The hip is the biggest and one of the most important joints.
Prevention of hip injuries is of major importance in order to maintain good health and physical condition.
There are different types of hip fractures among which the most frequent ones are fractures of the upper part of the femur proximal to the pelvis.
Depending on the type and site of fracture, symptoms can be different, but most typical ones are pain of different intensity and movement limitation on the injured side.
In Atlas general hospital, successful and modern surgical treatment is used to save hip’s function and stability.
The hip fracture treatment,depending on its type, can be conservative or surgical.
Conservative treatment includes long-term immobilisation combined with drugs such as analgetics and corticosteroids;however this treatment is often insufficient and is effective only in small number of patients with less serious fractures .
Surgical intervention is most often needed and in some cases hip replacement is inevitable.
The most common reason for total hip replacement is hip arthrosis or hip fractures .
Arthroses may be primary or secondary.
In primary arthroses the cause is unknown, while secondary arthroses are the consequnce of rheumatic or some other similar disease,as well as post-traumatic conditions and previous operations.
Total endoprosthesis is one of the most frequent and most successful orthopaedic operations in our hospital. Quick recovery and complete elimination of pain are provided by modern technology of producing hip prosthesis,high quality bio-material and advanced operative technique.
Type of hip prosthesis
When choosing the type of prosthesis every patient is approached individually and many factors are taken into consideration.They include:age,degree of hip damage,anatomical characteristics,expected degree of body activity,previous diseases or interventions.
Non-cemented hip prostheses are used in younger patients whose bone structure is well preserved. This type of prostheses is used in most of our patients.
Cemented prostheses are used in elderly patients with inadequate bone quality (most often ostheoporosis).Patients’ age is one among many factors which is important when considering which type of prosthesis to use.
Revision of total hip
Revision of total hip prosthesis has nowadays become a standard procedure in oor hospital as well as in the world. With the increase in the number of total hip replacement there are more and more hip revisions or re-operations.
Over time the mobile parts of the replacement that move against each other will slowly wear and tear during the regular use of the replacement, which causes pain.
For those reasons it is necessary that patients should undergo orthopedic examination and have X ray of the operated hip made once a year.
Besides hip fractures,injuries and replacements, biological interventions are also very important. They help to improve the function of the joint using regenerative therapies or biological operations without hip replacement (mostly in younger patients).
How is this procedure carried out?
The operation is carried out following pre-operative preparations and decisions about which type of anaeshesia is most adequate,(block anaesthesia,spinal or general anaesthesia).
It is important to say that muscular damage is minimal which enables quick rehabilitation and hip muscle function is preserved. Classical hip replacement in our hospital usually lasts about 90 monutes.
Search for additional information: Orthopedic – Hip
Dr Gordan GavrilovićOrthopaedic and traumatology surgeon
Ass. dr sci med Vladan StevanovićOrthopaedic and traumatology surgeon
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