Hip joint endoprosthesis

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A hip endoprosthesis (hip alloplasty) is a surgical procedure to replace a damaged hip joint with an artificial implant. The procedure involves the implantation of an endoprosthesis. Its aim is to relieve pain, improve the range of movement of patients suffering from degenerative changes and thus improve their quality of life through normal functioning.

The continuous development of surgical techniques and improvement of biomaterials used in prostheses means that hip replacement is no longer reserved for the elderly. It is one of the effective methods of treatment also in younger patients in cases of irreversible damage to the hip joint.

Indications for hip endoprosthesis:
  • hip arthritis
  • fractures of the femoral head,
  • fractures of the neck of the femur,
  • complicated fractures of the acetabulum of the hip joint with displacement

When qualifying for an endoprosthesis replacement, the orthopedic surgeon takes into account the structural changes of the hip joint, the patient’s age, activity level and readiness to undertake rehabilitation after the operation. It is very important for the patient to be aware that this is a highly interfering procedure, with an increased perioperative risk due to significant blood loss, and with a risk of postoperative complications if the doctor and physiotherapist’s recommendations are not followed.

Procedure
The hip replacement surgery consists of the removal of the damaged parts of the hip joint, followed by the implantation of artificial elements that take over the function of the damaged structures. The surgery is performed under local anaesthesia and takes from 2 to 4 hours. Thanks to the latest techniques the insertion of the endoprosthesis with the implant is carried out according to the highest standards.

Rehabilitation
Immediately after the surgery, the operated limb should be placed in a safe position that protects it from excessive rotation. At the same time, the patient is advised to perform active flexion and extension exercises in the ankle joint to stimulate the muscle pump and prevent thrombophlebitis.

The next stage of rehabilitation is a series of isomeric exercises under the guidance of our qualified physiotherapists, thanks to which the patient performs muscle tension and gradually incorporates active movements of the knee and hip. Already on the second day after the surgery, the patient can safely sit down, stand up and walk with the help of elbow crutches. He then learns to climb up and down stairs independently. Depending on the jointly agreed conditions with the doctor, the patient can increasingly put weight on the limb as part of the exercise and return to full mobility.

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