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+41 21 510 33 48
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    Avenue d'Ouchy 41
    1006 Lausanne
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    Ouchy Orthopedic Center - Entrance photo
    Ouchy Orthopedic Center - Entrance photo
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Ouchy Orthopedic Center
Avenue d'Ouchy 41
1006 Lausanne

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Welcome - Orthopedic surgeons in Lausanne – Hip specialists - Pathology: Hip osteoarthritis

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Hip Osteoarthritis Brochure

Hip osteoarthritis

Hip osteoarthritis, also known as coxarthrosis, is the progressive wear and tear of the cartilage in the coxofemoral joint. This common condition affects approximately 10% of the population over the age of 60 and is one of the main reasons for orthopedic consultations. The hip, an essential weight-bearing joint, supports the body's weight and allows for walking, running, and many daily movements. When the cartilage thins and then disappears, bone rubs directly on bone, causing pain and functional limitations. This situation requires a precise assessment to determine the best treatment for each patient.

Hip orthopedist in Lausanne – Pathology: Hip osteoarthritis

Causes

Hip osteoarthritis can have several causes. Natural age-related wear and tear remains the most common cause, but certain specific bone morphologies such as hip dysplasia or femoroacetabular impingement predispose to early osteoarthritis. The after-effects of joint fractures, bone necrosis of the femoral head, certain inflammatory diseases such as rheumatoid arthritis, or even prolonged use of corticosteroids can also accelerate cartilage degradation. Being overweight, certain intensive sports activities, and repeated microtraumas also contribute to the development of this pathology.

Symptoms

Pain is the main symptom of hip osteoarthritis. It typically occurs in the groin crease and can radiate to the thigh, knee, or buttock. Initially present during exertion such as prolonged walking or climbing stairs, it gradually becomes more frequent and can even occur at rest. Joint stiffness then appears, particularly in the morning upon waking or after prolonged sitting. Patients often describe a sensation of unlocking that is necessary before being able to walk normally. As the condition progresses, a limp sets in and the walking distance gradually reduces.

Treatments

Medical treatment aims to relieve pain and maintain joint function for as long as possible. Nonsteroidal anti-inflammatory drugs, used in short courses, help control painful flare-ups. Physiotherapy plays a vital role in maintaining joint mobility and strengthening the periarticular muscles, particularly the glutes, which stabilize the hip. Corticosteroid or hyaluronic acid injections can provide temporary relief for several months. Adapting activities, losing weight if overweight, and occasionally using a cane on the opposite side can reduce stress on the arthritic joint.

Surgery

When conservative treatment is no longer sufficient to maintain an acceptable quality of life, total hip replacement is the standard surgical solution. This procedure, performed more than a million times a year worldwide, involves replacing the worn joint with artificial implants. The femoral head is replaced by a metal or ceramic sphere fixed to a stem implanted in the femur, while a hemispherical cup is fixed in the pelvis. Modern techniques allow for rapid recovery with the ability to walk the day after surgery. The results are generally excellent, with pain disappearing and mobility regained, allowing a return to daily activities. The lifespan of current prostheses often exceeds 20 years, allowing patients to regain lasting independence.

Want to learn more about hip osteoarthritis?

On our Medicol website you will find additional detailed information.

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This article is original and was created entirely by our team of referring physicians. Last updated September 17, 2025.

PTH today: what challenges?

Hip arthroscopy - Orthopedist Lausanne

Hip arthroscopy

Instability and painful hip impingement

are at your disposal

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Dr. Cristian Ciobotaru

General orthopedics

Dr Jacques Vallotton

Chirurgie du membre inférieur, médecin du sport

Dr. Christophe Sadowski

Lower limb surgery

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Do not hesitate to contact us, we will be happy to help you.

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We work in close collaboration

We collaborate with referring physicians, external specialists recognized for their expertise in a specific area of orthopedics. These physicians work in close coordination with us to ensure the best possible care.

Profile Photo of Doctor Jacques Vallotton

Dr Jacques Vallotton

  • Specialist in orthopedic surgery and traumatology. SEMS sports physician
Photo Dr. Christophe Sadowski

Dr. Christophe Sadowski

  • Orthopedic surgeon and traumatology specialist
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Avenue d'Ouchy 41
1006 Lausanne

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+41 21 510 33 48
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