Hip replacement in Kyiv

Hip replacement is a reconstructive surgical intervention that involves complete or partial replacement of damaged articular structures with artificial structures.

Main indications for hip replacement:

• congenital developmental anomalies;
• degenerative-dystrophic changes in the joint;
• severe post-traumatic deformities;
• complete immobility of joints (ankylosis);
• tumors affecting the head and neck of the femur;
• aseptic necrotic changes in the femoral head.

A number of joint pathologies, primarily osteoarthritis, require surgery to eliminate pain and restore functionality. In severe cases, most of these operations do not give a positive result, and then the patient can only be helped by hip replacement. Its cost is largely determined by the type of hip joint endoprosthesis chosen for the operation. The price of the prosthesis itself is determined taking into account the cost of manufacturing materials (metal, ceramics, polyethylene and their combinations), and standard size. Design features (total, bipolar, unipolar, superficial) and brand also matter.

Indications for hip replacement

Endoprosthesis replacement is indicated for:

• severe open fractures of the hip joint (abbreviated TS) or femoral neck;
• intra-articular fractures;
• degenerative diseases, including arthrosis, arthritis, osteoarthrosis;
• congenital dysplasia;
• hypotrophy of the muscle tissue of the pelvis, thigh, leg;
• limited vehicle mobility.

As a rule, patients decide to undergo arthroplasty if they have the following severe symptoms:

• severe pain that negatively affects the quality of life;
• pain syndrome that is not relieved by anti-inflammatory drugs;
• loss of normal motor activity.

Rehabilitation period

Strict adherence to medical recommendations is mandatory for everyone who has undergone hip replacement. Its price includes a postoperative hospital stay (10-14 days), during which the patient undergoes exercise therapy, massage, and physiotherapeutic procedures.

The main task of the doctor at this stage is to promptly identify and prevent any complications after hip replacement. After a month and a half, the patient is re-hospitalized to participate in rehabilitation procedures. The first attempts to move independently using a walker are allowed from 3-4 months.

Preparation and diagnostics before arthroplasty of the arthroplasty

Since endoprosthesis replacement is a radical treatment method, various types of conservative therapy are used in advance. A comprehensive examination is also performed before surgery.

In our clinic in Kyiv, in addition to laboratory tests and ultrasound, MRI testing can be performed on a high-precision Philips Intera 1.5 Tesla device. The procedure will help determine the degree of damage to the hip joint and choose the best option for surgery. This diagnosis is also necessary in order to select the appropriate size and shape of the prosthesis for the patient.

Before endoprosthetics, the patient must clearly understand the possible risks and complications and that subsequent rehabilitation will not be quick. For example, sessions with a physiotherapist will be needed for 2 months after surgery.

Preparation for the procedure

Before the operation, the patient should find out how much hip replacement costs in his case.

A comprehensive examination is necessary for every patient who is scheduled to undergo hip replacement. Kyiv has a sufficient number of clinics where hip replacements are performed. In any of them, a preoperative examination is prescribed using laboratory and instrumental methods. Also, hip replacement surgery must be preceded by a consultation with an anesthesiologist.

Types of hip replacement

HT arthroplasty is divided into two main groups: total and partial replacement of the affected joint.

In the case of total replacement (TRT), all damaged and destroyed articular elements are replaced with an implant. We are talking about the head of the femur, which is replaced by a ball-shaped prosthesis made of a metal alloy or ceramic. It, in turn, is attached to the bone using a metal leg. Also, instead of the acetabulum, a plastic material with a durable shell (often titanium) is placed.

Partial endoprosthetics or so-called resurfacing may also be indicated. In this case, the femoral head is not replaced with a prosthesis.

The corresponding operations at Doctor Spin are performed either with spinal anesthesia or under general anesthesia. Our surgeons remove damaged tissue and implant a prosthesis.

Our clinic uses high-quality implants made of ceramics, dense polymer materials or metal alloys from leading global manufacturers, which guarantee high survival rates and a long service life (up to 20 years).

Joint endoprosthetics in Dnepr

The Clinic of Modern Orthopedics of Academician Loskutov performs joint replacement operations using high-quality endoprostheses. We order them from leading European and domestic companies that have proven their reliability. All types of prostheses have an optimal cost

/quality.

Our surgeons have many years of experience in performing such operations. Practice shows that 95% of endoprostheses serve their owner without the slightest problem for more than 10 years.

Why should you contact our clinic? Our center has a number of advantages

:

• affordable prices
  ;
• guarantee
  ;
• professional surgeons;
• convenient location of the clinic;
• modern equipment.

Surgeons at the clinic of Academician Loskutov specialize in joint replacement surgeries. We will provide you with professional assistance - make an appointment right now!

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see also

When is it time to have endoprosthetics?

Preparation for endoprosthetics.

What to look for when choosing an endoprosthesis.

Rehabilitation and complications after hip replacement

After such surgery, proper recovery is required. Rehabilitation includes:

• supporting the body with medications that relieve pain, normalize sleep, and stabilize metabolic processes in the body;
• physical therapy aimed at toning muscles and restoring vehicle mobility;
• psychological assistance that eliminates fear of pain, new injuries or complications, etc.

The basic recovery rules include:

• course of physiotherapy (up to 2 months);
• working with an assistant;
• a slow increase in loads;
• timely consultation with a doctor in case of any deterioration in health.

Strict adherence to doctors’ recommendations will minimize the risks of so-called late complications, which include:

• infection in the area of ​​intervention;
• decreased immune defense of the body;
• problems with blood circulation.

To prevent this from happening, it is necessary for the doctor to monitor the patient’s condition after arthroplasty.

Rehabilitation after surgery

On the same day, together with a rehabilitation specialist, the patient is already walking with crutches or a walker. On the 2nd or 3rd day the patient can go home.

It is very important to carry out rehabilitation procedures at home and follow the surgeon’s recommendations. During the first month and a half, there is a risk of dislocation of the prosthesis, so there are certain restrictions:

• you cannot bend the leg at the operated joint more than 90 degrees;
• while sitting, knees should not be raised above hip level (use a pillow to ensure the desired position);
• you need to lie either on your back or on your healthy side with a pillow between your legs;
• the leg should not turn with the toe inward;
• legs cannot be crossed;
• When sitting, spread your legs slightly.

After a doctor's examination after a month and a half, these restrictions are usually lifted if the patient does not experience complications. By following simple rules you can significantly speed up the rehabilitation process.

Rehabilitation after endoprosthetics

WHAT PREPARATION IS NEEDED FOR THE PROCEDURE?

Preoperative examinations include a complete blood count, blood tests for kidney and liver function, urinalysis, chest x-ray, ECG and physical examination. Your Medical Plaza doctor will determine which of these tests are necessary depending on your age and health. Any signs of infection, severe heart or lung disease, or active metabolic disorders such as uncontrolled diabetes may delay arthroplasty.

If your hip condition allows it, your specialist may recommend a preoperative exercise program to build muscle and improve flexibility. This may help with recovery.

Titarchuk Rostislav Vadimovich

Orthopedic traumatologist, specialist in arthroscopy and joint replacement

Golovakha Maxim Leonidovich

Professor, orthopedic traumatologist, performing at least 200 joint replacement surgeries and 200 arthroscopic surgeries, foot correction and osteosynthesis of fractures per year

What happens during surgery

After the patient is moved to the operating room, he is placed on the operating table and the anesthesiologist administers anesthesia. As a rule, for such large-scale surgical interventions (the duration of endoprosthetics is about 2:00), preference is given to spinal anesthesia (safer for older people) or full combined anesthesia. The latter type of pain relief is accompanied by muscle relaxation, so when using it, doctors will control the patient’s breathing.

After achieving the required anesthetic effect, surgeons begin processing the surgical field and access the joint capsule. In the central part, the articulated tissues are dissected by 10 cm. After this, the specialist opens the joint and brings the head of the hip bone into the surgical wound. At the next stage, its resection is performed.

During surgical treatment, the bone tissue is modeled taking into account the shape of the endoprosthesis, which is fixed in the bone in the most appropriate way. At the next stage, the acetabulum is processed with a drill with a special attachment to remove articular cartilage. The prosthetic cup is installed and secured into the prepared cavity.

At the final stage, the surfaces are compared and strengthened by stitching the dissected tissues. A suction drainage is fixed in the surgical area, which is necessary for drainage of secretions, and a bandage is applied.

What type of prosthetics should you prefer?

Before treatment, the clinic’s doctors conduct a detailed diagnosis and select the most effective and predictable fixation option.

Various methods of surgical treatment differ in the chosen type of endoprosthesis, its size, and the method of connecting the artificial joint to the tissues. In medicine, cement, cementless and hybrid types of compounds are used.

1. Fixation of a cement endoprosthesis is carried out using a special biological glue, after which the structures of the artificial joint and bone tissue harden are firmly connected to each other.
2. Cementless fixation is possible when using prostheses with a special design. On their surface there are many small protrusions, irregularities, depressions and holes. During recovery, bone tissue grows into them, due to which the hip and endoprosthesis become a single complex.
3. A mixed or hybrid type of fixation is that the stem is attached to the bone tissue with cement, and the cup without cement is attached to the acetabulum.

What is the prognosis for total hip replacement?

Patient education is important to ensure the longevity of the hip replacement. After surgery, vigorous exercise such as running or contact sports is not recommended as it may re-injure the artificial joint. Swimming is ideal for improving muscle strength, mobility and endurance.

Patients should be aware and tell their caregivers that they have an artificial joint. Antibiotics are recommended for any invasive procedure, be it surgical, urological, gastroenterological or dental. Infections in other parts of the body should also be treated to prevent the infection from spreading to the joint. This is important because bacteria can travel through the bloodstream from these areas and cause infection of the hip replacement.

Carrying out implantation at Medical Plaza is an opportunity to return to your former activity. Hip replacement surgery is one of the most successful joint surgeries available today. Carefully evaluated patients eligible for total hip replacement experience impressive long-term results of increased mobility, pain relief, minimal complications, and improved quality of life.