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Ichilov Medical Center
Orthopaedics

Treatment of Coxarthrosis of the Hip Joint in Israel

Professor Shmuel DekelProfessor Shmuel Dekel

orthopedist

A distinctive feature of the treatment of coxarthrosis of the hip joint at Top Ichilov is the use of the latest prosthetics from leading global manufacturers. For example, young people in need of joint replacement are fitted with special MAYO conservative hip prosthetics, which facilitate a subsequent operation that they will clearly need, as no prosthetic, even the most durable, remains functional for more than 20 years. Another innovation used at Top Ichilov is the perfectly fitting trabecular titanium prosthetic, manufactured using cutting-edge electron beam melting (EBM) technology, allowing for the rapid creation of prosthetics of any complexity.

95%
of patients received necessary treatment
92%
of patients underwent a modern diagnostic program
97%
of patients regained 100% mobility

What distinguishes the treatment of coxarthrosis at Top Ichilov from treatment in CIS countries?

  1. Safety and sterility of surgeries. All joint replacement surgeries at Top Ichilov are performed with adherence to special sterility standards, which are generally not followed in the CIS. For example, surgeons at Top Ichilov operate in specially sealed suits resembling space suits, which completely eliminates the possibility of infection.
  2. High quality of medications. At Top Ichilov, only the highest quality medications are used for joint treatment, and the use of counterfeit or low-quality products is completely excluded.
The ideal hip joint prosthetic of any complexity at Top Ichilov is created using 3D printing in just a few hours

Would you like to learn more about the advantages of joint treatment at Top Ichilov?

At Top Ichilov, mobility is quickly restored even in the most complex cases

In our clinic, you can receive treatment from the leading orthopedist in the country. The method of therapy for coxarthrosis at Top Ichilov depends on the degree of damage to the hip joint.

Non-surgical treatment

If coxarthrosis is diagnosed at early stages and there is insignificant damage to the joint tissues, medication treatment is the main method for treating coxarthrosis. The patient is prescribed a series of medications, primarily anti-inflammatory agents.

Physical therapy and therapeutic exercise in our clinic complement the treatment.

Medications used at Top Ichilov to reduce the inflammatory response (NSAIDs) are prescribed for a short period (during diagnostic procedures and determining the treatment strategy). This reduces the risk of complications associated with prolonged use of this group of medications.

If medication treatment is ineffective, surgical intervention is indicated.

Surgical treatment

In cases of significant joint damage, the patient may be recommended surgical treatment. Our clinic performs surgeries using minimally invasive techniques, with minimal tissue incisions, which ensures a shorter rehabilitation period and rapid recovery for the patient.

One of these surgeries is arthroscopy - a highly effective and minimally traumatic method for treating coxarthrosis. During the surgery, the surgeon makes 2-3 small incisions, into one of which a microcamera is inserted for visualization of the process. Special instruments are introduced into the other incisions to perform all necessary manipulations. This treatment method is usually employed in the early stages of the disease. At Top Ichilov, such surgeries are performed at a high level.

However, the most effective method for treating coxarthrosis is hip joint arthroplasty (joint replacement with a prosthetic). The Top Ichilov clinic offers a wide selection of high-quality endoprosthetics that precisely replicate the anatomical structure of the joint.

At Top Ichilov, 4 types of modern prosthetics are used:

  1. Porous titanium prosthetic, created using 3D printing with electron beam melting (EBM). This is a new development in the field of prosthetics. The porous structure fully matches the bone surface, facilitating fitting, titanium is virtually wear-resistant, and beam melting allows for the creation of any prosthetic in record time.
  2. The bone-preserving MAYO conservative hip prosthetic, which is smaller than usual and causes less trauma to the joint bone, facilitating a subsequent replacement operation.
  3. Ceramic ball on a ceramic socket - this prosthetic is the least wear-prone.
  4. Both parts of the prosthetic made of metal - this is one of the simplest options, but it is used less frequently in Israel.

During hip arthroplasty, the surgeon removes the damaged joint surfaces and installs prosthetic components made using modern technologies from polymer materials, composite alloys with nanocoating, and ceramic elements. The socket of the artificial joint is attached to the bone using a tight-fitting method Press Fit or with special bone cement (Bone Cement).

Today, the orthopedic surgeons at Top Ichilov are among the best in the world in hip arthroplasty, which attracts more and more patients each year. Hip arthroplasty at the Israeli clinic Top Ichilov is quality medical assistance from the best orthopedic surgeons in Israel.

Would you like to know more about the latest methods and technologies for treating the hip joint at Top Ichilov?

Learn more about joint replacement at Top Ichilov

  • Joint replacement. Arthroplasty and arthroscopy
  • Joint arthroplasty
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Top Ichilov – precise diagnostics in a short time

Coxarthrosis of the hip joint diseaseCoxarthrosis ranks among the top degenerative-dystrophic diseases of the musculoskeletal system. The disease can be accompanied by severe pain syndrome and leads to limited mobility of the entire body, up to complete loss of mobility and formation of disability. Therefore, the diagnosis of coxarthrosis should begin without delay. Our clinic provides all conditions for early diagnosis and rapid diagnosis.


First day – Initial examination

On this day, the patient is directed to the diagnostic department, where they are examined by the leading orthopedist of our clinic. After a thorough examination, the doctor issues referrals for tests and corresponding instrumental diagnostic procedures.


Second and third days – Diagnostics

The patient undergoes the prescribed examinations:

  • Complete blood count (detailed), biochemical blood test. These studies help exclude other causes of joint pain, such as rheumatoid arthritis.
  • General urine analysis
  • X-ray of both hip joints. This allows for the assessment of changes in the joint gap, the presence of growths, or other pathological changes in the joint.
  • Magnetic resonance imaging of the joints and CT.
  • As needed, the doctor may prescribe ultrasound, as well as joint aspiration and examination of the obtained contents.

The duration of the diagnostic program is 3-4 working days. If necessary, the program may be supplemented. It will always differ in optimal timing, cost, and obtaining the most accurate results in the form of a correct, detailed diagnosis.

Would you like to learn more about joint diagnostics at Top Ichilov or order a diagnostic program?


Fourth day – Treatment assignment

To summarize the examination and assign treatment, the patient is directed to the expert group specialists, who develop an individual treatment plan. The group meets for each patient, and its tasks include not only developing the treatment plan but also monitoring the patient's condition until their departure. Often, monitoring continues online for up to a year after departure. The expert group includes internationally recognized orthopedic specialists specializing in hip joint treatment.

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