Hip replacement surgery: who needs to do this operation, how much does it cost and how does it pass
Hip joint endoprosthetics is an operation that is performed with a pronounced impairment of its function: with its high wear and tear, and also with injuries. Who needs to undergo such an operation? How much can it cost? How is this surgery performed? For all these questions, you will find the answers in our article.
Quick jump to the sections of the article:
To whom the operation
is shown Myths about the
endoprosthetics Types of operation
What are the endoprostheses
How much does such an operation cost?
How is the procedure for joint replacement
How to live further after the operation?
To whom operation
is shown The operation for joint replacement is most often performed with such diseases and conditions as:
photo of hip joint prosthesis
deforming hip osteoarthrosis( coxarthrosis);
- aseptic necrosis of the head of the femur( ANGBK);
- hip dysplasia;
- consequences of traumatic hip joint injuries;
- fracture of the femoral neck.
Each diagnosis described above is not yet an absolute indication for the operation: in each specific case, this issue is resolved after a thorough examination and examination of the patient by the attending physician.
With regard to arthrosis of the hip joint, the operation of endoprosthetics( EP) is usually performed in advanced stages of the disease( at 2-3 degrees of the disease), as well as with persistent and severe joint pains, including at rest, with a decrease in which painkillersalready do not cope.
endoprosthetics There are common misconceptions about this operation, "thanks to" which many people treat preoperative operations with prejudice or do not accurately assess them. We will try to dispel these myths.
Myth # 1: this operation should be done only in the most extreme case
Many patients with arthrosis of the hip joint( coxarthrosis) postpone the endoprosthesis replacement until the last, intending to go through it only if they are completely deprived of the opportunity to walk. In fact, this is not the best strategy. Delaying the arrival to the surgeon, such a patient completely in vain continues to experience pain in the joint, which could be avoided by doing surgery earlier.
In addition, when a person with this disease does not rush to the operation of hip arthroplasty( which has long been needed), this tightening only worsens the course of the disease. At this time, the disease continues to adversely affect human health and is increasing every day, thereby extending the terms of rehabilitation and a return to a healthy life.
Myth number 2: for complete recovery it is enough to just undergo such an operation
metal stent and articular head of prosthesis
Actually this is far from the case. Coxarthrosis or other disease, because of which it is necessary to do such an operation - is a disease not only of the femur, but of the entire joint and even of the whole organism.
Due to the fact that the patient spares the sick leg and uses less of it, the muscles of the hip and joint ligaments become weaker, atrophy, the density of bone tissue decreases( that is, osteoporosis develops), and so on.
Therefore, a complex approach is required for recovery, when the operation follows a well-chosen program of rehabilitation, physical therapy, physiotherapy and other therapies that help the patient to get back on their feet and feel healthy again.
Myth # 3: the endoprosthesis can quickly fail, and then it will be necessary to repeat the entire procedure first
This also does not always correspond to reality. Since endoprosthetics of the hip joint is not an easy operation, all prostheses are made with the expectation of maximum durability and working capacity.
Prostheses are made of high-quality plastic, ceramic or metal, due to which the service life of the endoprosthesis is 15-20 years, and if everything is in order, after only this period, repeat the operation to replace the endoprosthesis. And in elderly patients, thanks to such a long period of operation of the prosthesis, repeated surgery often does not need to.
Types of arthroplasty
Currently, there are three types of this operation: the replacement of the hip joint( TC), the installation of a partial prosthesis and a complete( total) prosthesis.
Replacement of TC surfaces
With this type of surgical intervention, surgical intervention on the joint area is minimal( compared to other methods).From the acetabulum of the pelvic bone, the cartilaginous layer is removed, which is replaced by a special artificial articular bed.
As for the thigh bone, but its head is sharpened in a certain way, after which a special metal cap is worn on it. Due to such changes, the articular surfaces of bones are replaced by artificial surfaces, and the slip between these parts becomes close to ideal.
Complete and partial replacement of the hip
This operation affects more tissues, but it is also performed in more severe cases, when the procedure for replacing the joint surfaces is no longer sufficiently reliable.
With this kind of surgical intervention, the femoral head is no longer grinded, but completely removed. In addition, the neck of the femur is also partially removed, and instead of these removed tissues an artificial articular bed is installed and also an artificial analogue of the head of the femur with a metallic or ceramic articular surface.
A special pin penetrates the body of the bone, and thanks to this, the structure has high strength. How it looks, you can see in the picture.
Complete, or total, endoprosthetics
This operation is the most radical of all listed, but at the same time very effective. Its essence lies in the fact that it completely replaces the hip joint. With the pelvic bone, the remains of the cartilaginous tissue are removed, and a new - ceramic or metallic - articular bed is placed in its place.
The other part of the artificial joint consists of a metal pin of high strength, which is made of titanium, stainless steel or other metals, and an articular head, which can also be made of metal or of high-quality ceramics. The metal pin penetrates into the femur and is fixed there, ensuring the reliability and stability of the entire structure, and the head of the prosthesis is attached directly to it.
What are the types of
endoprosthesis photos of the
ceramic hip joint prosthesis? Because all people are different, with different sizes and complexes, all the components of such an artificial endoprosthesis - pin, joint head, articular bed - are selected individually for each patient. There are about two hundred different components of this prosthesis. They are selected by the doctor in the process of examining the patient and preparing him for such an operation.
In addition, endoprostheses are made of different materials - metal, ceramics and high-quality plastic( polyethylene).Depending on the patient, the age and manner of life of the endoprosthesis operation, these materials can be combined with each other in various combinations.
So, for the elderly patient, who has little physical exertion on his leg, prostheses can be installed in which one part of the joint - for example, the articular bed - is made of plastic and the other is made of metal. This combination allows you to greatly increase the life of the endoprosthesis.
And if the operation is carried out by a young patient who has physical load on the joints( and will be in the future) sufficiently large, then the strategy of choosing a prosthesis will be completely different. Such a patient usually stops an endoprosthesis, in which both composite surfaces are made of ceramics, or both parts are made of metal. Such hip joint prostheses will be more rigid, but at the same time they can last for a long time even at high physical exertion on their feet.
How much does such an operation cost?
The price of a hip replacement consists of two components: the cost of the prosthesis itself and the cost of the operation, together with the stay in the hospital.
The price of the endoprosthesis may vary depending on the disease: for example, an endoprosthesis for surgical treatment of coxarthrosis may cost more than the prosthesis that is required, for example, with hip fractures and other diseases.
In general, the cost of a joint prosthesis ranges from 30 - 40 to 100 thousand rubles or more( on average in Moscow at the beginning of 2013).The cost of the operation itself, together with hospital stay, rehabilitation, etc.is between 20 and 70 thousand rubles and more.
Thus, the cost of an all-inclusive operation( we are talking about primary total endoprosthetics) can range from 50,000 to 350,000 rubles - when performing such surgical treatment in clinics and hospitals in Moscow.
If you do not trust domestic specialists, you can undergo similar surgery in medical institutions of other countries - Turkey( from 10,000 to 15,000 euros), Israel( from 15,000 to 20,000 euros) or in Germany( from 17,000 to 23,000 euros).
How the operation is performed
The duration of the operation is usually from 45 minutes to 3 hours. Depending on what kind of endoprosthetics is performed - total or partial - the duration of the procedure may vary. The operation is carried out under both general anesthesia and under spinal anesthesia.
For the patient to be able to start using the joint in full as soon as possible, very easy exercises of therapeutic gymnastics for the hip joint are beginning to be performed already 1-3 days after the operation, which gradually complicate and increase the load on the operated leg. As a rule, a day after the operation the patient can already sit on the bed.
Usually 1-2 weeks after endoprosthetics, if everything went without complications, the patient is discharged from the hospital. By this time, he can already get out of bed and begin to walk neatly, and is also able to climb and descend the stairs with the help of crutches.
How to live further after the operation?
Of course, an extract from the hospital does not mean that treatment and rehabilitation at the same time stops. The attending physician prepares a rehabilitation program for the patient, consisting of several stages, during which the patient, as it were, learns to walk and use the new joint, learn to move and restore the load on his legs.
In this case, the return to the usual life for the patient with a full load usually occurs after 2-3 months - provided that he follows all the recommendations of the doctor. In some cases, including the elderly patient, the period of restoration of the joint function in full can take up to six months.
Read also the patients' reviews about hip replacement.
Dear Denis Valerievich! I want to express my sincere gratitude to you for the highly professional operation( November 25, 2015).In the course of. ..Elvira Alekseevna
I am a girl, some time ago I was born again with a congenital trauma-dysplasia of the hip joint, eventually coxarthrosis was added to this,. ..Anna Ex.
Dear Denis Valerievich! I congratulate you on the Day of Medical Worker! Once again I want to thank you for your sensitivity, benevolence, excellence. ..Rakant Michael Surgical treatment & gt; Endoprosthetics of joints & gt; Which endoprosthesis to choose? What does the cost of endoprosthetics depend on?
Cost of hip arthroplasty |Dr. Yolkin
Joint replacement is a modern, technically complex and expensive method of treatment, which is used for many diseases and disorders: among them arthrosis( coxarthrosis, gonarthrosis and others), hip fractures( especially dangerous in old age) and others.
With indications for endoprosthetics, many questions arise:
- How to choose the right endoprosthesis and how much will it cost?
- What are the parameters for the cost of the operation? In which clinic do the operation?
The first rule about which we are not tired of warning our patients: a good prosthesis - does not mean the most expensive.
Artificial joint is selected based on many parameters!
For more information on these issues, please visit an orthopedic specialist who performs the operations, and together with him decide which prosthesis is needed in your case.
What determines the cost of the prosthesis?
More 20-30 years ago only operations of endoprosthetics of large joints( hip, knee) were performed. Now, medical technologies make it possible to replace, if necessary, the shoulder, ankle and even small joints of the foot - metatarsophalangeal and interphalangeal.
In each case - its pricing, which depends on the type of construction of the endoprosthesis, from the materials used in it. For example, if there is a need for a complete replacement of the knee ligament in endoprosthetics of the knee, a special "highly stabilized" knee implant is used, which is technically very complex and, accordingly, expensive.
Now there is a choice: for the choice of implants available, both domestic and imported production. However, due to the limited assortment of quality domestic endoprostheses, in most cases, joints of imported production are used. Although for some situations the doctor may well advise for an endoprosthetics any proven Russian prosthesis.
Materials of the components of the
endoprosthesis The supporting structures of artificial joints and their "friction node" should be distinguished. The materials used in them are very different in properties.
For the former, titanium alloys, cobalt-chromium alloy or special grades of steel are used. The basic requirements for them are high strength and absence of reactions of rejection from the body.
For the manufacture of the "friction unit" components, the main requirement for the materials used is the sliding ability and the special abrasion resistance over time. The choice of such materials is now quite wide - these are the same alloys of cobalt and chromium, ceramics, as well as a special polymer.
There are ways to harden and improve the properties of the surface of metals. This surface is much more resistant to abrasion, the endoprosthesis is more durable. However, the use of such technologies increases the cost.
How to fix
This parameter is important for both hip replacement and others. A cement, cementless or combined technique for fixing the implant to the bone can be used. As a rule, cement joint fixing is cheaper than cement-free joint. The latter implies a higher price of the implant due to the need for special surface treatment or applying a special layer on it, which ensures the growth of bone tissue in the implant.
What determines the total cost of the operation?
The total amount for endoprosthetics of large joints is usually about 300-400 thousand rubles.
The cost can be changed if:
There are several variants of prostheses and methods of conducting the operation. For example, the replacement of TBS may differ in the degree of intervention:
- Partial replacement - single-pole prosthetic TBS.It is almost always performed by a mini-invasive method.
- Total hip arthroplasty - complete replacement of the joint and bone parts( bipolar prosthesis TBS).In this case, during surgery, both the cavity and the head are changed. Total hip arthroplasty can be performed by a mini-invasive method or traditional surgical method.
Depending on the technology by which the prosthesis is attached to the bone, distinguish:
- The cementless fixation of the endoprosthesis - fixation of the prosthesis occurs due to the growth of bone tissue in the structure of the implant.
- Cement anchorage of the endoprosthesis - is carried out by fixing both constituent parts of the prosthesis with a special cement solution.
- Hybrid( combined) method - a method where the cup is fixed with cementless technology, and the foot - with cement.
Now more and more clinics offer their clients endoprosthetics of the knee joint using computer-based navigation technology. With the help of infrared rays and sensors, the image of the replaced joint is constructed on the computer monitor, which allows you to accurately determine the desired position of surgical instruments. Use in the operation of computer navigation allows you to accurately compare the bones and elements of the prosthesis, which is not easy to do with a normal operation.
When the operation is necessary
Endoprosthetics are a complex process, recovery after it is long, which is why operation can only be assigned in exceptional situations. Surgery on the hip joint is performed:
- with Bekhterov's disease;
- non-fissile hip fracture;
- for arthritis or arthrosis;
- withers the tissues of the femoral head.
Only a doctor can prescribe an operation to replace a joint, as a rule, he does this only when no other conservative methods of treating the disease-causes have produced a good result.
Replace the hip joint in the event that other methods do not have any positive effect. Especially if the patient suffers from regular significant pain, can not self-care for themselves.
For thinking and weighing the situation given a certain amount of time, if the patient shows arthrosis TBS.In case of a fracture of the femoral neck, the decision on prosthetics should be taken within a few hours after the injury. With necrosis of the head of the thigh, surgical intervention should be immediate, as this is not only a rapidly developing process, but also extremely painful.
Before carrying out the operation on prosthetics, careful preparation for hip arthroplasty is needed. A person is assigned an X-ray examination, during which the doctors determine the degree of deterioration of the TBS according to the pictures.
When making a decision to conduct an operation, possible contraindications, the patient's condition and age category are taken into account. To assess the condition, a physical examination is performed, and tests are assigned.
In addition to the above studies, before the operation to replace the hip joint prosthesis, it is necessary:
- To cure chronic or acute inflammation in the body, as they increase the possibility of infection of the implantation zone.
- Call the dentist to resolve all problems associated with dental diseases.
- In case of obesity, you need to consult a dietician. During excessive stress on the artificial joint, the risk of blood clots or inflammatory processes increases.
- Buy crutches with armrests. After endoprosthetics, a new joint requires a long time of rehabilitation and careful handling. During several months, the full load on it is prohibited.
The hospital is required to arrive the day before the scheduled operation. During the operation, the patient is under anesthesia - general or spinal( during it the person is awake, but his lower half of the body is anesthetized and loses sensitivity).
In the course of hip replacement, the operation is performed in several steps:
- An anesthetic or anesthetic is injected, then the surgeon makes an incision and removes the affected joint.
- An artificial joint is fixed and fixed. This happens with the help of a special cement or cogs. When large defects occur in the bones, bone screws are used.
- The completion of the surgical procedure is the examination of the new joint( before the suture is applied).The surgeon must make sure that the prosthesis is securely attached to the bone and to check if there is a dislocation of the prosthesis when performing various amplitude moves( movements and turns).
Surgery for endoprosthetics is performed in several stages of
. Since a wound may accumulate liquid during the implantation of an artificial tuberculosis, drainage is connected, the incision is covered with a soft tissue. In general, the operation lasts up to two hours.
In a hospital it is necessary to spend after operation from 10 to 12 days. The fact is that the doctor needs constant monitoring of the behavior of the new joint and the reaction of the patient's body in the course of adaptation to the object injected into the body. In addition, the pain symptoms and swelling are normal after the operation, so measures are needed to eliminate the symptoms( the patient should be anesthetized and antibiotics the first days).
For normal passage of the recovery process after arthroplasty of the joint, the leg should be correctly fixed. For these purposes, between the legs put a cushion, when the patient lies( we recommend to find and see a video from the Internet to understand how to properly place the roller).
From the second day after prosthetics it is possible:
- to sit on the bed;
- to carry out a complex of static exercises for the feet;
- to carry out respiratory gymnastics.
If complications after hip arthroplasty do not occur, then on the third or fourth day the patient is allowed to walk a little with the help of crutches or an arena. The day before discharge from hospital, the stitches are removed. At the time of writing, the patient can already climb and descend the stairs with crutches. After 5-6 weeks, the patient already leaves the crutches and starts using the cane.
After discharge for another half a year, rehabilitation procedures are needed - massage, special diet, physical therapy, exercise therapy( you can practice in the gym with a coach or at home on video, which the doctor advises).
Repeated intervention of
In some cases, the replacement of TBC over time appears to be unsuitable for use and re-revision of the hip joint may be necessary. Replace the prosthesis may be necessary in the case of development of infection in the tissues surrounding the prosthesis, or if there was a destruction of bone tissue at the site of its fixation. Rehabilitation after such an operation can be delayed( at least a year).
In our time, endoprosthetics of TBS and re-prosthesis are quite common. After it, a person has the opportunity to get rid of constant pain and again lead a normal lifestyle.
Disability after prosthetics
Disability after endoprosthetics TBS - it sounds like a verdict. But usually a disability in the case of a prosthesis is given for a short period of time, until the functionality of the limb is restored. For confirmation of disability, certain documents are required, after registration in relevant organizations, a person is included in the category of people under social care.
If, after the set time after treatment and rehabilitation, the examination at the doctor determines that the functionality of the leg is restored, then the disability will be lifted, but if the joint does not come to the proper norm - the disability will be prolonged and the treatment will continue.
Choosing a clinic and the cost of
It is better to select a practicing orthopedist instead of a "professor with rewards" to perform the operation to replace TBS, and he has gained sufficient experience in carrying out hundreds of such operations( at least five years in the field of orthopedic prosthetics).There are enough such doctors in Russia. If you decide to operate abroad, we recommend that you contact the German specialists, as they are famous in the field of endoprosthetics. Choose a clinic not for advertising videos and photos, but reviews of patients, qualifications and experience of specialists.
The prices for an operation of this type in Germany are too high
The cost of surgery for endoprosthetics in private clinics is about 230 thousand rubles, but this amount can vary depending on how much the hip joint endoprosthesis costs. It includes the preparation of the patient before the operation, the process of hip replacement and the management of the patient after the operation. During the initial rehabilitation, the patient remains in the ward for several weeks. The cost of services for endoprosthetics does not include the treatment of possible associated pathologies. The total cost varies depending on the price of the prosthesis itself.
More information about endoprosthetics can be found in the video:
Helena, 27 years old
- Metal - plastic. Suitable for both sexes who do not exercise and lead a measured lifestyle. This pair is considered acceptable for the elderly( when long revision of the joint is not required because of its wear and tear).This combination has the shortest service life.
- Metal - metal. It is usually set for men who lead an active lifestyle( metal prostheses have the longest life, and they are considered to be the strongest).Not suitable for women planning pregnancy, since metal ions have the property of penetrating into the fetus, increasing the concentration of iron by 15%.
- Ceramics - ceramics. It is suitable for all patients at any age, but the choice of a ceramic pair for many is not suitable because of their rather high cost. Of the advantages of this type of prosthesis can be identified their longevity and non-toxicity.
- Ceramics - plastic. The cheapest version of the endoprosthesis. This ceramic combination is better suited for older patients, as young people with high activity will quickly fail( they have a high degree of wear and short life).
What can be called ideal?
Sometimes complications occur in endoprosthetics( approximately 5-15% of all cases).Their cause is the wrong choice of an endoprosthesis, the instability of the aseptic profile, the fracture of the prosthesis in the leg, infections, hematomas, chronic diseases. Therefore it is very important to choose the right product.
Unfortunately, it is impossible to advise now concrete endoprostheses, since there are no universal models. All prostheses differ, and the best way to understand their characteristics is only an experienced specialist. People who know about dentures only on reviews on the Internet are too tempted to make a choice, focusing only on one price. Remember: there are many qualitative and affordable endoprostheses, and it is not necessary that the more expensive they are, the better.
Surgeon who will perform the surgery will advise the patient about the choice of
endoprosthesis. Although hip joint endoprostheses should be the most optimal in price-quality combination, the quality of the operation itself, and not the cost of materials, remains important in endoprosthetics. Sometimes improper installation of the implant can damage even the most expensive orthopedic product, and a carefully installed model of the average price category can last several decades. The main factor of success in endoprosthetics is the experience of the surgeon conducting the operation, rather than the price of endoprostheses.
The main manufacturers and the cost of
Surgeons who have a lot of prosthetics have preferences for choosing a prosthesis of one type or another. The most important players in the market for the manufacture of high-quality prostheses are Zimmer, which manufactures Zimmer Trilogy cups, and DePuy, which manufactures Pinnacle hip joint prostheses. Zimmer or DePuy are almost identical in design and appearance, but there are differences( in terms of fixation, wear, coating material and thread diameter for screws).An experienced surgeon chooses which endoprosthesis, Zimmer or DePuy, is best for each specific case, or offers the patient a number of alternative options.
The cost of surgery for endoprosthetics in private clinics is approximately 230 thousand rubles. The cost includes the preparation of the patient before the operation, the replacement process of the endoprosthesis and the primary rehabilitation after the operation( the recovery period is 2-3 weeks).The final cost may vary depending on the price of the prosthesis.
How to choose a surgeon
Do not think that the best surgeon is an elderly doctor with different awards. For the success of endoprosthetics, it is not the age of a specialist that is important, but how many operations he performed on the hip joint. In many clinics, you can meet 30-year-old doctors, who every day spend 3-5 prosthetics of the hip joint. An experienced surgeon who performs from 50 surgical interventions on the hip joint for a year can be considered. In the case of fewer operations, the surgeon is considered a student regardless of the amount of gray hair on his head.
It is better to trust a surgeon with more experience in performing this kind of operations.
In addition to the skills of a specific surgeon, you need to carefully study the reviews about the clinic where you are going to perform the operation on the hip joint. The fact is that no matter how experienced the doctor, but without the necessary equipment, he will not be able to carry out the endoprosthesis at the proper level. For the operation, not only the prostheses themselves are needed, but also the "right" tools( power equipment and other materials considered expendable).
When choosing a surgeon, it is better to give preference not to a "professor with titles", but to a practicing specialist. There are many such doctors in our country. If you want to perform an operation to install a hip joint prosthesis abroad, we recommend that you contact the German clinics, as they are famous for their good results in the field of endoprosthetics.
There are many different endoprostheses that differ in the type of attachment, structure, price and service life. You do not need to buy a prosthesis yourself. Entrust a suitable endoprosthesis to the surgeon.
I never thought that I could face the problem of joints. All the same young, active always was. And then a couple of years ago began to constantly get dislocations, it became impossible to walk on his heels - it hurts. I went to the doctor and heard a disappointing diagnosis - dysfunction of the left hip joint - he just fell apart into pieces. The choice I had was not great - either a disability or an endoprosthesis. By not knowing, I thought that the difference is small - once put the prosthesis in the leg, then I will forever be disabled. But it turned out that I was an alarmist. The operation went well. Quickly recovered. And now I do not remember that I have a foreign object in my leg.
Grigory, 55 years old
The operation to replace the joint for the prosthesis went well. From 3 days they allowed me to walk with a stick. After 15 days, the seams have already been removed. A month later I started walking alone. In a year the leg was completely restored and the cane is no longer needed.
Leo, 61 year
If you need to put a prosthesis - put it! Do not be afraid. Now this operation is very common, and doctors have worked it to the smallest detail. I put a prosthesis in Moscow. The operation took only half an hour. Already on the fourth day I went with knuckles down the corridor.
Lisa, 37 years old
Mom last year did not successfully fall and got a fracture. A simple gypsum, unfortunately, it was not done. They made endoprosthetics. Honestly, they were already tuned to the fact that it would remain lying - after all, the turning point is heavy and the age makes itself felt. But, hooray, everything turned out. Has transferred or carried mum operation easily. She never complained of pain. Of course, the recovery was not as fast as that of the thirty-year-olds - it was necessary to collect patience in a fist. For several months she went with a walker. Then they switched to a wand. She limped for a long time, since ligaments were partially cut at the surgery site. But when they recovered, the limp passed.
Hip joint implants are completely different - there are several dozens of them.
- Types of endoprostheses according to their design:
- Single-pole - only the femoral head of the hip is prosthetic.
- Bipolar - a prosthesis and a cavity, and a bone head.
- Types of prostheses by the method of their fixation:
- Prostheses with cementless fixation method - the bones are "adjusted" to the endoprosthesis( "ingrowth effect").It is used most often for young patients, since they are more likely to need replacement of the prosthesis after its wear.
- Prostheses with cement fixing method - securely fixed with special mortar, very difficult to remove after wear of the prosthesis, so they are installed to people with the least activity.
- Hybrid type - the cup of the endoprosthesis is fixed with a cementless method, and its legs - with cement.
- Types of prosthesis according to their material( cup-foot):
Hip replacement: operation, choice of prosthesis
By endoprosthetics means the replacement of a damaged or worn joint with an artificial implant, which allows to restore lost mobility. As a result, patients return to normal life within a few months after the operation. The replacement of the hip joint is the most effective method of treating the articular pathology, when the therapeutic agents are ineffective.
Indications for endoprosthetics
Prosthesis of the hip joint is in many cases the only highly effective means of restoring joint mobility, damaged due to:
- degenerative-dystrophic diseases affecting the ligament-articular apparatus, for example, osteoarthrosis or arthritis of various etiologies;
- autoimmune processes, within which the body begins production of antibodies to cartilaginous tissue;
- inflammatory processes, leading to decreased mobility of the joint;
- aseptic necrosis;
- congenital anomalies and the consequences of injuries sustained.
Artificial joint allows you to get rid of the painful manifestations of these ailments. In the final stages of degradation, due to certain features of the anatomy of the joint, the pain becomes chronic, causing the patient to abandon his usual occupations. Painful manifestations have a significant impact on the psychoemotional balance.
Surgery for endoprosthetics
Endoprosthetics of the hip refers to high-tech procedures that require a thorough preoperative examination of the patient. Surgery to replace the joint is a surgical intervention that increases the risk of internal infection and thrombosis. In the framework of careful analysis and the collection of detailed history, factors that increase the risk of postoperative complications are established. Preoperative examination also plays an important role in ensuring safe anesthesia.
During the examination of the hip joint, the specialist determines the condition of the affected area and selects the prosthesis most suitable for the specific case. The choice of the type of construction and the cost of the materials used determines the final price of the hip joint prosthesis. In general, the cost of hip replacement is determined not only by the type of implant, but also by the unique characteristics of the patient that determine the preoperative measures and the course of rehabilitation.
Cost of surgery and supplies
The cost of treatment includes all necessary services( stay in the ward, surgery, anesthesia, physiotherapy, medicine, nutrition, etc.), except for implants( prostheses, screws, plates, etc.).
Rehabilitation after endoprosthetics
Within the framework of the postoperative period, the foundation is laid for ensuring the normal mobility of the artificial hip joint. In the first few days gymnastics for rehabilitation includes isometric exercises for stress of the femoral muscles, as well as respiratory gymnastics, interfering with the development of pulmonary and cardiovascular pathologies.
Prosthesis of the hip joint will allow you to return to normal life, but you will need to learn to get up again and sit down, climb the stairs, etc. As rehabilitation, the complex of treatment procedures is significantly expanded, with the aim of increasing muscle strength and adapting the patient for routine operations.
In most cases, the patient can leave the clinic within two weeks, when the main stage of postoperative rehabilitation is completed. Unfortunately, in a number of cases during the recovery period the pain returns, as a result of which the patient instinctively "pities" the joint, delaying the period of complete recovery. In addition, discomfort and painful manifestations in the hip area are the cause of unsupported reasoning about the unsuccessful operation to replace the joint.
Therefore, the replacement of the hip joint in Moscow is subject to the control of the patient's psychoemotional state and correction of the complex of therapeutic exercises. To restore the lost functions, depending on the degree of damage to the joint, it takes from a month to six months. After that, the patient can return to the usual life with a full load on the endoprosthesis.