Hip osteoarthritis: Difference between revisions
(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 *...") |
No edit summary |
||
(One intermediate revision by the same user not shown) | |||
Line 27: | Line 27: | ||
** 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]] |
Latest revision as of 11:59, 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
- Frequent exercise
- Surgical
- Only if conservative treatment isn’t sufficient (late stage)
- 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 DVT prophylaxis
- Conservative