Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Steffen Brodt
Specialist Registrar Dr. med. Steffen Brodt

Head of department hip

Specialist for Orthopaedics and Accident Surgery, Special Orthopaedic Surgery

Surgical procedure

The artificial hip joint

The operating procedure for inserting an artificial hip joint can be roughly divided into four steps.

Step 1

After anaesthetising, the doctors obtain access to the hip joint via a skin incision on the thigh. Depending on the situation, minimal-invasive incisions are also carried out. 

The defective acetabular socket is preserved with a planned surface replacement, whereas with a short shaft or standard prosthetic it is removed.

The hinge socket is clearly displayed, freed of diseased bone and tissue material and prepared with a milling tool in such a way that the artificial socket prosthesis can be inserted with a precise fit into the bone socket.

Step 2

In the next step, the surgeons prepare the femur to accommodate the endoprosthetic shaft with a special rasp: The shaft is later introduced into the femur and either clamped in the bone without cement or anchored with bone cement. In the case of surface prosthetics, the surface of the preserved femoral head is freed of residual cartilage and crowned with a metal cap.

Step 3

After the doctors have inserted the acetabular cup and the shaft, they place an artificial prosthetic head on the shaft, the size and length of which is exactly adapted to the individual anatomy of the patient. A functional inspection ensures that the implant is firmly fixed and the artificial hip moves well without dislocating.

Step 4

In the fourth step, the surgeon inserts drains to prevent haematomas. Then the surgeon stitches the wound and applies a compression bandage. Depending on the seriousness of the illness, the operation usually takes between 60 and 90 minutes.

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The insertion of an artificial hip joint takes between 60 and 90 minutes.

The insertion of an artificial hip joint takes between 60 and 90 minutes.

This may interest you:
Clinic for Orthopaedics and Accident Surgery: Hip Department
Navigation system

Artificial joints should reconstruct as precisely as possible the individual joint anatomy of the patient: This is the only way that patients can enjoy optimum mobility and long-term load capacity.

More information.

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