If your hip (hip) you hurt during movement or even at rest and sleep and need intensive medication to relieve the symptoms then it is most likely to suffer from advanced osteoarthritis.
Osteoarthritis is a degenerative etiology that affects articular cartilage and subchondral bone of all body joints.
The loaded joints such as the knee and hip because they hold all the body exhibit more frequent and more intense symptoms and lead patients to Orthopaedic Surgeon to take the final treatment option.
Normal hip joint (AAOS)
Normal hip X-ray
Hip osteoarthritis
Severe right hip osteoarthritis
Final stage femoral head – hip osteoarthritis.
Typical causes pain and reduced mobility of the hip joint
The most common causes of chronic pain and impaired function of this is arthritis. Osteoarthritis, rheumatoid arthritis and traumatic arthritis are the most common types of the disease ..
• Osteoarthritis usually occurs in people 50 years and older and often found hereditary history arthropathies, many times during the development of the hip early age observed dysplasia form which will lead to faster progression to the end time.
• Rheumatoid arthritis is an autoimmune disease with inflammation of the synovial membrane and premature deterioration of the articular cartilage of the joint resulting in faster onset of symptoms of pain and stiffness
• Traumatic arthritis usually follows an injury to the joint as a serious intra-articular fracture. The fracture may cause the irreversible necrosis of the femoral head known as osteonecrosis. Articular cartilage can be injured and soon to develop osteoarthritis.
Osteoarthritis treated for many years with conservative treatment consisting of:
Stem cell therapy: Treatment with autologous stem cells is currently one of the most important developments in the field of regenerative medicine. The indications are from light to moderate arthritis of the hip joint and usually at ages up to 55-60 years. The aim of therapeutic approach with autologous stem cells is to halt the progression of arthritis and rebuild new cartilage cells in the joint. The process takes place in the operating room where bone marrow is obtained from the pelvis from which, after a specific treatment, isolated stem cells and under the direction of X-ray machine – C-arm, – injected exactly at the point of joint damage.
Under fluoroscopic vision, the needle is in the arthritic hip joint
The stem cells injection
• medications such as anti-inflammatory drugs, particularly protection formulations of articular cartilage such as chondroitin sulfate, hyaluronic acid. The sulphate chondroitine taken every day and for long periods which can reach 4-6 years with short breaks. Hyaluronic acid is mainly applied to intra-articular injection every 6 months at weekly administration (5 injections). Its action is essential lubricant since it offers the overworked joint components that enable to move with ease.
The intra-articular injection of collagen is now a new therapeutic approach with very good results in those cases in which the patient does not want the surgery of his problem.
The combination of intraarticular injections of hyaluronic acid and collagen is a modern therapeutic proposal.
• physiotherapy comprising exercise program to maintain muscle strength and balance between muscle groups, and also improve the range of motion thereof.
• special aids (cane, splints) may provide relief for some time.
• loss of unnecessary weight which puts not only the musculoskeletal system and the entire organization
• avoid excessive tiredness of the affected joint with relevant limit intense activities.
In advanced stages of osteoarthritis but these measures are not sufficient and need more radical solutions is imperative.
OPERATIVE TREATMENT
Therapy
REHABILITATION
ALMIS HIP ARTHROPLASTY
AnteroLateral Minimal Invasive Surgery
The Orthopaedic Surgeon in consultation with the patient and his family will decide together on the usefulness of surgery for each patient.
Total hip arthroplasty in force since 1960 and went through many stages of development and improvement as regards the materials and the design.
Today orthopedic community has in the hands of a wide range of designs and materials, each of them serves the specific needs of each individual and the peculiarities of diseases.
Especially chrome-cobalt and high strength ceramic materials alloys offer excellent anatomical fit and resistance over time.
The method Minimal Invasive Surgery based surgical philosophy surgery with minimal tissue damage.
In hip surgery today do not cut soft tissue – muscle, but access to the joint is the separation of muscle groups so as to approach or hinge surgically possible bloodless manner.
The benefits of ALMIS of this method is that the patient:
has minimal blood loss which means that you will not need to transfusion during or after surgery
minimal postoperative pain contributes to faster mobilization of the patient immediately after surgery
because the muscle groups not cut the person has faster recovery and return to daily activities
the use of devices such walker, crutches or walking stick remains at 20 days compared with the conventional method needed assist for six weeks.
Total arthroplasty of the right hip
From total hip arthroplasty find relief patients with symptoms such as:
• Pain in the hip which limits daily activities such as walking and rest.
• The pain continues during rest and sleep
• The rigidity limits the ability of motion and raising the leg
• Medication insufficient relief from symptoms
• Side effects of medication do not allow their use
• Other treatments such as physical therapy or the use of special walking aids can not cope.
Hospital stay after surgery
The stay in the clinic will last from 2-3 days and will depend on the patient’s health and the level of his rehabilitation.
Postoperative pain will be treated intensively by taking special modern medications under the full guidance of the treating Orthopedic.
During the bed rest, a thick pillow between the legs will ensure the correct and safe position of the hips.
Walking and light activity are very important elements for the patient’s rapid recovery. Special walking aids (walking aids) will be needed for the first 15-20 postoperative days.
Special stockings to prevent venous thrombosis as well as the toilet bowl elevation device will complete the patient’s protection cycle.
Physical therapy
Physical therapy is performed on a daily basis in the clinic where learning to use walking aids, implementing a program to strengthen muscle groups, improving the range of motion of the affected joint, as well as exercises to improve respiratory function are carried out.
Physiotherapy will continue at home for 10-15 sessions.
Daily care of the surgical wound by the Orthopedic surgeon who will inform you about the progress of your health. The stitches will be removed approximately 15 days from the day of surgery.
Diet
The diet after surgery should consist specifically of meat (beef, chicken, pork), and lots of fruit that will ensure a sufficient amount of proteins and vitamins and minerals respectively, which will help in the faster and more correct healing of the surgical wounds.
For the next 15-20 days, walking will be assisted by the use of crutches or a walker.
After six weeks from surgery, the operated patient can walk independently of aids and participate in his daily activities.
Returning to work will take 2-3 months depending on the nature of the patient’s profession.
