Coxarthrosis of 3 degrees: treatment of the hip joint operatively and without interference

Coxarthrosis of the third degree is the last stage of deforming osteoarthrosis of the hip joint. Delay in the treatment of the disease can lead to tissue necrosis. Most doctors consider it expedient at this stage to prescribe to patients therapy only in the form of surgical intervention, but some doctors are slow to operate, and try to use therapeutic treatment. In any case, treatment of coxarthrosis of the third degree is a rather difficult and laborious process.

The main signs of the disease

Symptoms of this disease are very pronounced. Coxarthrosis of the hip joint of the third degree is characterized by the following features:

• Painful sensations at night;
• Disturbance of normal sleep patterns;
• Irritable or depressed state;
• Stiffness, inelasticity of joints (especially after prolonged immobilization);
• Limited movement;
• Lameness (distinguishes one-sided coxarthrosis of the hip 3 degrees).

Possibility of disability

With a disease such as coxarthrosis of the hip joint of the third degree, treatment should be urgent. It is worth remembering that at this stage, therapy is very serious. The neglect of the disease leads to disability. From some types of work a person will have to give up resolutely: it is possible that only for the period of restoration, and maybe forever. First, the work associated with heavy physical efforts should be limited, and secondly, sedentary work can also be a big test.

Patients who have coxarthrosis of grade 3, doctors often establish a second group of disabilities. This group includes patients who independently move and serve themselves in everyday life, but can perform only certain types of work. This group of disability is established for a certain period of time, after which it is necessary to undergo a second examination.

Therapeutic treatment of coxarthrosis

Traditional treatment is aimed at reducing inflammation and regenerating the damaged joint surface. As a rule, in this case the doctor prescribes a complex of anti-inflammatory drugs, such as Nimesulide, Ibuprofen and Voltaren.

In the case of pronounced symptoms, injections of corticosteroids are used. This is necessary in order to stop the inflammation. To improve metabolic processes, strengthen and restore use drugs that have a vasodilating property. Recently, so-called chondroprotectors, which help to restore cartilage, are also widely used, they make it possible to stop a progressive disease.

A separate niche in conservative treatment is physiotherapy. An experienced specialist will pick up such exercises that will not cause pain and at the same time help to develop and tone the hamstrings.

Surgical intervention

Often, all therapeutic measures are effective only at the initial stages and give only temporary relief. With such a disease as coxarthrosis of the third degree, the operation can be of two types:

• Without prosthetics;
• With partial replacement of the joint.

Basically, all operations give a positive result, among the side effects can only list the risks associated with inflammation. With a disease such as coxarthrosis of the hip joint of the third degree, surgery is the most effective method of treatment.

Preparing for an operation

Some time before surgery, a patient needs to undergo a medical examination. It consists of radiography, electrocardiograms, laboratory tests of blood and urine.

It is worthwhile in advance to take care of the fact that the first time after the operation, someone helped the patient in the home.

The speed of healing and recovery also depends on the physiological state of the muscles. That's why doctors recommend not too intense, but still doing sports. It is best to swim, walk and stretch.

Choosing a prosthesis for the operation

The operation is performed under the influence of general anesthesia. The surgeon will remove the joint and in its place will install a prosthesis, which has a spherical shape with a lot of small holes through which the bone will grow in the future. This allows you to make the position of the joint more reliable. Holders of the prosthesis are fasteners and cement from acrylic. The rod is made of titanium, the ball itself is made of molybdenum, chromium or cobalt, other parts are metal, plastic, ceramics.

When choosing a prosthesis, doctors usually pay attention to the lifestyle of the patient, his age, the stage of the disease. They usually offer a variant that will last at least ten years. In total, there are about fifty types of prostheses, but as a rule, between four and five.

Adverse effects of surgery

Although this type of operation is performed quite successfully in most cases, complications can still be. The risks associated with the operation include:

1. Wear of the prosthesis. The artificial joint has its own service life. Bone tissue, which after the operation sprouts and strengthens the prosthesis, eventually begins to deteriorate, which leads to a weakening of the prosthesis. The latter entails pain in the hip and groin area.
2. Deterioration of elasticity. The process is due to the fact that the soft tissues around the artificial joint have a property to thicken. You can see a stiffness in the deterioration of the quality of motor activity.
3. Cluster of blood clots. Signs of this complication are edema at the site of implantation and an increase in body temperature. The person has shortness of breath, cough, pain in the chest, which can lead to pulmonary embolism or deep vein thrombosis. So, when any such effects appear, you should not delay and it is better to immediately go to the hospital.
4. Heat, chills, discharge in the area where the operation was performed, pain. All these symptoms only indicate that it is worth immediately contacting a doctor.

Recovery period

In the first hours after surgery, the patient is fixed to the hip joints in a fixed (anatomically correct) position. For this person put on the back, and between the legs have a special pillow.

In order for the joint to start functioning faster, a person must learn how to get up and move independently as early as possible. In the beginning, the staff, then crutches and sticks help with this. Discomfort should not be an obstacle to recovery.

In the postoperative period, the legs can become swollen. In order to normalize the blood cycle and eliminate swelling, doctors write out a series of injections with anticoagulants. To prevent the development of inflammation, the patient must take antibiotics.

Practically in any case it is better to consult with a physiotherapist in addition. The specialist will suggest exercises that help the fastest recovery and strengthening of the body, will give several recommendations. For example, patients who have undergone surgery should not sit cross-legged, do flexion more than ninety degrees, avoid torso rotations. Experts advise to walk in small steps, to prevent loads and pressure on the place of implantation. The height of the chairs should be comfortable, not too low. Do not engage in those activities that provoke pain or discomfort in the hip area.

Recovery time after surgery

Most often, patients after the operation spend in the hospital for about a week, and then engaged in recovery at home. Further treatment consists in taking medications and performing exercises. At first, people feel tired, due to the constant strain on muscles and joints, but this quickly passes.

Pain, as a rule, is directly related to the implantation itself. Most patients successfully cope with discomfort, otherwise the doctor prescribes analgesics. Strong pain in this case in no case should not be tolerated. If there is one, then you need to go to the hospital without delay (especially if the discomfort is accompanied by redness or the formation of fluid at the site of surgery).

Repeated medical examination in no case should not be missed, as the doctor must make sure that no complications have arisen. Yes, and you should convince yourself that everything is in order.

Without any outside help, people who had a coxarthrosis of 3 degrees, begin to move an average of a month. But patients can not return to their former way of life only after two to four months. All the controversial and incomprehensible points about self-restoration should be checked with your doctor beforehand so as not to harm yourself later.

Alternative therapies for coxarthrosis

Some specialists today offer treatment for coxarthrosis of the third degree without surgery: in the fight against this disease, stem cells are used, the introduction of which promotes the formation of new vessels, the strengthening of the cartilaginous tissue and directly the joint itself. In addition, the outflow of blood and all metabolic processes is improving. As a result of the impact on the diseased region by stem cells, pain is reduced, and elasticity is increased. The possibility of edematous and inflammatory processes is eliminated.

Results of treatment of the disease

Coxarthrosis of the third degree is a very serious disease that makes it difficult and restricts free movement, it does not allow you to lead a habitual way of life. But even at the final stage, pathology can be treated, albeit at the cost of surgical intervention. Modern prostheses that are installed during the operation, although they need periodic replacement, but significantly improve the patient's quality of life.