[Conservative and surgical therapy of hip osteoarthritis]

Conservative measures generally have priority over surgical procedures. Firstly, an analgesic and antiphlogistic therapy during the acute pain phase is very effective. Secondly, retaining or improving mobility is important. The indication for surgery for hip arthritis exists when the clinical and subjective symptoms in conjunction with the radiological finding can no longer be adequately controlled by conservative measures. Surgical interventions are basically either joint-replacing or joint-saving. The goal of all corrective osteotomies is to improve the hip joint congruency and thus delay the replacement of the hip with an artificial joint. Established prosthetic models show long-term results of 15-20 years with a survival rate of more than 90%.