Joint-preserving procedures or prosthetic insertion
Necrosis of the femoral head, also called coxarthrosis, is a gradual process: over the course of many years, the femoral head begins to die and cause pain. On top of this, patients usually notice restricted joint movement. In early stages, the need for a hip replacement or prosthetic insertion can sometimes be avoided. In this case, your surgeon will attempt a joint-preserving operation, in which holes are drilled into the bone to restore blood flow.
Surgery in cases of femoral head necrosis
In cases of femoral head necrosis, a joint-preserving operation aims to save the joint and reduce pressure on the dying femoral head. In doing so, blood flow will be restored to the bone. This type of surgery is usually only successful during the early stages of the disease. During what is called a transposition osteotomy, the affected bone is removed from the area of excessive force so that overall pressure on the hip is reduced. This is a relatively complex operation, which should be discussed fully with your doctor.
Surgery in cases of coxarthrosis
If the femoral head is already completely destroyed or broken, the last resort is to insert a prosthetic hip joint. Here the patient has two options: either a total hip replacement or a hip resurfacing. Hip resurfacing based on a technique pioneered by McMinn only replaces the uppermost layer of bone and is recommended for younger patients. The classic treatment has already seen many years of use and all of the experience points to a successful treatment. An individual consultation with your orthopaedic specialist is always necessary.
Would you like to learn more about coxarthrosis?Schedule an appointment with your orthopaedic specialist in Munich today!