Osteoarthritis of the hip joint (coxarthrosis)

Usually slowly increasing, painful restriction of movement in the hip joint. The pain is usually felt in the groin area. Increasing restriction of walking distance up to pain at rest at night. Pain in the tendons of the hip muscle ( gluteal muscles ) on the trochanter or the sacroiliac joint ( SIJ ) must be distinguished from this.

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There is often a genetic disposition, i.e. a family tendency. Only rarely is wear and tear of the hip joint caused by an accident. Congenital causes of osteoarthritis of the hip joint can be hip dysplasia. Hip dysplasia is a hip socket that is too shallow, resulting in an unfavorable distribution of force in the hip joint. Hip dysplasia often leads to coxarthrosis in middle and old age.

In many cases, conservative therapy with physiotherapy including stretching and retraining of the shortened muscles, adjustment of the leg length with insoles and buffer heels and intra-articular injections into the hip joint under ultrasound control or image intensification is sufficient. These can be cortisone injections for short-term anti-inflammatory treatment, PRP treatment or hyaluronic acid injections, which can also achieve a longer-term improvement in symptoms and an improvement in the "lubrication" of the joint. The test injections are also sometimes used to differentiate between intra-articular and extra-articular symptoms (inside and outside the joint). Hip joint arthroscopies are usually only indicated in the case of clear labral tears or impingement (soft tissue incarceration in the hip joint), and not only rarely in the case of hip joint arthrosis. If the quality of life is reduced and conservative measures have failed, we implant cementless hip prostheses using a minimally invasive approach. The advantage of the minimally invasive technique is that no muscles are detached. As a result, a stable, limp-free gait is achieved much more quickly than with the approaches used in the past.