Hip prosthetics restores the quality of life in arthrosis, spondyloarthritis, fractures and other serious pathologies. In difficult cases, the installation of an artificial joint is the only way to deal with pain, stiffness and other symptoms that cause the patient to limit the level of activity.
Mashtaler Ortho&Trauma Clinic performs hip replacement surgery in Lviv. The latest technology and advanced surgical experience allow us to successfully restore mobility in severe diseases, providing rapid rehabilitation.
Hip endoprosthetics — a pain solution that works
Endoprosthetics — replacement of the hip joint with an artificial implant. Surgical intervention allows patients to return to an active life, even in cases where conservative treatment has minimal effectiveness.
The endoprosthesis is made of titanium, ceramics and innovative polymers. This composite design is very reliable — it serves 15—20 years even under high loads. Its materials are safe - they take root easily and do not cause rejection in the vast majority of patients.
Indications for hip replacement surgery
In modern traumatology, the most sparing and safe methods are used. If the hip or knee joint can be restored with conservative methods, surgery is usually not performed. And yet there are cases when endoprosthetics of the hip joint remains the only possible option.
Indications for the installation of an artificial endoprosthesis are:
- coxarthrosis of stage 3 or 4;
- Bechterev's disease (ankylosing spondyloarthritis);
- aseptic necrosis of the femoral head;
- non-fused fractures;
- rheumatoid arthritis;
- tumors of the head and neck of the femur;
- fractures of the acetabulum and neck of the thigh at an older age — over 60-65 years;
- congenital dysplasia of the joint.
What symptoms indicate the need to replace the hip joint?
- Constant pain in the hip or groin — during movement and at rest.
- Visible reduction in limb length.
- Lameness, a feeling of “jamming” when walking.
- Stiffness of movements after sitting or lying down for a long time.
- Restriction of household activity — difficulty in dressing and climbing stairs.
How is the diagnosis of the hip (hip) joint performed?
The first step is always to consult a qualified doctor. A comprehensive examination allows you to assess the actual condition of cartilage tissue and bones in order to make the right decision. It consists of:
- anamnesis, visual inspection;
- functional diagnostics — assessment of limb mobility and pain level;
- radiography of the hip joint in several projections;
- MRI, CT, ultrasound — for accurate study of the condition of muscles, vessels, periarticular structures.
The consultation also allows you to set a price for hip replacement in order to choose the optimal method of surgery, taking into account the patient's budget.
Contraindications to hip joint endoprosthetics
Replacing a damaged joint with an artificial one is a non-alternative method of treatment in many cases. But before the operation, it is necessary to exclude the following contraindications:
- blood clotting disorders;
- oncological neoplasms;
- acute and generalized infections;
- septic arthritis;
- heart and lung diseases in the stage of decompensation;
- uncontrolled diabetes mellitus.
Excess body weight is a conditional contraindication. If the patient leads a sedentary lifestyle and does not control the mass, the prosthesis will be subjected to greater loads - over time, it may be necessary to replace it.
Types of hip endoprosthetics
Complete endoprosthetics of the hip joint is the most effective and reliable method of treatment for total destruction of cartilage tissue. During this type of surgery, both the femoral head and the acetabulum are replaced.
Partial (unipolar) endoprosthetics is used for minor lesions or for fractures of the hip neck in elderly patients. This intervention involves replacing only the head of the femur. It is less traumatic, and therefore reduces the duration of rehabilitation in the postoperative period.
Operations also differ in the way the implant is fixed:
- Cement-free is a classic technique that involves direct attachment of the prosthesis to the bone and complete fusion.
- Cement — application of adhesive material for better fixation. It is indicated for osteoporosis and other conditions characterized by insufficient bone density.
Innovative methodology — front access
Mashtaler Ortho&Trauma Clinic started using a new method of endoprosthetics through front access as one of the first in Ukraine. This technique, also known as bikini access or anterior approach, is a minimally invasive operation — in which the surgeon does not cut, but displaces the muscles. It has the following advantages:
- minimal damage to soft tissues;
- less pain;
- faster recovery;
- significant reduction in the risk of dislocation of the joint;
- less noticeable scar — coincides with a fold of skin in the groin area.
By contacting us, you can undergo hip endoprosthetics in Lviv using an innovative method. We will make sure that the operation is quick, safe and effective, and the rehabilitation period is short and as comfortable as possible.
How is the replacement of the hip joint in Lviv in the Mashtaler clinic
The method of replacing the joint depends on the patient's state of health, indications and individual anatomical features of the body. The operation requires careful preparation and high qualification of the surgeon. More about its main stages - further.
Preparation for joint replacement surgery
Before surgery, it is necessary to undergo a comprehensive diagnosis:
- blood and urine tests;
- ECG, ECHO-KG, consultation of a cardiologist and anesthesiologist;
- assessment of the condition of the veins of the lower extremities to exclude the risks of thrombosis;
- a smear from the oral and nasal cavities for the detection of pathogenic microorganisms;
- clarification of individual allergic reactions.
The orthopedic surgeon will select for you a prosthesis from a reliable manufacturer with proven quality that will match your age, physique and activity level.
How is the operation performed?
- In most cases, surgery is performed under general anesthesia. It helps to avoid pain and discomfort. In the presence of contraindications, regional anesthesia can be used - anesthesia of the lower part of the body.
- The doctor makes an incision of the skin to access the hip joint. When using the bikini-access technique, it does not cut, but stretches the muscles.
- Damaged tissues are removed. The bones are prepared for fixation of the artificial implant. Proper preparation helps to increase the reliability of the prosthesis and avoid complications.
- An endoprosthesis is installed. If necessary, it is fixed with a special bone cement. The design completely replaces the joint, recreating its functions.
- The wound is sutured, bandages are applied. The next stage begins - recovery and return to the usual way of life.
What complications can occur?
Endoprosthetics is a successful operation in orthopedics, which allows you to quickly restore joint function. And yet there is a small probability of the development of such complications:
- infection;
- formation of blood clots in the lower extremities;
- implant dislocation (almost excluded with front access);
- damage to nerves and blood vessels;
- chronic pain;
- rejection of artificial construction (very rare).
Doctors of Mashtaler Ortho&Trauma clinic use modern protocols for operations. They contain the prevention of common complications and provide a quick response to possible problems.
What rehabilitation is needed after hip replacement?
The right approach is the beginning of the load already on the day of the operation. Lifting with help, first steps with crutches or walkers and light exercise help to avoid muscle dystrophy and loss of coordination.
The load gradually increases as you recover. In a period of 1 to 6 weeks, daily physiotherapy exercises are added to strengthen muscles, restore balance and increase range of motion.
Most patients return to their usual lifestyle within 9-12 weeks after discharge from the hospital. Provided they exercise regularly and follow the doctor's advice, they can fully walk, engage in physical activity and even travel.
Price for hip joint endoprosthetics in our center
The price of hip replacement in Lviv is determined individually. It depends on the specific indications, the optimal technique for the operation, the implant model and the patient's state of health.
