Hip arthroscopy is a minimally invasive procedure, which allows you to reduce the time spent in hospital up to one day after surgery. This is an advantage of arthroscopy compared to open surgery, after which the patient spends several days in the hospital. Please note that only selected hip treatments can be performed during arthroscopy. The decision on qualification for a given type of surgery is made by the operator surgeon.

Hip arthroscopy is a technically very difficult procedure, so it is worth choosing an operator who has experience in performing this type of procedure. In addition, physiotherapists should be present in the hospital, who teach to get up and walk after the procedure, show exercises after the surgery and provide important tips on the further rehabilitation process.

Exercises are selected individually by a qualified physiotherapist in consultation with the surgeon performing the operation. The aim of the exercises is to restore the possible hip function, painless walking and resumption of activity. The exercises consist mainly in improving neuromuscular coordination and gradual strengthening of the muscles of the pelvic girdle.

The required rehabilitation time is an individual matter - it may be from 8 weeks to several months. If the patient participated in preoperative rehabilitation, i.e. strengthened his muscles, and the physiotherapist prepared the soft tissues for the procedure, the recovery period will be faster. Convalescence will be slower if you have chronic conditions that affect wound healing or bone properties. Surgical access is also of great importance, i.e. what muscles were cut during the procedure. In addition, the type of endoprosthesis itself affects the length of rehabilitation - patients after less invasive capoplasty recover faster, while the procedure of implanting a prosthesis with a long stem will require more work to restore normal gait.

Full, free weight bearing of the operated limb is usually possible in the third month after the operation. This time is needed for the implant to stably fuse with the bone. In the earlier period, the limb can be partially loaded - the degree of load depends on the type of endoprosthesis, the fixing method (with or without cement) and the individual conditions related to the procedure performed. Follow your doctor's instructions carefully at each stage of recovery.

The length of the primary arthroplasty procedure takes about 1-1.5 hours and depends on the type of implanted endoprosthesis and the surgical access. The operation time may be longer when treating accompanying bone lesions or revision arthroplasty.

When choosing a hospital, we should be guided by the operator's experience, specifically in the field of hip arthroplasty. The conditions in the operating room are also important - care for the sterile procedure. In addition, it is worth choosing a hospital in which the patient is surrounded by the daily individual care of a physiotherapist immediately after the procedure, in order to be able to learn how to move with an implanted endoprosthesis in a safe way.

If the endoprosthesis is damaged, the range of motion and audible crackles that have not been present may be limited. As a result of dislocation of the prosthesis, the limb may become incorrectly positioned and the leg cannot be loaded due to pain and blockage of the prosthesis.

Among the factors predisposing to the occurrence of a hip fracture, the following are distinguished:

- osteoporosis and osteopenia,
- age and sex of the patient (hip fractures are the domain of older people and more often affect women than men, which results from hormonal disorders during menopause, which adversely - - affect the condition of the skeleton),
- neoplastic diseases (bone tumors),
- congenital fragility / fragility of bones,
- endocrine disorders,
- taking anti-inflammatory steroid drugs,
- malnutrition,
- lack of regular physical activity.

The choice of the method of surgical treatment depends on the type of fracture, the extent of the injury, age and activity of the patient. Depending on these factors, the following are performed:

- anastomosis of broken bone fragments with the use of screws or nails,
- reposition and internal stabilization with the use of dynamic hip screw (DHS),
- arthroplasty, i.e. replacement of a damaged fragment of the femur with an artificial element. The endoprosthesis may be partial (replacement of one joint member) or complete (replacement of both joint members).

Rehabilitation should last until the patient reaches the normative values ​​in clinical trials and locomotion tests. The patient's full load on the lower limb takes place approximately 12 weeks after the procedure.