Orthopedic surgeries, hip replacement in Germany
Endoprosthetic hip replacement together with knee replacement surgery has become standard in orthopedic surgery with almost 200,000 hip replacement surgeries performed annually in Germany.
Besides standard replacement surgery, modular, sectional and custom-made prosthetics are offered, which, with the aid of X-Ray images and CT datasets, are constructed especially for individual patients.
Depending on the condition of the patient, the implants can be cemented, or replaced cement-free, or hybrid replacement can take place, or in case of good bone quality, resurfacing ("Re-capping", "McMinn" prosthetics) can be applied.
Partial hip replacement is suitable for:
- Patients with advanced coxarthritis
- Young patients with osteonecrosis (dead bone tissue due to interrupted blood supply) of the femoral head
- Patients with accident-induced arthritis, for whom arthroscopic surgery is not an option due to the advanced state of the disorder
- Patients who suffer from arthritis due to malalignment or hip dysplasia
- Patients with CAM impingement with very advanced arthritis due to malformation of the femoral head
Total hip arthroplasty is suitable in cases of:
- Wear and tear of the joint in the form of coxarthritis
- Inflammatory damage to the joint due to rheumatic disorders such as rheumatoid arthritis (and chronic polyarthritis) – the most common inflammatory disorders of the joints
- Inflammatory damage to the joint due to other auto-immune phenomena such as systemic Lupus erythematosus (SLE, a systemic auto-immune disease of the connective tissue)
- Necroses of the femoral head e.g. due to insufficient blood supply after an accident
- Subcapital fracture of the femur (femoral fracture below the femoral head)
- Comminuted fracture of the femoral head or the acetabular cup
- Malalignment of the joint
- Dysplasia (deformity) with secondary arthritis (wear of the joint)
- Besides these very common causes, there are also several rare bacterial infections that play a significant role in the occurrence of inflammatory damage to the joint. Examples are Chlamydia, Borrelia and Campylobacter pylori. Inflammations due to other causes such as Psoriasis and existing tumours and necroses are also indications for TEP.