- Treatment of coxarthrosis of the hip: how to halt disease
Fully cured it without surgical intervention is impossible. Replacing the hip prosthesis made of metal or very hard plastic helps to get rid of the pain and restore mobility of the joints of patients. Usually surgery is prescribed when the pain caused by coxarthrosis, persists despite taking analgesics, and is especially strong when walking, when one becomes difficult to go up and down stairs, getting up, and if because of the pain have problems with dream
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Before the surgery, the doctor examines the patient and explain to him the risks associated with the operation. These risks include:
After surgery, the blood vessels can be formed thrombi are rarely moved to the lungs, heart or brain, which may lead to severe consequences. To prevent this complication, patients were prescribed medications, blood thinners, such as aspirin;
Sometimes - fortunately, now very rare - after surgery developed infections affecting the skin and deeper layers of tissue. In most cases they can be treated with antibiotics
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But if the infection is developed next to the prosthesis, it may require further surgery, during which the prosthesis is removed and replaced with a new one;
After surgery, it is recommended to avoid certain movements, for example, do not lean forward when you sit to the hip joint is not bent at an angle greater than 90 degrees. When careless movement can occur dislocation
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joint, which is required for correction of wearing the corset, and in some cases, surgery;
- Changing the length of legs
Surgeons always take precautions to avoid this complication, but sometimes after a hip replacement becomes one leg shorter than the other. Sometimes it is caused by weakness of the muscles located around the hip joint, and strengthening them, you can gradually solve this problem.
The operation is performed under general anesthesia, so a few hours before the beginning of the patients can not eat and drink. Sometimes doctors give further guidance on the preparation for the operation, for example, is recommended in a few weeks to refrain from smoking, or stop taking certain medications.
In addition, if you live alone, it is advised to have someone of your relatives or friends stay with you at least a few days, but better - a few weeks after the surgery: You will need their help. You should also make sure that you do not have to bend over any desired object - for that place them so that they were at the level of your waist, or higher.
During surgery, the surgeon makes an incision on the front or the side of the hips, removes damaged cartilage and bone, and then sets the place of the hip joint prosthesis.
Patients are advised to start walking with crutches or even sit on the bed as soon as possible after surgery. Generally, people are slowly beginning to move in the day of surgery, or the next day. It helps both accelerate the healing process and reduce the likelihood of blood clots.
For some time, the patient will need to wear compression stockings
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- It prevents stagnation of blood in the veins of the lower extremities, and the formation of blood clots.
A few days after surgery, the patient will have to not only walk) is - with a stick or other devices), but also to carry out special exercises that he will physiotherapist. All this is necessary to strengthen the muscles and restore mobility of the hip joint.
Usually the first examination after surgery, patients go through six to eight weeks. If the doctor is satisfied that recovery is going well, the patient can go back to their work (unless it is associated with very intense exercise) and moderately active employment some sports. Complete recovery usually takes six months to one year. As a rule, during which time a person begins to feel well enough to start to swim, walk, including long-distance cycling. However, some sports, such as jogging after hip replacement may be contraindicated.