Coxarthrosis is the hip of the damaged hip, and the most effective operation for freedom of movement is now being performed with minimal invasiveness.
Replacement of the hip joint by minimal – invasive technique is one of the newest and most effective prosthetic interventions, which can be done now in Romania.
In contrast to classical hip prosthesis surgery, the minimally invasive muscle causes no muscle to be cut off during surgery, which means less pain for the patient and rapid recovery (2-3 days of hospitalization).
Dr. Robert Apostolescu – orthopedic surgeon – makes this minimal – invasive intervention by anterolateral approach in Romania. Within 24 hours of hip prosthesis, patients get natural movements.
In Romania, in the year 2018, about 11,000 hip replacement operations were performed, meaning about 55 interventions per 100,000 inhabitants, according to the National Endoprosthetic Registry. These figures indicate a very low incidence, although many Romanians need this operation.
In Romania, over 35,000 Romanians need a hip prosthesis so they can go again. At least these are orthopedic estimates. There are not many statistics.
According to the National Endoprosthetic Registry, in 2018 only 10,825 hip replacement replacements were performed, that is, only 55 cases resolved per 100,000 inhabitants.
Coxarthrosis is, in fact, the affection that brings patients to the operating table. The cartilage in the hip joint is destroyed, and the femur and the bone of the pelvis get to rub directly, causing unbearable pain for the patients. Some can not even move. The same cartilage wear can occur at the knees, where we talk about gonarthrosis. Due to friction, the joint becomes inflamed, swelling, bumps and unbearable pain.
"Practically, you do not even know where the pain comes from. Maybe it's your hip, maybe your knees, but you feel your whole body hurts. One of the moments of crisis was the one in which I could not get up from the ground. And no one around to help me. I could not work any more, I could not sleep, I woke up, night, sleep, pain. I was afraid of losing my control of my own life, not becoming addicted to others or burdening my family. Yes, I think I have come to try twice … and physically, but also on the inside. "- Alexandru Căpăţână – patient.
Damage to cartilage is irreversible. The only chance for a normal life is joint prosthesis. Alexandru Căpăţână is one of the patients of Dr. Apostolescu. He was diagnosed with coxarthrosis three years ago, but lately he needed immediate hip prosthesis.
"Replacement of the hip joint by minimally-invasive technique is a modern concept for the treatment of coxarthrosis. This method allows the orthopedic surgeon to penetrate to the joint and replace it without cutting out the muscle groups surrounding the balance. The physician practicing this type of surgery should be over-specialized in hip prosthesis with a consistent training and experience in minimally invasive hip prosthesis. "- Dr. Robert Apostolescu – orthopedic surgeon.
Most patients who undergo total hip replacement are between 50 and 80 years of age, but full hip replacement has been performed successfully in all ages, from juvenile arthritis to elderly with degenerative arthritis.
"You think that for such an intervention you are only prepared when pain goes beyond fear of scalp. It is a great relief to learn that you do not have to suffer so much pain and that you can return to normal life in just two days. "- Alexandru Căpăţână – patient.
Advantages for Patient – Replacement of the hip joint by minimal-invasive technique:
- less postoperative pain;
- smaller incision;
- immediate mobilization of the patient;
- usually does not require blood transfusion;
- shorter hospital stay – low costs;
- rapid return to daily and professional activities.
Dr. Robert Apostolescu is one of the few orthopedic surgeons in Romania who use minimally invasive technique by hip anterolateral approach. It was developed by Dr. Heinz Roettinger, senior consultant in the Department of Endoprosthesis of the Hospital of Surgery in Munich, who has over 30 years of experience in the field and more than 20,000 operations performed.
In prosthetic interventions, both in the hip and knee, accuracy and symmetry are very important. The anatomy of the hip has to be restored in the smallest detail so that after surgery no patient will become limp and have the same legs. Prior to hip and knee prosthesis surgery, Dr. Robert Apostolescu uses an operation planning software that allows the measurement of each bone in the human body and estimates the size and positioning of the denture to be implanted.
"This minimally invasive technique allows for minimal blood loss for the patient and the greatest possible preservation of the tissues, since virtually no muscle, tendon or ligament is cut during the operation. For the patient, the technique is considerably milder with soft parts than other techniques.
A quality prosthesis, correctly positioned by the orthopedic surgeon, can have a lifetime of up to 25 years if they are of some quality. Sometimes, however, the degradation of the prosthesis can not be avoided. If this happens, it may be necessary to have a hip replacement surgery. This procedure is more complex than initial implantation because the basal bone was already affected by the anterior prosthesis, and it often becomes thin and fragile, "says Dr. Robert Apostolescu, an orthopedic surgeon, primary physician at the Emergency Clinical Hospital of Bucharest (Floreasca) .