The hip joint is one of the most important joints in human body as it allows us to walk, run, jump and perform daily activities comfortably. It is the major weight-bearing joint to support our body and allow us to move without pain. Consequently, any changes or disorders affecting this organ can be very incapacitating in everyday life, so it is only right to pay good attention to the health and strength of our hip joints to prevent any problems in the future.The most common disorder found in this joint is a hip fracture, a serious injury that can lead to a life-threatening condition for some people. Therefore, it is important to raise public awareness regarding this matter. Not long ago, NOW! Jakarta met dr. Hendradi Khumarga, Sp.OT, FICS, the Orthopedic Surgeon and Traumatologist of MRCCC Siloam Hospitals Semanggi to learn more about several types of hip disorders and their best treatments.
“Although the vast majority of hip fractures occur in the elderly, young adults can also break a hip through major accidents like a high speed car crash, a fall from a significant height, sport injuries and so forth. The treatment for broken hips is certainly different between elderly and younger patients,” explains dr. Hendradi as he showed us the pictures of different hip fracture anatomies.[caption id="attachment_33342" align="aligncenter" width="347"] Hip fractures treatment for younger patients (internal fixation using cannulated screw)[/caption]
According to dr.Hendradi, the hip joint is a ball-and –socket synovial joint formed between the hip bone (os coxa) and the femur. A round, cup-shaped structure on the hip bone (acetabulum) forms the socket for hip joint while the rounded head of the femur forms the ball of joint. When an intense collision happens in this organ, the two bones are no longer line up correctly and can cause an alarming situation. “A displaced stress fracture in young adults could lead to damaged blood vessels and cause serious complications like avascular necrosis or the death of bone tissue due to a lack of blood supply,” he continued.
To prevent this issue, a patient needs to receive medical treatment as soon as possible after an injury happens, at least within six hours, “To treat this condition, I’d suggest doing internal fixation using cannulated screw as early as possible. Internal fixation is recommended if the fracture can be adequately repositioned, the bone is in good quality, and there is no evidence of osteoarthritis, therefore suitable for younger patients.”
Unless it is caused by intense trauma, a hip fracture is more common to be found in elderly as the density and quality of our bones are naturally reduced as we get older, which make them more prone to breaking. “Older adults are at a high risk of falling due to osteoporosis and weaker bones, especially on those who suffer from certain conditions like stroke or dementia,” said dr. Hendradi. Hip fracture in elderly is considered more dangerous as it can result a major decline in independence and even lead to death.
Treatments for hip fractures in older adults may be more complicated as the doctor needs to take the patient’s overall physical condition into consideration before making a treatment plan. “To treat late-stage degenerative hip fracture, Total Hip replacement (THR) is highly suggested as it is known as one of the most successful and common surgical procedures in orthopedic surgery,” added dr. Hendradi.[caption id="attachment_33346" align="aligncenter" width="425"] Total Hip Replacement for older patients[/caption]
During THR, the surgeon removes the damaged sections of hip joint and replaces them with new, artificial parts or known as prosthesis which helps reduce pain and improve hip joint’s function. The procedure usually requires a relatively short recovery period before the patient is allowed to leave the hospital. As long as it performed by medical professionals trained in the field, THR is regarded as a safe procedure which result can improve patient’s quality of life significantly. However, to prevent osteoporosis and hip problems in the future, dr. Hendradi encourages us to have a healthier lifestyle as early as possible, this includes stopping smoking, reducing caffeine and alcohol intake, do more exercise, and consume more calcium to keep our bones strong.
Orthopaedics & Traumatology Facilities As one of the most preeminent hospitals in Indonesia, MRCCC Siloam Hospitals Semanggi is committed to provide the best healthcare facilities that are comparable to other reputable hospitals abroad. One of their prime areas of excellence is the comprehensive orthopaedics and traumatology unit that is armed with integrated doctors from various disciplines who are ready to perform any action and surgery anytime.
Procedures that MRCCC Siloam Hospitals Semanggi offers includes in-depth examination and investigation, surgical procedures, inpatient services, until post-hospitalization. In terms of facilities, the hospital also equipped with cutting-edge machines to accommodate all patients’ needs. To determine patient’s risk for fractures or broken bones, doctor will suggest doing Bone Mineral Density (BMD) test. Patients will also be advised to do a series of exercises before or after the surgery in a rehabilitation room using numerous hospital’s sophisticated facilities like Biodex V3 System to check muscle power and endurance of joint; Sling Exercise Therapy (Red Cord) which allows patients to do stretching, stabilization exercise, and muscle relaxation; as well as Laser therapy facilities to relief pain and reduce muscle spasm. All the facilities and instruments at MRCCC Siloam Hospitals Semanggi refer to international standards, so are very trusted and reliable.
MRCCC Siloam Hospitals Semanggi Jl. Garnisun kav 2-3, Karet Semanggi, Jakarta 12930 T: +62-21 2996 2888 Emergency: +62-21 2996 2771 Ambulance: 1500 911 Call Centre : 1500 181