Αρχική breadrumb-bullet-icon Surgical Techniques breadrumb-bullet-icon Hip

Hip surgery spans the full range, from procedures that preserve the natural joint to complete replacement of it. Which is right depends on the underlying condition, age, the state of the cartilage and activity level — not on a general rule.

Preserving the joint first

In younger patients and early disease, the aim is to buy time without a prosthesis. In avascular necrosis before collapse, core decompression relieves intraosseous pressure and can arrest progression. In femoroacetabular impingement with a labral tear, arthroscopy corrects the bony cause and repairs the labrum. In dysplasia, periacetabular osteotomy reorients the socket and improves coverage of the femoral head.

When replacement is needed

Once the cartilage is destroyed, no joint-preserving procedure helps and total hip replacement is the definitive solution. The question then is not whether, but how: with which approach, which implants, and with what accuracy of placement. The ASI technique reaches the joint anteriorly, through the natural interval between muscles and without cutting any muscle or tendon, with the patient supine. That allows intraoperative fluoroscopic verification of cup position and leg length, and is why patients stand and walk within hours.

And when something goes wrong

No implant lasts forever. Loosening, infection, recurrent dislocation or a periprosthetic fracture all require revision — demanding surgery whose results are considerably better when the problem is identified early, before bone stock is lost.

Hip procedures

International patients are assessed remotely on the basis of recent imaging before travelling, so that time spent in Greece stays short and predictable.

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