Frequently Asked Questions - All FAQs

FAQs - All FAQs
Half of the stitches or staples are normally removed after 14 days. The remaining half is removed after 16 days. Depending on the individual patient, one can decide to remove the staples later on. Staples are removed with a special device.
In case of an intracutaneous suture, one only has to cut off one end of the suture. It is not the purpose to remove the complete suture because it is resorbable.
Pain is the most important indicator! The surgeon should not operate based on an x-ray only. The clinical consequences of the osteoarthritis of the hip are decisive for operation.
Pain is the most important indicator! The surgeon should not operate based on an x-ray only. The clinical consequences of the osteoarthritis of the hip are decisive for operation.
See also total hip replacement in the young patient.
Below the age of 75, one can decide to use either ceramic-on-ceramic or metal-on metal to reduce wear and lengthen the survival ship of the prosthesis. It also depends on the degree of physical activity of the patient.
See also total hip replacement in the young patient.
Below the age of 75, one can decide to use either ceramic-on-ceramic or metal-on metal to reduce wear and lengthen the survival ship of the prosthesis. It also depends on the degree of physical activity of the patient.
In consequence of the favourable results concerning the injection of hyaloronic acid into the knee, this type of treatment is also applied when a premature cartilidge degeneration of the hip is diagnosed. As apposed to the administering of such an injection into the knee, which can safely been done during a consultation at the practice, that of the hip has to be done in the operating room at the hospital under sterile conditions with the guidance of X-Ray technology. The use of a local anaesthetic is preferred. A stay of one day in hospital is required. The treatment of consists of three infiltrations/injections with an interval of one week. At present the primary indications are favourable.
Pain is mostly localised in the groin, buttock region, but can also refer to the whole thigh, lumbar spine and even the knee (sometimes even below the knee).
Symptomatic treatment exists of classic painkillers (e.g. paracetamol), NSAID (Non Steroidal Anti-Inflammatory Drugs), or even Glucosamine and Chondroitenesulfates and diminishing physical activities (be aware of diminishing bone quality when used for a long time). Treatment with hyaluronic acid is rarely used at our department.
The sign of Trendelenburg becomes positive when one is suffering from a hip problem. It is characterised by a typical abnormal gait pattern. People are walking like a duck.
In severe osteoarthritis of both (bilateral) hips a bilateral procedure can be done. Both hips are operated on the same day. Our experience today has not given more problems when this is performed in healthy people. A continuous epidural catheter and more blood transfusion are needed. Cell saver is used in these conditions. Patient has to be healthy, not obese, and the hip condition itself does not have to be severe.