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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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*** 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]] | ||