Emphasizing that the cartilage tissue covering the hip joint can sometimes deteriorate for unknown reasons (primary coxarthrosis) and sometimes due to other diseases or anatomical disorders (secondary coxarthrosis), Orthopedics and Traumatology Specialist from Medical Park Yıldızlı Hospital, Op. Dr. Gökhan Peker said, “As calcification progresses in the hip joint, the joint space narrows and hip joint movements are limited.”
of the hip joint; Stating that it is a joint formed by a round and deep socket on the pelvis and the upper end of the ball-shaped thigh bone, Orthopedics and Traumatology Specialist Op. Dr. Gökhan Peker warned about hip joint and knee calcifications.
ATTENTION TO THE ARTIFICIAL CARTRIDGE
Stating that the hip joint is supported by strong ligaments and muscles around it, Op. Dr. Peker says, “The rounded structure of the hip joint allows the joint to move in all directions. Articular surfaces are covered with hyaline cartilage tissue as in other movable joints. This cartilage tissue has a very slippery and smooth structure and provides great convenience in joint movements. Articular cartilage is mostly fed from joint fluid. The most negative feature is that it has very little potential to renew and repair itself.
HIP JOINT MOVEMENTS CAN BE LIMITED
Emphasizing that the cartilage tissue covering the faces of the joints deteriorates sometimes for unknown reasons (primary coxarthrosis) and sometimes due to other diseases or anatomical disorders (secondary coxarthrosis), Op. Dr. Peker said, “As a result of this deterioration, the cartilage tissue loses both its thickness and its function. Deterioration in cartilage first begins in the form of cracks and fibers. The joint fluid passes through these cracks into the bone tissue under the cartilage and forms cysts. The bone under the cartilage thickens and hardens (sclerosis). Over time, new bone formations occur around the joint (osteophyte). In this way, the load reflected on the joint is tried to be reduced by the body. As the disease progresses, the cartilage becomes thinner, the joint space narrows, and the hip joint movements are limited.
PAIN CAN INCREASE BY DAY
Underlining that the pain felt in the groin and the side of the hip at the beginning increases, its severity increases and spreads to the inner side of the knee, Op. Dr. Peker said, “Pain, which used to occur as a result of prolonged walking or standing, is felt more frequently and for a long time as the disease progresses. The pain continues even during rest and increases with movements.
TRAUMA MAY CAUSE
Kiss. Dr. Peker shared the following information about some diseases that cause hip joint calcification:
“Congenital dislocation of the hip, angular disorders in the hip joint, Perthes disease, which causes deterioration of the cartilage of the hip joint in childhood, some blood diseases (such as sickle cell anemia), alcoholism, hit disease seen in divers, traumas, fractures and dislocations of the hip joint, long-term medication use (especially drugs containing cortisone).”
Kiss. Dr. Peker emphasized that the cause of primary coxarthrosis, which is more common, is unknown.
BETWEEN SURGICAL TREATMENTS
Op Dr. Peker said, “In the following periods, the patient is recommended to reduce the load on his hip with a cane or crutches. In the advanced period of the disease, definitive treatment is by surgical methods. Hip arthroplasty surgeries are the most effective and common method in the treatment of hip joint calcification or loss of cartilage tissue today. In this method, the damaged hip joint is completely removed and a prosthesis is placed in its place. This artificial joint consists of ceramic, polyethylene and metal parts according to the characteristics of the patient and the preference of the physician. Ceramic prostheses are applied more frequently in young patients and they are long-lasting.
IT CAN ALSO BE APPLIED TO YOUTH WHEN NECESSARY
Expressing that hip arthroplasty operations are usually performed at advanced ages, Op. Dr. Peker said, “However, it does not mean that prosthetic surgery cannot be performed in young patients. Surgery also provides great benefits in diseases such as severe hip joint calcification, hip fracture, avascular necrosis at a young age. On the first day after surgery, patients are usually up and walking.
JOINT LIQUID CAN BE REDUCED IN KNEE Calcification
Stating that when the cartilage tissue covering the knee joint faces deteriorates, similar to the hip joint, calcification may begin in the knee, Op. Dr. Peker said, “As a result of this deterioration, the knee joint loses both its thickness and its function. Joint fluid is reduced. As the disease progresses, the cartilage becomes thinner, the joint space narrows, and the knee joint movements are limited. Pain and strain begin in knee folding. There is a noise in the knee while walking and it can cause pain at night to wake you from sleep.
WEIGHT CONTROL AND PAIN RELIEF CAN BE USEFUL AT STARTING
Painkillers, weight control, reorganization of work and daily life in the initial period are useful in controlling the progression of pain and disease. In the following periods, it is recommended to reduce the load on the knee with a crutch. Intra-knee joint needle treatments can be applied. Knee replacement surgery is recommended for patients who do not improve with all these methods.
KNEE PROSTHESIS CAN BE APPLIED
Kiss. Dr. Peker said the following about prosthetic treatment methods in knee osteoarthritis:
“Knee prosthesis is one of the treatment methods applied to patients who have calcification in the knee joint and who have difficulty in doing their daily activities such as walking, climbing stairs, praying due to knee pain. In patients with severe cartilage wear due to calcification, the application of knee prosthesis becomes inevitable in patients whose treatment methods such as rest, medication, physical therapy, weight loss, using a cane and needle injections into the knee joint cannot yield results. Although it is generally applied in advanced ages, it can also be applied to people who have advanced joint damage at an early age due to diseases such as rheumatoid arthritis, osteonecrosis, septic arthritis.
THE OPERATION MAY TAKE 1-1.5 HOURS ON AVERAGE
Saying that the knee prosthesis is the method of removing the worn and destroyed surfaces of the bones forming the knee joint, facing the knee joint, and replacing the parts of the prosthesis, Op. Dr. Peker said, “Surgery is usually performed with spinal-epidural anesthesia or general anesthesia, which is done by applying a needle from the waist. The process takes an average of 1-1.5 hours. After the operation, the patient is taken to the service bed. The next day, the dressing is changed and the patient is carried out. Thanks to epidural anesthesia, the first walking procedure is usually painless. The patient, who stays in the hospital for 3-4 days on average, is discharged according to his general condition. Dressing is continued for about 2 weeks, once every three days. At the end of this period, the patient can walk comfortably, go up and down stairs and feel no pain. He concluded his words by saying, "With the appropriate lifestyle, developing modern designs and appropriate surgical technique, the life of prostheses has been extended today."
Günceleme: 23/02/2022 17:28