{"id":20358,"date":"2025-07-10T00:51:00","date_gmt":"2025-07-10T00:51:00","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=20358"},"modified":"2026-03-19T10:26:41","modified_gmt":"2026-03-19T10:26:41","slug":"prothese-totale-de-hanche","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/prothese-totale-de-hanche\/","title":{"rendered":"Total hip prosthesis : indications, procedure and results"},"content":{"rendered":"<h2 class=\"wp-block-heading\"><strong>What is a total hip replacement?<\/strong><\/h2>\n\n\n\n<p>There&nbsp;<strong>total hip replacement<\/strong>&nbsp;is a surgical procedure that involves replacing the worn surfaces of the hip joint with two custom-made prosthetic implants:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a&nbsp;<strong>femoral stem<\/strong>&nbsp;topped with a spherical head,<\/li>\n\n\n\n<li>a&nbsp;<strong>hemispherical cup<\/strong>, inserted into the pelvis in place of the acetabulum.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>The goal of this operation is to restore smooth joint function and provide lasting relief from pain associated with cartilage wear.<\/p>\n\n\n\n<p>Dr. Coulin performs this surgery using modern techniques, such as&nbsp;<strong>minimally invasive surgery<\/strong>, when indicated. This approach reduces muscle damage, accelerates post-operative recovery and improves patient comfort.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>In which cases is the intervention indicated?<\/strong><\/h2>\n\n\n\n<p>There&nbsp;<strong>hip prosthesis<\/strong>&nbsp;is mainly offered in case of&nbsp;<strong>advanced coxarthrosis<\/strong>, when :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the pain becomes disabling,<\/li>\n\n\n\n<li>mobility is reduced,<\/li>\n\n\n\n<li>and that conventional medical treatments (painkillers, injections, physiotherapy) are no longer sufficient.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>Other situations may require a&nbsp;<strong>total hip replacement<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Inflammatory arthritis<\/strong>&nbsp;(rheumatoid arthritis, ankylosing spondylitis).<\/li>\n\n\n\n<li><strong>Necrosis of the femoral head<\/strong>, when the blood supply is interrupted.<\/li>\n\n\n\n<li><strong>Fractures of the femoral neck<\/strong>, especially in active patients.<\/li>\n\n\n\n<li><strong>Congenital or post-traumatic deformities<\/strong>&nbsp;of the hip.<\/li>\n\n\n\n<li><strong>Failure of conservative treatments<\/strong>, with loss of autonomy or severe discomfort.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>When pain disrupts walking, sleeping, or quality of life, the&nbsp;<strong>hip replacement surgery<\/strong>&nbsp;becomes an effective and sustainable solution.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Why consider a hip replacement?<\/strong><\/h2>\n\n\n\n<p>There&nbsp;<strong>coxarthrosis<\/strong>&nbsp;is a progressive and irreversible disease. As the cartilage disappears, the bone surfaces rub against each other, leading to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>deep pain when walking,<\/li>\n\n\n\n<li>joint stiffness,<\/li>\n\n\n\n<li>and sometimes a loss of autonomy.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>There&nbsp;<strong>total hip replacement<\/strong>&nbsp;allows to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>relieve chronic pain,<\/li>\n\n\n\n<li>restore functional mobility,<\/li>\n\n\n\n<li>improve walking quality and posture,<\/li>\n\n\n\n<li>promote a return to an active life, including certain sporting activities.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How does the operation with Dr. Coulin work?<\/strong><\/h2>\n\n\n\n<p>The procedure is performed under general or local anesthesia. Dr. Coulin prefers&nbsp;<strong>minimally invasive anterior approach<\/strong>, which involves accessing the hip joint by&nbsp;<strong>spreading the muscles rather than cutting them<\/strong>.<\/p>\n\n\n\n<p>This surgical procedure allows:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>faster recovery,<\/li>\n\n\n\n<li>limited post-operative pain,<\/li>\n\n\n\n<li>more discreet scars.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>The damaged joint surfaces are removed and then replaced by:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a&nbsp;<strong>prosthetic cup<\/strong>&nbsp;fixed in the basin,<\/li>\n\n\n\n<li>a&nbsp;<strong>femoral stem with spherical head<\/strong>, ensuring smooth hip mobility.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>Before the operation, Dr. Coulin uses tools from<strong>3D imaging and surgical planning<\/strong>&nbsp;to model the patient&#039;s anatomy. This precise preparation optimizes the positioning of the implants and guarantees biomechanics close to those of a natural hip.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What are the post-operative consequences ?<\/strong><\/h2>\n\n\n\n<p>There&nbsp;<strong>rehabilitation<\/strong>&nbsp;begins within the first few hours after the operation. The patient is mobilized very quickly, with physiotherapy support.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Day 0-1<\/strong>&nbsp;: resumption of walking with assistance.<\/li>\n\n\n\n<li><strong>Following days<\/strong>&nbsp;: gradual progression, work on balance and autonomy.<\/li>\n\n\n\n<li><strong>Following weeks<\/strong>&nbsp;: muscle strengthening, recovery of range of motion and adaptation to everyday movements.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>The objectives are clear:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>find a&nbsp;<strong>fast autonomy<\/strong>,<\/li>\n\n\n\n<li>promote the&nbsp;<strong>healing<\/strong>,<\/li>\n\n\n\n<li>and allow a&nbsp;<strong>progressive adaptation to the prosthesis<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What results can we expect?<\/strong><\/h2>\n\n\n\n<p>There&nbsp;<strong>total hip replacement<\/strong>&nbsp;offers excellent results:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>disappearance or significant reduction of pain,<\/li>\n\n\n\n<li>smooth gait without limping,<\/li>\n\n\n\n<li>significant improvement in mobility,<\/li>\n\n\n\n<li>resumption of daily activities and sometimes sports (swimming, cycling, hiking).<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>The lifespan of&nbsp;<strong>modern hip prostheses<\/strong>&nbsp;is of&nbsp;<strong>15 to 25 years old<\/strong>, with very high satisfaction rates.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Are there any risks?<\/strong><\/h2>\n\n\n\n<p>Like any surgery, the&nbsp;<strong>hip replacement<\/strong>&nbsp;involves certain risks:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>infection,<\/li>\n\n\n\n<li>dislocation,<\/li>\n\n\n\n<li>phlebitis,<\/li>\n\n\n\n<li>long-term wear or loosening.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>Through rigorous protocols and careful monitoring, Dr. Coulin minimizes these complications and ensures a safe and lasting recovery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Would you like to know more?<\/strong><\/h2>\n\n\n\n<p>Are you suffering from persistent hip pain? Have you already tried medical treatments without success?<\/p>\n\n\n\n<p>Dr. Coulin will see you for a consultation in Geneva to establish a precise diagnosis and discuss possible solutions with you, including:&nbsp;<strong>total hip replacement<\/strong>, adapted to your needs and your lifestyle.<br><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Quand la douleur devient permanente et que chaque mouvement est un effort, la proth\u00e8se de hanche peut changer une vie.<br \/>\nDans quels cas l\u2019envisager ? Comment se d\u00e9roule l\u2019op\u00e9ration ? Et \u00e0 quoi s\u2019attendre apr\u00e8s ? Un guide complet pour mieux comprendre cette chirurgie parmi les plus pratiqu\u00e9es et les plus efficaces.<\/p>","protected":false},"author":1,"featured_media":23439,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,97],"tags":[],"class_list":["post-20358","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie","category-hanche"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/20358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=20358"}],"version-history":[{"count":20,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/20358\/revisions"}],"predecessor-version":[{"id":24520,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/20358\/revisions\/24520"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/23439"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=20358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=20358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=20358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}