Hip arthritis can be defined as a cartilage wear of the femoral head and the acetabulum. Diagnose may be sometimes tricky owing to the different locations of the pain, i.e groin, thigh, buttocks or knee.
Typical symptoms are joint stiffness, pain, tenderness or hip pain so most of sportsmen cannot practice their exercises. Those patients having joint cartilage completely torn have problems and inability to move the hip and performing ADL such as wearing socks.
In early stages Dr Gardelin’s main target is to preserve the hip joint in spite of cartilage damage if possible or using Platelet rich plasma (PRP) and staminal cells. Under arthroscopy the repair of lesions of the labrum and ligaments is feasible and any femoral-acetabular impingement due to osteophytes is removed. In late stages of arthritis the solution is just a hip arthroplasty.
Even in these cases Dr Gardelin adopts minimally invasive surgical solutions. He uses two minimally invasive surgical approaches to the hip (anterior or postero-lateral modified) and different type of prosthesis according to the age of the patient, the anatomy of the hip joint and the bone stock.
Dr. Gardelin is also a specialist in hip resurfacing arthrolasty ( i.e. preservation of the femoral head that is just covered by a metal cup) that is recommended for younger patients and sportsmen. Scientific articles have reported higher survival rates of the implants, higher stability and better outcomes.
In those patients where this procedure is not recommended due to the bone stock or anatomical deformities, Dr Gardelin uses last generation short stems that preserve the femoral neck and allow the use of minimally invasive approaches with less blood losses, reduced post-operative pain and finally a faster recovery for ADL. Thanks to this technique Hip replacement can be indicated also in oldest old people and a bilateral hip arthroplasty at the same time can be performed in healthy patients with advanced-stage arthritis.
Dr Gardelin uses last generation materials like ceramics.
The new head in Oxinium shows the typical resistance of metal components but with a ultra low wear performance typical of ceramics combined to a Ultra Highly cross-linked PolyEthylene cup. Recent studies show a long survival time of these components even longer than 30 years.
Thanks to the aforementioned techniques patients can walk on the first day postoperatively with a faster return to normal activities of daily living (like driving) in a couple of weeks.