The hip joint provides the connection of the thigh bone, which forms our upper leg, with the pelvis bone and the upper body. This area covered with a cartilage surface helps us to move with the muscles in our legs.
These joints, which consist of muscles, tendons and cartilage, wear out over time or are damaged after trauma. As a result of this picture, problems such as pain and inability to move are often encountered. When diseases that occur in the hip joint are not treated, the joints can rot, causing more pain and walking problems.
The hip joint, which consists of a ball and socket, is the area where the thigh bone and the pelvis bone meet. Fractures that occur in the upper part of the thigh bone near the joint area are called hip fractures.
Patients with advanced age and bone structure suitable for osteoporosis are at risk due to hip fractures. Traumas such as falling and losing balance at home in elderly patients, and traffic accidents or falling from a height in young patients often cause hip fractures.
Patients apply to the doctor with intense pain in the hip and groin area after the trauma and difficulty in walking. In case of fracture, patients also experience complaints such as feet turned outward, short stature in the broken leg, and painful hip movement.
The clear diagnosis of patients with hip fractures is made with the help of X-ray, and in doubtful cases with the help of MRI. After the diagnosis, the treatment is planned individually, taking into account the type and location of the fracture, the patient’s age and daily life. If the patient is not suitable for surgical treatment or if there is an intertwined cartilage structure, the patient is recommended to rest in bed and is followed closely with regular x-rays.
On the other hand, there are two main options for surgical treatment. Fixation of hip fracture with nails is applied to young patients with good bone quality and to patients of advanced age who have active movement during the day. This method is based on the improvement of the patient’s fracture tissue. After the treatment, how much weight can be given to the operated leg until the fracture heals may vary according to the patient.
In elderly patients, joint prosthesis surgeries are preferred because union of the broken bone may be problematic. During the surgery, the damaged joint is removed and a new artificial joint is placed in its place.
Patients after surgery; In the early period, they can stand up, walk with full weight and be discharged from the hospital in a short time. In order to prevent muscle weakness, it is necessary to start exercises and use blood thinners.
Many diseases that can occur in the hip joint are treated with arthroscopic surgery, also called closed surgery. Arthroscopy has satisfactory results in hip joint compression, hip calcification, hip joint infection, tears of the cartilage ring called labrum, hip impingement disease.
Arthroscopic surgery is needed to see the deepest joint of the hip joint in detail. In this method, a camera system is inserted through a one-centimeter incision in the patient’s hip joint. If necessary, one or two additional holes are opened and surgical instruments are inserted and the operation is performed.
Advantages of Arthroscopic Surgery
Since the incision is smaller than other surgical methods, the risk of infection is less.
Shorter hospital discharge time
Return to daily life after the operation is shorter and more comfortable.
During the procedure, healthy surrounding tissues are not damaged.
The ball and socket of the hip joint are covered with cartilage tissue. This tissue provides smooth friction of the joint, allowing us to move freely and without pain. Due to advancing age and the use of the body due to the wrong position, the cartilage and surrounding tissues in the hip bone are worn down and form hip calcification. In the joint with calcification problem, the cartilage tissue decreases and causes the joint to move with friction and difficulty.
In hip calcification, which is often seen between the ages of 40 and 45, patients feel pain and swelling in the joint area while moving. Pain, which increases during movement and decreases during rest, appears as a chronic pain table in the later stages of the disease. Symptoms such as stiffness, stiffness and noise coming from the joints are seen in cases where the disease is not treated, and if not treated, it leads to the development of disability with deformity in the patient.
A physical examination, in which the patient’s discomfort is listened to, is sufficient for the diagnosis of x-rays. In the early stages of the disease, medical treatments and physical therapy applications are recommended. However, in the later stages of the disease, recovery is achieved with surgical methods such as hip arthroscopy or prosthesis applications.