{"id":9272,"date":"2025-08-28T10:02:35","date_gmt":"2025-08-28T10:02:35","guid":{"rendered":"https:\/\/www.centre-ortho.ch\/?page_id=9272"},"modified":"2025-09-07T21:18:32","modified_gmt":"2025-09-07T21:18:32","slug":"understand-hip-osteoarthritis-and-its-treatments","status":"publish","type":"page","link":"https:\/\/www.centre-ortho.ch\/en\/understand-hip-osteoarthritis-and-its-treatments\/","title":{"rendered":"Understanding hip osteoarthritis and its treatments"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"9272\" class=\"elementor elementor-9272\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3ff3277f conteneur_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"3ff3277f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b873e6f1 conteneur_ariane_vid_0 e-con-full e-flex e-con e-child\" data-id=\"b873e6f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c2d79768 e-flex e-con-boxed e-con e-child\" data-id=\"c2d79768\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cca5aecd ariane_vid_0 elementor-widget elementor-widget-breadcrumbs\" data-id=\"cca5aecd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Welcome<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8a956fb3 video_vid_1 e-flex e-con-boxed e-con e-child\" data-id=\"8a956fb3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-845f5784 video_vid_1 elementor-widget__width-inherit elementor-widget elementor-widget-video\" data-id=\"845f5784\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/_musT2vGGc8&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-924092f9 conteneur_principal_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"924092f9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b1789634 e-con-full sticky-sidebar colonne_gauche_0 e-flex e-con e-child\" data-id=\"b1789634\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b9e03bc2 e-con-full e-flex e-con e-child\" data-id=\"b9e03bc2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9c248d00 elementor-widget elementor-widget-shortcode\" data-id=\"9c248d00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c764f27d e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"c764f27d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ae5ef6f0 colonne_vid_1 pv-tv-label aleft elementor-widget-icon-box wgl-icon-box wgl-view-default button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"ae5ef6f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fab-youtube\" aria-hidden=\"true\" viewbox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M549.655 124.083c-6.281-23.65-24.787-42.276-48.284-48.597C458.781 64 288 64 288 64S117.22 64 74.629 75.486c-23.497 6.322-42.003 24.947-48.284 48.597-11.412 42.867-11.412 132.305-11.412 132.305s0 89.438 11.412 132.305c6.281 23.65 24.787 41.5 48.284 47.821C117.22 448 288 448 288 448s170.78 0 213.371-11.486c23.497-6.321 42.003-24.171 48.284-47.821 11.412-42.867 11.412-132.305 11.412-132.305s0-89.438-11.412-132.305zm-317.51 213.508V175.185l142.739 81.205-142.739 81.201z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Video type:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button no_text no_media\"><div class=\"button__content\"><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc646b8e colonne_vid_2 pv-tv-value aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"cc646b8e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Patient information<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d27bc4a0 e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"d27bc4a0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-069d1268 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"069d1268\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Anatomy:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Hip<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0575180 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"c0575180\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Surgery:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Total hip replacement; Custom-made prosthesis<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb9707cd colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"bb9707cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Pathology:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Hip osteoarthritis<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29f1eb02 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"29f1eb02\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Thematic:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Osteoarthritis and hip prosthesis<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18326bd9 e-con-full colonne_vid_0 pv-cta-card e-flex e-con e-child\" data-id=\"18326bd9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-542863c9 conteneur_spec_vid_6 elementor-widget__width-inherit aleft elementor-widget-icon-box wgl-icon-box elementor-widget elementor-widget-wgl-button\" data-id=\"542863c9\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button  align-icon-left\" href=\"\/en\/consultation\/\" role=\"button\"><div class=\"button__content\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-calendar-day\" aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V192H0v272zm64-192c0-8.8 7.2-16 16-16h96c8.8 0 16 7.2 16 16v96c0 8.8-7.2 16-16 16H80c-8.8 0-16-7.2-16-16v-96zM400 64h-48V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H160V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H48C21.5 64 0 85.5 0 112v48h448v-48c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><span class=\"button__text\">Consultations<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7f4c53fa e-con-full e-flex e-con e-child\" data-id=\"7f4c53fa\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-32bbb956 elementor-widget elementor-widget-shortcode\" data-id=\"32bbb956\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ad2d86fb e-con-full conteneur_droit_vid_0 e-flex e-con e-child\" data-id=\"ad2d86fb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-5e5e2a9a e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"5e5e2a9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-354d925d titre_vid_1 elementor-widget elementor-widget-heading\" data-id=\"354d925d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Understanding hip osteoarthritis and its treatments<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c1a134e9 paragraphe_vid_1 elementor-widget elementor-widget-text-editor\" data-id=\"c1a134e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This video explains hip osteoarthritis, its causes, symptoms, and treatments. It details conservative solutions such as physiotherapy, injections, and weight loss, followed by surgical options such as hip replacements, with an overview of materials, innovations, and rehabilitation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e8a6c01e e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"e8a6c01e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-38c17611 tabs_vid_1 tabs-full-width-yes elementor-widget elementor-widget-wgl-tabs\" data-id=\"38c17611\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-tabs wgl-tabs_swiper-wrapper tabs_align-justify\">\n            <div class=\"wgl-tabs_headings-wrap swiper\">\n                <div class=\"wgl-tabs_headings swiper-wrapper\"><h4 data-tab-id=\"wgl-tab_9521\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Doctors<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_9522\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Topics<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_9523\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Treatments<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_9524\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Advice<\/span>\n\n                    \n                <\/h4><\/div>\n        <\/div>\n\n        <div class=\"wgl-tabs_content-wrap\">                <div data-tab-id=\"wgl-tab_9521\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Prof. Brigitte Jolles-Haeberli<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_9522\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Definition of osteoarthritis<\/li><li> Causes and symptoms<\/li><li> Clinical and radiological diagnosis<\/li><li> Conservative treatments<\/li><li> Total hip replacement<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_9523\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check_circle list_primary_color\"><li>Conservative treatment<\/li><li> Total hip replacement<\/li><li> Hyaluronic acid infiltration<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_9524\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check list_primary_color\"><li>Watch for early symptoms of groin pain<\/li><li> Maintain hip mobility<\/li><li> Reduce weight to protect the joint<\/li><li> Consult in case of lameness<\/li><li> Respect post-operative rehabilitation<\/li><\/ul>                <\/div>\n\n                    <\/div>\n        <\/div><!-- .wgl-tabs -->\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8becdae7 elementor-widget elementor-widget-shortcode\" data-id=\"8becdae7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a74c416a e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"a74c416a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5c0a6d17 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"5c0a6d17\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Understanding hip osteoarthritis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28c737c4 elementor-widget elementor-widget-text-editor\" data-id=\"28c737c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Hip osteoarthritis is a progressive wear of the cartilage covering the femoral head and acetabulum. When this smooth surface loses its integrity, sliding becomes irregular and painful, causing discomfort when walking and performing daily activities. The joint then seeks to compensate by peripheral bone proliferation, at the cost of loss of mobility and muscle fatigue. In this context, early diagnosis and clear information on treatment options make it possible to anticipate the necessary lifestyle adjustments.<br><br>This pathology affects a variety of profiles. It can be part of physiological aging, result from a history of trauma, or be associated with rheumatic diseases. In younger individuals, a morphological abnormality (dysplasia) accelerates wear. The initial goal is to preserve function by maintaining the most fluid gait possible, as cartilage is nourished by joint fluid through movement. A progressive strategy\u2014guided exercises, weight control, and reasoned medical treatment\u2014is the first step.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-682d917e e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"682d917e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c0d173c5 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"c0d173c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Symptoms and risk factors<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95f6a812 elementor-widget elementor-widget-text-editor\" data-id=\"95f6a812\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The pain typically occurs in the groin crease, sometimes radiating toward the thigh. It worsens with weight bearing, when climbing stairs, or when getting up from a prolonged sitting position. Limping may occur with weakness of the gluteal muscles and a marked decrease in internal rotation. Getting dressed, putting on shoes, or cutting nails becomes difficult. These symptoms reflect a loss of joint congruity and bone-on-bone friction in the advanced stages.<br><br>Several factors increase the risk: heredity, sports with repeated impacts, being overweight (each additional kilo increases the constraints), certain rheumatic conditions, old traumatic sequelae and, more rarely, fragile vascularization of the femoral head favoring subchondral necrosis. Identifying these elements guides prevention (weight reduction, adaptation of activities) and guides therapeutic discussion at the right time.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c94c146a e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"c94c146a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cfaf052c conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"cfaf052c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">Once the cartilage is worn, the femoral head can no longer slide properly.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0a3f8a77 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"0a3f8a77\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bf78d065 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"bf78d065\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Clinical and radiological assessment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53818897 elementor-widget elementor-widget-text-editor\" data-id=\"53818897\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The examination begins with gait analysis: looking for limping, pelvic tilt, and spinal compensation. Lying down, testing often reveals pain on internal rotation, with relatively preserved external rotation. Simple maneuvers (piston, rolling) objectify the loading pain. A rapid neurological and vascular examination can rule out associated diagnoses.<br><br>Standard X-rays (frontal pelvis, profiles) are usually sufficient to confirm the diagnosis: joint narrowing, osteophytes, subchondral geodes and sclerosis are characteristic. 3D planning by scanner is useful preoperatively to simulate the positioning of implants, assess stress areas and optimize the balance between stability and mobility after surgery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a4b45795 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"a4b45795\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-10589e9d titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"10589e9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conservative treatments and healthy lifestyle<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c7def4a elementor-widget elementor-widget-text-editor\" data-id=\"8c7def4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The first step aims to improve joint glide and muscle guidance. Physiotherapy restores range of motion, maintains gait, and reduces pain by promoting the diffusion of joint fluid. Weight reduction reduces constraints. Depending on the context, progressive analgesic treatment (paracetamol, anti-inflammatories, and then, more rarely, opioids) may be necessary. In young patients wishing to postpone surgery, viscosupplementation with hyaluronic acid may be discussed.<br><br>The goal is to achieve acceptable functioning for daily life, delay the need for surgery, and preserve muscle mass. Regular support helps adapt activity and identify when medical treatment becomes insufficient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae265b2e e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"ae265b2e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-36d1ea8b conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"36d1ea8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">The goal of surgery is to regain painless support and good mobility.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6e46e872 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"6e46e872\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4614ed99 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"4614ed99\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Total hip replacement: options and materials<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be63967d elementor-widget elementor-widget-text-editor\" data-id=\"be63967d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When pain limits walking and basic movements despite well-conducted treatment, total hip replacement becomes appropriate. The anterior or posterior approaches are chosen according to the team&#039;s habits and anatomy. Implants can be cemented (immediate full weight-bearing, useful in cases of osteoporosis) or uncemented, with a hydroxyapatite coating promoting osseointegration (transient partial weight-bearing).<br><br>The friction torque determines long-term wear: ceramic\u2013highly cross-linked polyethylene, metal\u2013polyethylene, ceramic\u2013ceramic, or metallized ceramic (zirconium). Dual-mobility heads increase the arc of motion and reduce the risk of dislocation in certain active profiles. 3D planning, custom guides, and, in some centers, robotic assistance contribute to more precise reconstruction.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33ff2c6b e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"33ff2c6b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3206703e titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"3206703e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rehabilitation and prospects<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b809481d elementor-widget elementor-widget-text-editor\" data-id=\"b809481d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Mobilization begins early: walking with canes, strengthening the gluteal and quadriceps muscles, and learning to climb stairs from the first days. Support is adapted to the type of fixation until the 4\u20136 week check-up, then the goal is to achieve smooth walking without canes and gradually resume non-impact leisure activities. Satisfaction is high when pain is controlled and function restored.<br><br>Current advances include systematic 3D planning, optimization of friction torques, and implant customization. Success lies in the combination of timely indication, precise execution, and rigorous rehabilitation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e39236bd e-con-full conteneur_tags_0 e-flex e-con e-child\" data-id=\"e39236bd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2c653dd conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"d2c653dd\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/hip-osteoarthritis-2\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">hip osteoarthritis<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-402ccd9a conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"402ccd9a\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/hip-prosthesis\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">hip prosthesis<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cbfbfd55 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"cbfbfd55\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/hip-pain-3\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">hip pain<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eda1ece7 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"eda1ece7\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/osteoarthritis-treatment\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">osteoarthritis treatment<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41ba5c35 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"41ba5c35\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/hip-surgery\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">hip surgery<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-35fea872 e-con-full e-flex e-con e-parent\" data-id=\"35fea872\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a9db835a elementor-widget elementor-widget-shortcode\" data-id=\"a9db835a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bb272191 e-con-full e-flex e-con e-parent\" data-id=\"bb272191\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-298a59dc elementor-widget elementor-widget-shortcode\" data-id=\"298a59dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9c2b1f53 e-con-full e-flex e-con e-parent\" data-id=\"9c2b1f53\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31d71630 elementor-widget elementor-widget-shortcode\" data-id=\"31d71630\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>This video explains hip osteoarthritis, its causes, symptoms, and treatments. It details conservative solutions such as physiotherapy, injections, and weight loss, followed by surgical options.<\/p>","protected":false},"author":1,"featured_media":14916,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[76],"tags":[146,150,148,147,149],"class_list":["post-9272","page","type-page","status-publish","has-post-thumbnail","hentry","category-videos","tag-arthrose-hanche","tag-chirurgie-hanche","tag-douleurs-hanche","tag-prothese-hanche","tag-traitement-arthrose"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/9272","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/comments?post=9272"}],"version-history":[{"count":0,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/9272\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media\/14916"}],"wp:attachment":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media?parent=9272"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/categories?post=9272"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/tags?post=9272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}