In the earlier editions of our series, in which we analyze the case of hip dislocation, we focused on the hip dislocation in infants and children. In this article, we are going to focus on the case of hip dislocation in adults.
According to the description of Prof. Dr. Ömer Faruk Bilgen, M.D., Specialist of Orthopedics and Traumatology, the case of hip dislocation in adults and middle aged persons occur due to a disorder caused by the insufficient development of the hip bone structure, arising from the lack of development around the nest – the part that covers the surface of the hip during the development – and is called displacement, i.e. underdevelopment. As this case advances the hip partially moves away from the natural position. As the case of insufficiency advances further or in the event of a full-scale incompetence, the hip becomes fully dislocated especially if the nest has been removed, is small or underdeveloped.
Prof. Dr. Ömer Faruk Bilgen, M.D., Chairperson of the Board of Directors of Private Medicabil Hospital, points out the availability of the various treatment methods for each of these conditions, for each age group and condition type. According to Prof. Dr. Ömer Faruk Bilgen, the classification and identification of these treatment methods is crucial. If the case of shortness is not serious – i.e. if it is not more than 1 cm and causes no pain – then, such patients are advised to undergo corrective surgeries. Patients with these symptoms are eligible for having corrective surgeries, rather than prosthesis surgeries. The patients whose hips have not fully dislocated, and hip joints are in the natural position, showing 1-1.5 cm or less shortness are eligible to get structural and corrective surgeries or operations concerning the upper-section of the femur and hip joint, as well as “osteotomy surgeries” which will facilitate the normal function of the hip joint. Orthopedist Prof. Dr. Ömer Faruk Bilgen emphasizes the significance of the early diagnosis at this specific point.
If the hip status and the cartilage tissue is suitable, and there is no severe abrasion, the patients may undergo corrective surgeries instead of prosthesis. Thereby the patient is provided with the opportunity use their own hips for at least 10 years or more. In other worlds, the patients diagnosed with type 1 and type 2 hip dislocation need to have a corrective surgery. In case of missing the deadline or missing the opportunity, the patient’s only option may be a prosthesis surgery. According to Prof. Dr. Ömer Faruk Bilgen, M.D. a surgeon of orthopedics should be able to meticulously evaluate the type and the time of the surgery, and to decide with due diligence. For example, it is obvious that if a 60 years old patient with a medium-level of hip defect, suffering pain in the last couple of years, is operated with the osteotomy – i.e. corrective surgery – the results will be unsuccessful. On the other hand, if a 30 years old patient with the same kind of symptoms, reporting a little less pain, showing a little less defect and displacement, is operated with the osteotomy, the results will be much more positive.
NOTE: The contents of this page are exclusively provided for informative purposes. For diagnosis and treatment please visit your physician.