Cartilage loss in the hip joint (coxarthrosis)

Causes
Causes for degenerative changes to the hip joint are congenital malformation of the femoral head and acetabulum (hip dysplasia), accidental misalignment due to bone fractures (post-traumatic coxarthrosis), circulatory disorders (osteonecrosis) and degenerative changes of the articular cartilage.

Symptoms
Early symptoms of coxarthrosis are the painful limitation of internal hip rotation, limiting mobility. Due to the wear of cartilage tissue, the bony surfaces of the femoral head and the osseous acetabulum rub against each other, causing pain that is primarily felt in the groin. Sudden pain that is felt when the patient starts to move after having rested for a while may be another symptom.

Possible therapies
Moderate changes can be successfully treated with injections. Dr. Braune treat the early stages of coxarthrosis by injecting hyaluronic acid into the intra-articular space. Sonographically controlled, this cartillage nourishing substance (hyaluronic acid) is directly injected into the hip joint. The body is unable to produce a sufficient amount of hyaluronic acid itself due to this degenerative inflammation.

Often an endoprosthetic hip replacement is the only option available once all conservative options have been exhausted.

Today, surgical implantation of artificial hip joints is considered a routine procedure with manageable risks and very high patient satisfaction.