint that allows you to return to your usual life.
- Approximately 2 million total hip replacement surgeries are performed worldwide each year.
- According to Russian authors, out of every 10,000 adult residents, 27 people will potentially need endoprosthetics.
Among patients with diseases of large joints, the percentage of those who need endoprosthetics is about 7.7%. Various types of osteosynthesis of femoral neck fractures often do not lead to fusion of the fracture, and in the case of consolidation, aseptic necrosis of the femoral head usually develops, resulting in coxarthrosis.
A significant arsenal of different methods of treating coxarthrosis of various etiologies (osteotomy, arthroplasty, arthrodesis) does not give a significantly long-term clinical effect, so the treatment of fractures, consequences of injuries and hip diseases remains an urgent problem to date. Hip replacement is considered to be the most justified and widely used method of treating this pathology in modern conditions.
Indications for hip replacement.
- degenerative-dystrophic diseases of the hip joint with severe pain syndrome and impaired limb function;
- congenital malformations (congenital hip dislocation, joint dysplasia, dyschondroplasia);
- post-traumatic joint deformities;
- false hip joints;
- subcapital and transcervical femoral neck fractures in the elderly;
- bilateral fibrotic or bony ankylosis of the hip joints (ankylosing spondylitis);
- aseptic necrosis of the femoral head 3-4 tbsp.;
- tumor processes in the femoral head and neck that require resection of the pathological focus.
A clinical case
Patient V., 51 years old, was in the trauma department with a diagnosis of:deforming dysplastic osteoarthritis of the left hip joint of the 4th degree with complete dislocation of the femur. Aseptic necrosis of the head of the left femur with its complete lysis.
Acetabular roof defect. Neoarthrosis between the neck of the left femur and the wing of the left ilium above the acetabulum by 3 cm. Severe pain syndrome. Combined contracture of the left hip joint. Left lower limb dysfunction. All rehabilitation measures in this clinical example were powerless to restore the ability to support and function of the limb. The pain syndrome when moving in the joint was significant, the patient was forced to move only with additional support. There was a significant shortening of the limb (about 5 cm).
Total endoprosthetics of the left hip joint were performed in combination with bone autoplasty.
The patient was activated on the 2nd day after surgery.
On the 6th day after the operation, the patient was discharged for outpatient treatment, after the wound was healed, sent for rehabilitation treatment, and at follow-up examinations, a gradual restoration of the lower limb function is noted. In average terms (6 weeks), the patient is allowed to fully load the operated limb.
The length of the limb was restored, the maximum amount of movement possible for a total hip replacement was restored, and the pain syndrome was practically stopped. The patient can load the operated limb with the entire body weight.