Hip osteoarthritis: Difference between revisions

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Created page with "<section begin="orthopaedics" />* Osteoarthritis of the hip * Clinical features ** Morning stiffness ** Inguinal pain or pain above greater trochanter *** Can refer to the thigh and knee ** Contractures (reduced ROM) *** First movement affected: internal rotation ** Limp ** Muscle atrophy around hip and thigh ** Limb length difference * Diagnosis ** By conventional x-ray ** AP view and Lauenstein (frog-leg) view x-ray *** Narrow joint line *** Subchondral sclerosis *..."
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** Surgical
** Surgical
*** Only if conservative treatment isn’t sufficient (late stage)
*** Only if conservative treatment isn’t sufficient (late stage)
*** [[Total hip replacement]]
*** Total hip replacement
*** Hip arthroplasty is one of the most successful orthopaedic operations
**** > 90% satisfaction rate
**** 1,5 million procedures every year
*** Can be used in any joint destruction
**** Mostly in osteoarthritis or osteonecrosis of hip joint
**** But contraindicated in case of ongoing local or systemic infection
***** The prosthesis has no blood supply and antibiotics therefore can’t reach it -> provides good base for infection
*** (Partial hip replacement)
**** NOT used in orthopaedics -> only used in treatment of hip fractures
**** Femoral head is replaced with prosthesis
**** Acetabulum is preserved
*** Total hip replacement (THR)
**** Used in orthopaedics
**** Femoral head is replaced with prosthesis
**** Acetabulum is replaced with prosthesis
*** Postoperative <abbr>DVT</abbr> prophylaxis
<section end="orthopaedics" />
<section end="orthopaedics" />
[[Category:Orthopaedics]]
[[Category:Orthopaedics]]

Revision as of 11:55, 27 August 2024

  • Osteoarthritis of the hip
  • Clinical features
    • Morning stiffness
    • Inguinal pain or pain above greater trochanter
      • Can refer to the thigh and knee
    • Contractures (reduced ROM)
      • First movement affected: internal rotation
    • Limp
    • Muscle atrophy around hip and thigh
    • Limb length difference
  • Diagnosis
    • By conventional x-ray
    • AP view and Lauenstein (frog-leg) view x-ray
      • Narrow joint line
      • Subchondral sclerosis
      • Subchondral cysts
      • Osteophytes
  • Treatment
    • Conservative
      • Frequent exercise
        • Especially joint-friendly exercises, like swimming, cycling
      • Weight loss
      • Physical therapy
      • NSAIDs
      • Orthopaedic shoes
      • Crutch on affected side
    • Surgical
      • Only if conservative treatment isn’t sufficient (late stage)
      • Total hip replacement