Hip surgery

heupoperatie revalidatieprogramma

When is a hip prosthesis fitted?

A hip prosthesis (artificial hip) is placed in the event of serious damage to the hip joint. The cause of this damage is usually arthritis or a rheumatic disease. This causes pain and impaired function. The damage can be seen on an X-ray of the hip and is confirmed by functional tests.

The hip joint consists of the head of the thigh bone that rotates smoothly in the socket of the pelvis. This smooth movement is made possible by a layer of cartilage at the head of the femur and in the socket of the pelvis. Cartilage is a smooth and springy tissue.
Wear and tear of the cartilage is called osteoarthritis. Such wear and tear is a normal aging process that occurs in everyone. In some people however, the wear and tear progress faster. Causes are abnormal load, an accident or malformation of the hip joint. There is certainly also an important hereditary factor. Wear and tear is not always due to a specific cause.

Wear and tear cause pain. If the pain can no longer be relieved by other means, a hip prosthesis will be suggested. In case of severe hip damage, both the ball of the hip and the socket are replaced (full prosthesis).

In some cases, we also place a prosthesis if the hip head breaks off. In this case it is not always necessary to replace the entire joint. Usually only the broken off head of the thighbone is replaced. We then speak of a half prosthesis or hemi prosthesis.

What does a hip prosthesis look like?

A hip prosthesis is an imitation of the normal hip. In the operation, the ball of the hip is removed and the remaining cartilage in the socket is milled out (see Illustration B).
Then the components of the new hip are inserted. The new socket is made of plastic and metal. Then a metal pin with a small head on top will be inserted into the thigh bone. This fits exactly into the plastic socket. This pin is also called the stem or voice.

There are different ways of securing the parts. Our orthopaedists usually clamp the metal socket into the original hip socket. This way, the bone grows into the prosthesis. This growth is achieved after about 6 weeks. Sometimes one or two screws are inserted to ensure extra firmness.

In the metal socket a plastic component is placed that is traditionally made of durable plastic.

The metal stem consists of titanium and can be placed in two ways:
The stem can be fixed in the thighbone with special cement (methyl methacrylate). Here, too, a firm anchoring must be achieved through the growth of bone; as mentioned earlier, this requires about six weeks. On the other hand, the metal stem can be clamped into the femur, without the use of cement. Whether cement is used or not depends on the quality of the bone and the age of the patient.

The lifespan of the hip prosthesis is on average between 15 and 20 years.

Many preceded you:

Jos Jansen - Patient Meditit Reha

Jos Jansen, the Netherlands

I trained hard with the therapists for 8 weeks. As a result, I now have much more stamina. I also feel much better. The healthy air on the Costa Blanca has also helped.
review esther

Esther, the Netherlands

From the first moment that my wife Esther came to Spain to the last moment she was taken care of. Esther's recovery has been worked on both physically and spiritually and with success! We have never regretted it and will recommend it to anyone!
review Klaas Jan Hindriks

Klaas Jan Hindriks - Foreign Correspondent NOS, the Netherlands

Your organization and treatment center is not only distinguished by its medical knowledge, but above all by the dedication and inspiring support of the extremely experienced employees.
Mildred May patient recensie medifit reha

Mildred May, The Hague

I was made to feel very comfortable by the lovely caring therapists. I also stayed in a nice apartment where I got some rest. These 6 weeks have made me a lot stronger and more confident.
review henny vissers - witte

Henny Vissers - Witte, the Netherlands

For all fellow sufferers, no matter how sad the circumstances are, when you visit the rehabilitation clinic in Moraira, you can learn a lot with the cooperation of this fantastic team of therapists, both physically and mentally!
review debbie

Debbie, the Netherlands

You can literally leave the daily worries at home and focus completely on your recovery, both mentally and physically. A great concept and great lovely people! I have a goal again and see the future a bit, it was zero for this adventure!

Nanda, the Netherlands

Really, what a fantastic rehabilitation center! Just got back 2.5 weeks after hip surgery. What a professional and lovely beautiful people! Highly recommended for anyone who gets "no" aftercare here, I recommend: go to Spain and Medifit ... health insurers reimburse this. Fantastic team!!