{"id":220,"date":"2016-02-16T00:33:22","date_gmt":"2016-02-16T00:33:22","guid":{"rendered":"http:\/\/localhost\/hipclinic\/en\/?page_id=220"},"modified":"2017-06-01T10:34:28","modified_gmt":"2017-06-01T10:34:28","slug":"faq","status":"publish","type":"page","link":"https:\/\/www.vandeneedenhipclinic.eu\/en\/faq\/","title":{"rendered":"FAQ"},"content":{"rendered":"
1. What is osteoarthritis of the hip? <\/span><\/span><\/span><\/p> Osteoarthritis of the hip is caused by wear and tear to the hip joint. The hip joint is a ball-and-socket joint. Normally the cartilage (slippery tissue that covers the end of the bones) ensures that the ball (top part of the thighbone) moves smoothly in the socket (part of the pelvis bone). The wear and tear of the hip joint causes the cartilage to become thinner or disappear completely. The subsequent bone-to-bone contact causes pain. When physiotherapy and medicine no longer help, an operation to replace the hip joint is a solution. In this case the whole hip joint is replaced.<\/p>\n <\/div> <\/div> <\/div><\/section>\n 2. Is osteoarthritis of the hip joint coxarthrosis? <\/span><\/span><\/span><\/p> Yes, osteoarthritis of the hip joint is also referred to as coxarthrosis or wear and tear of the hip.<\/p>\n <\/div> <\/div> <\/div><\/section>\n 3. What are the symptoms of osteoarthritis? <\/span><\/span><\/span><\/p> You experience pain such as joint pain and joint stiffness that make your movements less supple. It becomes more difficult to support yourself on your leg. For example, you may experience problems when getting up and starting to move as well as difficulties in walking, climbing stairs and bending. The pain and stiffness can be felt in the area of the groin and the buttocks. It may also extend to the thigh, lower back and knee.<\/p>\n <\/div> <\/div> <\/div><\/section>\n 4. What is a specialist clinic? <\/span><\/span><\/span><\/p> A specialist clinic is an institution that offers specialist medical care. It brings together pace, quality and service. The Van den Eeden Hip Clinic focuses on delivering optimal care for patients with hip problems caused by coxarthrosis.<\/p>\n Central to our clinic\u2019s philosophy are short waiting lists, a compact and accessible treatment process and personal service.<\/p>\n <\/div> <\/div> <\/div><\/section>\n 5. What is the Direct Anterior Approach (DAA)? <\/span><\/span><\/span><\/p> The Direct Anterior Approach is a technique of surgery utilised to replace the hip joint through a small incision on the front of the upper leg. This means that there is no need to cut soft tissue or detach muscles and tendons. It, therefore, is a tissue sparing surgery. This means less tissue disruption and less trauma to underlying structures.<\/p>\n <\/div> <\/div> <\/div><\/section>\n 6. What are the pros and cons of the Direct Anterior Approach (DAA)? <\/span><\/span><\/span><\/p> The recovery is faster, safer and less demanding. Tendons and muscles stay intact. Patients feel less pain. They are able to stand up three hours after the surgery and allowed to full weight bearing. The hospital stay is shorter.<\/p>\n The DAA, however, is a technically complicated surgery method. Usually, the surgery lasts longer, which may cause more blood loss. It is important, therefore, that your medical specialist is experienced in using and applying this method. If that is not the case and the medical specialist does not regularly use this method, it may result in increased complications.<\/p>\n With traditional hip replacement patients are required to stay three to five days in hospital. And it takes about six weeks before one can start rehabilitating after surgery. In addition, after surgery the hip remains a \u201cweak point\u201d, muscles and tendons having been cut. Complications are more likely.<\/p>\n <\/div> <\/div> <\/div><\/section>\n 7. Who is eligible for the DAA? <\/span><\/span><\/span><\/p> By and large, 98% of the patients with hip complaints caused by wear and tear are eligible for DAA. During the first meeting, the medical specialist will assess your eligibility for this method. Age, weight and general state of health (ASA) play a role. It is important that hip complaints are caused by osteoarthritis and that you did not have a hip surgery before.<\/p>\n In some cases you are not eligible for DAA. Examples are people with a body mass index (BMI) of 33 or higher or with a poor health status (ASA3 or ASA4*). Old age might also be a reason. For older patients the treatment path might be too fast. For them it is more appropriate to have a surgery in a normal hospital, so they can stay in hospital longer.<\/p>\n * What is ASA?<\/span> This classification system defines the physical condition of surgery patients. It determines his or her eligibility for surgery. For the direct anterior approach only patients in good to excellent health can be considered. These patients are labeled ASA1 and ASA2 in the classification system. Few problems are expected for patients in this group. Patients with a poor physical condition need more care. They are classified as ASA3 and ASA4. These classifications are internationally valid, established by the American Society of Anesthesiologists (ASA).<\/p>\n <\/div> <\/div> <\/div><\/section>\n