{"id":24844905,"date":"2024-09-24T15:30:53","date_gmt":"2024-09-24T15:30:53","guid":{"rendered":"https:\/\/drmielcarek.live-website.com\/?page_id=24844905"},"modified":"2024-11-28T14:16:28","modified_gmt":"2024-11-28T14:16:28","slug":"hanche","status":"publish","type":"page","link":"http:\/\/www.docteur-mielcarek.com\/de\/hanche","title":{"rendered":"H\u00fcfte"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbHeader\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.5) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/mael-balland-mB9eues4BKo-unsplash-scaled-e1725902090643.webp\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Die Interventionen<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"c16985e1-e0d6-4022-964d-e2bfc04fa633\u2033 text_font= \"Inter|700||||||| \" text_text_color= \"#FFFF \" text_font_size= \"2.25rem \" text_line_height= \"120% \" header_font= \"-et_global_heading_font||on|||||| \" header_text_align= \"left \" header_text_color= \"#FFFF \" header_font_size= \"70px \" header_2_font= \"-et_global_heading_font||on|||||| \" header_2_text_color= \"#FFFF \" header_2_font_size= \"70px \" header_2_line_height= \"120% \" text_orientation= \"center\" custom_margin= \"||0px||false|false \" animation_style= \"slide\" animation_delay= \"250ms \" text_font_size_tablet= \"1.75rem \" text_font_size_phone=\"1.25rem \" text_font_size_last_edited=\"on|phone\" header_font_size_tablet=\"50px \" header_font_size_phone=\"40px \" header_font_size_last_edited=\"on|phone\" header_2_font_size_tablet=\"1.75rem \" header_2_font_size_phone=\"1.88rem \" header_2_font_size_last_edited=\"on|desktop \" global_colors_info=\"{} \"]<\/p>\n<h1>H\u00fcften Endoprothese<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type= \"1_3\u2033 _builder_version= \"4.17.4\u2033 _module_preset= \"default \" background_color= \"#FFFF \" custom_padding= \"40px|40px|40px|40px|true|true \" custom_padding_tablet= \"30px|30px|30px|30px|true|true \" custom_padding_phone= \"20px|20px|20px|20px|true|true \" custom_padding_last_edited= \"on|tablet \" global_colors_info= \"{} \"][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"1f09816e-184e-4ce5-a4cf-b39c52c423ca\" text_font= \"-et_global_body_font|||||||| \" text_font_size= \"16px\" text_line_height= \"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone\" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop\" global_colors_info=\"{} \"]<\/p>\n<p class=\" translation-block\"><span>Der Verschlei\u00df der <strong>H\u00dcFTE<\/strong> ist oft mit einer Verringerung der Gelenkbeweglichkeit (<strong>Steifheit<\/strong>) und vor allem mit Schmerzen verbunden. Klinisch \u00e4u\u00dfert sich dies durch Hinken, Schwierigkeiten beim Anziehen von Schuhen und bei der K\u00f6rperpflege.\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_button button_url= \"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@ \" button_text= \"Termin vereinbaren \" button_alignment=\"left\" button_alignment_tablet=\"left\" button_alignment_phone=\"left\" button_alignment_last_edited=\"on|tablet\" _builder_version=\"4.27.4\u2033 _dynamic_attributes= \"button_url \" _module_preset= \u00bb31b4f027-aaa0-4f2f-ae02-959764e19e4f \" custom_button=\"on \" button_text_size=\"14px \" button_text_color=\"#FFFFFF \" button_bg_color=\"#000000\u2033 button_border_color=\"#000000\u2033 button_border_radius=\"0px \" button_font= \"-et_global_body_font|700||on||||| \" custom_padding= \"16px|24px|16px|24px|true|true \" global_colors_info= \"{} \"][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built= \"1\u2033 admin_label= \"Product \" _builder_version= \"4.17.4\u2033 _module_preset= \"default \" background_color= \"#FFFF \" collapsed= \"on \" global_colors_info= \"{} \"][et_pb_row column_structure= \"1_3,1_3,1_3\u2033 _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \"][et_pb_column type= \"1_3\u2033 _builder_version= \"4.17.4\u2033 _module_preset= \"default \" global_colors_info= \"{} \"][dipi_image_hotspot img_src= \"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/human-body-png-ty0abbpy0ndvd97l.png \" _builder_version= \"4.27.4\u2033 _module_preset= \"default \" max_width= \"500px \" module_alignment= \"center \" locked= \"off \" global_colors_info= \"{} \"][dipi_image_hotspot_child title= \"hallux rigidus\" use_hotspot_icon= \"on \" hotspot_icon= \"\uf111||fa||900\u2033 hotspot_icon_color=? \"#FFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon= \"on \" hotspot_circle_color= \"#0a0aa \" use_hotspot_icon_font_size= \"on \" hotspot_icon_size= \"10px \" hotspot_ripple_effect= \"on \" hotspot_ripple_effect_style= \"style-\" hotspot_ripple_effect_style= \"style-\".2\u2033 hotspot_ripple_effect_color= \"rgba(21,2,42,0.56) \" hotspot_ripple_effect_size= \"60px \" hotspot_ripple_effect_speed= \"4\u2033 hotspot_position_vertical= \"92.8% \" hotspot_position_horizontal= \"85.5% \" tooltip_img_src= \"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/DRHOSSENBACCUS-pied-HalluxRigidus-247\u00d7300-1.jpg \" tooltip_image_width= \"60px \" tooltip_title= \"Hallux Rigidus\" tooltip_desc= \"<\/p>\n<p><span>Hallux rigidus ist die Bezeichnung f\u00fcr die primitive Arthrose des ersten Metatarsophalangealgelenks sowie zwischen dem Kopf des 1\u1d49\u02b3-Mittelfu\u00dfknochens und seinen Sesamoiden.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button= \"on \" tooltip_button_text= \"Mehr anzeigen \" tooltip_button_link= \"https:\/\/www.docteur-mielcarek.com\/hallux-rigidus \" tooltip_width= \"240px \" tooltip_content_align= \"center\" use_tooltip_arrow= \"on \" arrow_color= \"#FFFFFF \" tooltip_padding= \"20px|20px|10px|20px|false|false\" _builder_version= \"4.27.4\u2033 _module_preset= \"default \" tooltip_title_font= \"Lora|600||||||| \" tooltip_title_font_size= \"20px \" tooltip_desc_font= \"Poppins|300||||||| \" tooltip_desc_font_size= \"14px \" tooltip_desc_line_height= \"1.4em \" custom_tooltip_button= \"on \" tooltip_button_text_size= \"16px \" tooltip_button_text_color= \"#0a0000\u2033 tooltip_button_bg_color= \"RGBA(255,255,255,0) \" tooltip_button_border_width= \"0px \" tooltip_button_font= \"Poppins|700||||||| \" box_shadow_style_tooltip_box= \"preset3\u2033 box_shadow_color_tooltip_box= \"rgba(0,149,198,0.06) \" global_colors_info=\"{} \"][\/dipi_image_hotspot_child][dipi_image_hotspot_child title= \"Hallux Valgus\" use_hotspot_icon= \"on \" hotspot_icon= \"\uf111||fa||900\u2033 hotspot_icon_color= \"#FFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon= \"on \" hotspot_circle_color= \"#0a0a\" use_hotspot_icon_font_size= \"on \" hotspot_icon_size= \"10px \" hotspot_ripple_effect= \"on \" hotspot_ripple_effect_style= \"style-2\u2033 hotspot_ripple_effect_color= \"rgba(21,2,42,0.56) \" hotspot_ripple_effect_size=\"60px \" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"69.1% \" hotspot_position_horizontal=\"0%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/valgus.jpg \" tooltip_image_width=\"60px \" tooltip_title=\"Hallux Valgus\" tooltip_desc= \"<\/p>\n<p class=\" translation-block\"><span>Die h\u00e4ufigste Deformit\u00e4t ist der <\/span><strong>HALLUX VALGUS<\/strong><span> (umgangssprachlich als \u201eFrostbeule\u201c bezeichnet). Sie betrifft den ersten Strahl des Fu\u00dfes, bei dem die Phalangen nach au\u00dfen und der erste Mittelfu\u00dfknochen (der lange Knochen am inneren Rand des Fu\u00dfes) nach innen abweichen.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button= \"on \" tooltip_button_text= \"Mehr anzeigen \" tooltip_button_link= \"https:\/\/www.docteur-mielcarek.com\/hallux-valgus \" tooltip_position= \"right\" tooltip_width= \"240px\" tooltip_content_align= \"center\" use_tooltip_arrow= \"on \" arrow_color= \"#FFFFFF \" tooltip_padding= \"20px|20px|10px|20px|false|false \" _builder_version= \"4.27.4\u2033 _module_preset= \"default \" tooltip_title_font= \"Lora|600||||||| \" tooltip_title_font_size= \"20px \" tooltip_desc_font= \"Poppins|300||||||| \" tooltip_desc_font_size= \"14px \" tooltip_desc_line_height= \"1.4em \" custom_tooltip_button= \"on \" tooltip_button_text_size= \"16px \" tooltip_button_text_color= \"#0a0000\u2033 tooltip_button_bg_color= \"RGBA(255,255,255,0) \" tooltip_button_border_width= \"0px \" tooltip_button_font= \"Poppins|700||||||| \" box_shadow_style_tooltip_box= \"preset3\u2033 box_shadow_color_tooltip_box= \"rgba(0,149,198,0.06) \" global_colors_info=\"{} \"][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"H\u00fcfte\" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon= \"on \" hotspot_circle_color= \"#0a0a\" use_hotspot_icon_font_size= \"on \" hotspot_icon_size= \"10px \" hotspot_ripple_effect= \"on \" hotspot_ripple_effect_style= \"style-2\u2033 hotspot_ripple_effect_color= \"#E02B20\u2033 hotspot_ripple_effect_size= \"152px \" hotspot_ripple_effect_speed= \"4.6\u2033 hotspot_position_vertical= \"43.2% \" hotspot_position_horizontal= \"36.3% \" tooltip_img_src= \"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-hanche-innervation.jpg \" tooltip_image_width= \"60px \" tooltip_title= \"H\u00fcfte\" tooltip_desc= \"<\/p>\n<p><span>Mit der Abnutzung der H\u00fcfte gehen h\u00e4ufig eine Einschr\u00e4nkung des Gelenkumfangs (Steifheit) und vor allem Schmerzen einher.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button= \"on \" tooltip_button_text= \"Mehr anzeigen \" tooltip_button_link= \"https:\/\/www.docteur-mielcarek.com\/hanche \" tooltip_width= \"240px \" tooltip_content_align= \"center\" use_tooltip_arrow= \"on \" arrow_color= \"#FFFFFF \" tooltip_padding= \"20px|20px|10px|20px|false|false\" _builder_version= \"4.27.4\u2033 _module_preset= \"default \" tooltip_title_font= \"Lora|600||||||| \" tooltip_title_font_size= \"20px \" tooltip_desc_font= \"Poppins|300||||||| \" tooltip_desc_font_size= \"14px \" tooltip_desc_line_height= \"1.4em \" custom_tooltip_button= \"on \" tooltip_button_text_size= \"16px \" tooltip_button_text_color= \"#0a0000\u2033 tooltip_button_bg_color= \"RGBA(255,255,255,0) \" tooltip_button_border_width= \"0px \" tooltip_button_font= \"Poppins|700||||||| \" box_shadow_style_tooltip_box= \"preset3\u2033 box_shadow_color_tooltip_box= \"rgba(0,149,198,0.06) \" global_colors_info=\"{} \"][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Knie\" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon= \"on \" hotspot_circle_color= \"#0a0a\" use_hotspot_icon_font_size= \"on \" hotspot_icon_size= \"10px \" hotspot_ripple_effect= \"on \" hotspot_ripple_effect_style= \"style-2\u2033 hotspot_ripple_effect_color= \"rgba(21,2,42,0.56) \" hotspot_ripple_effect_size=\"60px \" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"67% \" hotspot_position_horizontal=\"59.8% \" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-genou-tendons-extenseurs.jpg \" tooltip_image_width=\"60px\" tooltip_title=\"Knie\" tooltip_desc= \"<\/p>\n<p>Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.<\/p>\n<p>\u00a0\u00bb show_tooltip_button=\u00a0\u00bbon\u00a0\u00bb tooltip_button_text=\u00a0\u00bbVoir Plus\u00a0\u00bb tooltip_button_link=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/genou\u00a0\u00bb tooltip_position=\u00a0\u00bbright\u00a0\u00bb tooltip_width=\u00a0\u00bb240px\u00a0\u00bb tooltip_content_align=\u00a0\u00bbcenter\u00a0\u00bb use_tooltip_arrow=\u00a0\u00bbon\u00a0\u00bb arrow_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb tooltip_padding=\u00a0\u00bb20px|20px|10px|20px|false|false\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb tooltip_title_font=\u00a0\u00bbLora|600|||||||\u00a0\u00bb tooltip_title_font_size=\u00a0\u00bb20px\u00a0\u00bb tooltip_desc_font=\u00a0\u00bbPoppins|300|||||||\u00a0\u00bb tooltip_desc_font_size=\u00a0\u00bb14px\u00a0\u00bb tooltip_desc_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_tooltip_button=\u00a0\u00bbon\u00a0\u00bb tooltip_button_text_size=\u00a0\u00bb16px\u00a0\u00bb tooltip_button_text_color=\u00a0\u00bb#0a0000&Prime; tooltip_button_bg_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb tooltip_button_border_width=\u00a0\u00bb0px\u00a0\u00bb tooltip_button_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb box_shadow_style_tooltip_box=\u00a0\u00bbpreset3&Prime; box_shadow_color_tooltip_box=\u00a0\u00bbrgba(0,149,198,0.06)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_image_hotspot_child][\/dipi_image_hotspot][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>H\u00fcften Endoprothese<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"b327cbe4-b1d5-4b66-ad37-40c8f2f061ba \" header_2_font= \"-et_global_heading_font|700|on|||||| \" header_2_text_color= \"#000000\u2033 header_2_font_size= \"55px \" header_2_line_height= \"1.2em \" header_2_font_size_tablet=\"50px \" header_2_font_size_phone=\"40px \" header_2_font_size_last_edited=\"on|phone \" global_colors_info=\"{} \"]<\/p>\n<h2>In K\u00fcrze<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"518880c8-46c7-4ffa-b5a6-93ffa99dcc17\u2033 text_font= \"-et_global_body_font|||||||| \" text_font_size= \"18px \" text_line_height= \"1.55em \" text_font_size_tablet=\"16px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" global_colors_info=\"{} \"]<\/p>\n<p>Bei einer H\u00fcftoperation wird das verschlissene Gelenk durch eine Totalprothese ersetzt, wodurch die mit der Coxarthrose verbundenen Schmerzen gelindert und die normale Beweglichkeit wiederhergestellt werden k\u00f6nnen.<\/p>\n<p>[\/et_pb_text][et_pb_button button_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@\u00a0\u00bb button_text=\u00a0\u00bbEn Savoir Plus\u00a0\u00bb button_alignment=\u00a0\u00bbleft\u00a0\u00bb button_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb button_alignment_phone=\u00a0\u00bbleft\u00a0\u00bb button_alignment_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _dynamic_attributes=\u00a0\u00bbbutton_url\u00a0\u00bb _module_preset=\u00a0\u00bb31b4f027-aaa0-4f2f-ae02-959764e19e4f\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb14px\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_bg_color=\u00a0\u00bb#000000&Prime; button_border_color=\u00a0\u00bb#000000&Prime; button_border_radius=\u00a0\u00bb0px\u00a0\u00bb button_font=\u00a0\u00bb&#8211;et_global_body_font|700||on|||||\u00a0\u00bb custom_padding=\u00a0\u00bb16px|24px|16px|24px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_button][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbCauses\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Nat\u00fcrlicher Gelenkverschlei\u00df (Arthrose), Traumata oder angeborene Anomalien k\u00f6nnen zu starker Steifheit und Schmerzen f\u00fchren, die einen chirurgischen Eingriff erfordern.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbIntervention\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Der Eingriff wird unter Narkose durchgef\u00fchrt, und die Prothese ersetzt den Oberschenkel- und H\u00fcftpfannenanteil der H\u00fcfte. Die Wahl der Prothese h\u00e4ngt von der Knochenqualit\u00e4t und dem Grad der Abnutzung ab.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbR\u00e9cup\u00e9ration\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Ab dem Tag der Operation k\u00f6nnen Sie mit Gehst\u00f6cken laufen. Die vollst\u00e4ndige Genesung dauert einige Monate, wobei Sie allm\u00e4hlich zu einem normalen Leben zur\u00fcckkehren und nach drei Monaten wieder sportliche Aktivit\u00e4ten aufnehmen k\u00f6nnen.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; custom_padding_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb admin_label=\u00a0\u00bbTable of Contents Demo 02&Prime; _builder_version=\u00a0\u00bb4.27.0&Prime; background_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb custom_padding=\u00a0\u00bb120px||140px|||\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb80px||80px||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb0px||60px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22background_color%22%93}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_4,3_4&Prime; use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1&Prime; module_id=\u00a0\u00bbtoc-services\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb85%\u00a0\u00bb max_width=\u00a0\u00bb1450px\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_4&Prime; _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][dipi_table_of_content table_title=\u00a0\u00bbHanche\u00a0\u00bb header_icon=\u00a0\u00bb&#xf1cb;||fa||400&Prime; header_icon_position=\u00a0\u00bbright\u00a0\u00bb heading_tags=\u00a0\u00bbon|off|off|off|off|off\u00a0\u00bb generate_for_whole_page=\u00a0\u00bboff\u00a0\u00bb section_selector=\u00a0\u00bb#toc-services\u00a0\u00bb collapsible_table=\u00a0\u00bbon\u00a0\u00bb collapsible_table_t=\u00a0\u00bbon\u00a0\u00bb closed_default_p=\u00a0\u00bbon\u00a0\u00bb close_on_click_p=\u00a0\u00bbon\u00a0\u00bb scroll_offset=\u00a0\u00bb200&Prime; show_list_numbers=\u00a0\u00bboff\u00a0\u00bb show_list_bullets=\u00a0\u00bbon\u00a0\u00bb item_bullet=\u00a0\u00bb&#xf06e;||fa||900&Prime; bullet_size=\u00a0\u00bb25px\u00a0\u00bb bullet_spacing=\u00a0\u00bb10px\u00a0\u00bb table_title_background=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb title_padding=\u00a0\u00bb20px|20px|20px|45px|false|false\u00a0\u00bb content_background=\u00a0\u00bbgcid-primary-color\u00a0\u00bb content_padding=\u00a0\u00bb10px|10px|10px|10px|false|false\u00a0\u00bb list_custom_margin_1=\u00a0\u00bb0px|0px|30px|0px|false|false\u00a0\u00bb list_space_between_1=\u00a0\u00bb25px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb tabel_title_font=\u00a0\u00bb&#8211;et_global_body_font|700||on|||||\u00a0\u00bb tabel_title_font_size=\u00a0\u00bb13px\u00a0\u00bb tabel_title_letter_spacing=\u00a0\u00bb2px\u00a0\u00bb content_list_font=\u00a0\u00bb&#8211;et_global_heading_font||on||||||\u00a0\u00bb content_list_text_align=\u00a0\u00bbleft\u00a0\u00bb content_list_font_size=\u00a0\u00bb21px\u00a0\u00bb h1_font=\u00a0\u00bb|800|||||||\u00a0\u00bb h1_text_align=\u00a0\u00bbleft\u00a0\u00bb h1_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb h1_font_size=\u00a0\u00bb20px\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb sticky_position=\u00a0\u00bbtop\u00a0\u00bb sticky_offset_top=\u00a0\u00bb59px\u00a0\u00bb sticky_limit_bottom=\u00a0\u00bbrow\u00a0\u00bb sticky_position_tablet=\u00a0\u00bbnone\u00a0\u00bb sticky_position_phone=\u00a0\u00bbnone\u00a0\u00bb sticky_position_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb custom_css_h1_item_link=\u00a0\u00bbcolor: #987987 !important;\u00a0\u00bb border_width_bottom_tabel_title=\u00a0\u00bb1px\u00a0\u00bb border_color_bottom_tabel_title=\u00a0\u00bbrgba(255,255,255,0.18)\u00a0\u00bb border_style_bottom_tabel_title=\u00a0\u00bbgroove\u00a0\u00bb border_color_all_content=\u00a0\u00bb#15022A\u00a0\u00bb border_style_all_content=\u00a0\u00bbdashed\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22table_title_background%22%93,%22gcid-primary-color%22:%91%22content_background%22%93}\u00a0\u00bb][\/dipi_table_of_content][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_4&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbDe quoi s\u2019agit-il ?\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf059;||fa||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb35px\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb35px\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|on||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||60px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_line_height_phone=\u00a0\u00bb\u00a0\u00bb header_line_height_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb]<\/p>\n<p>Ihre H\u00fcfte weist eine Verformung oder Abnutzung (eine sogenannte Coxarthrose) auf, die einen Austausch erforderlich macht. Dabei wird die gesamte H\u00fcfte ausgetauscht, d. h. sowohl der Oberschenkel- als auch der H\u00fcftpfannenteil (der Teil des Beckens, der mit dem Oberschenkelknochen gelenkig verbunden ist).<\/p>\n<p>Mit der Abnutzung der H\u00fcfte gehen h\u00e4ufig eine Einschr\u00e4nkung des Gelenkumfangs (Steifheit) und vor allem Schmerzen einher. Klinisch \u00e4u\u00dfert sich dies durch Hinken, Schwierigkeiten beim Anziehen von Schuhen und bei der K\u00f6rperpflege. Manchmal ist es notwendig, einen Gehstock zu benutzen, um sich zu entlasten und die Selbstst\u00e4ndigkeit beim Gehen zu erhalten.<\/p>\n<p>Bei einem sogenannten infraradiologischen Verschlei\u00df, d. h. einem Verschlei\u00df, der auf R\u00f6ntgenbildern nicht oder nur schwach sichtbar ist, kann die Indikation f\u00fcr eine Operation gestellt werden, wenn verschiedene medizinische Behandlungen versagt haben, z. B. Zeittests, Schmerzmittel oder Infiltrationen. Eine Kernspin- oder Computertomographie (MRT) best\u00e4tigt dann die Diagnose einer Arthrose.<\/p>\n<p>Das Ziel des Eingriffs besteht also darin, die Versteifung und Verformung zu stoppen oder sogar die Funktionsachse des Knies wiederherzustellen. Die Verringerung oder sogar das Verschwinden von Schmerzen ist oft das wichtigste Ziel, das den Patienten zur Operation motiviert.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title= \"Die Intervention \" use_icon= \"on \" font_icon= \"\uf7e6||fa||900\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left \" icon_placement_phone= \"top \" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|24px|20px|24px|false|false \" custom_margin= \"|||60px||false|false \" custom_padding= \"60px|40px|60px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone\" custom_css_main_element= \"clip-\".path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title= \"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_main_element_phone= \"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%); \" custom_css_main_element_last_edited= \"on|phone\" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;|||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet= \"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;|||margin-top: 15px \"]<\/p>\n<p>Der Eingriff wird station\u00e4r im Operationssaal unter Vollnarkose oder unter Spinalan\u00e4sthesie durchgef\u00fchrt, d. h. mit einer Spritze in den R\u00fccken, die nur die unteren Gliedma\u00dfen bet\u00e4ubt. Letztere Methode hat den Vorteil, dass Sie bei Bewusstsein bleiben und somit weniger unter den Folgen einer Vollnarkose leiden, die manchmal zu \u00dcbelkeit, Erbrechen oder einer mehrst\u00fcndigen Verlangsamung der h\u00f6heren Funktionen f\u00fchren kann. Der Nachteil der Spinalan\u00e4sthesie ist die passive Teilnahme an der Operation, die f\u00fcr manche Menschen laut sein kann.<\/p>\n<p>Sie werden auf der gegen\u00fcberliegenden Seite der zu operierenden H\u00fcfte gelagert. Es wird ein anterolateraler Einschnitt vorgenommen, der den Zugang zum H\u00fcftgelenk erm\u00f6glicht. Mithilfe von Werkzeugen, die das operierte Gelenk freilegen, wird der Femurkopf reseziert und das Innere des Knochens pr\u00e4pariert, um die Form der Prothese zu erhalten. Die Pfanne wird mithilfe von motorbetriebenen Rundfr\u00e4sen pr\u00e4pariert, um die nat\u00fcrliche Kugelform dieses besonderen Knochens zu erhalten.<\/p>\n<p>Das Prinzip des Eingriffs besteht darin, den abgenutzten Knorpel, der den Oberschenkel- und H\u00fcftknochen bedeckt, abzutrennen und durch feste Oberfl\u00e4chen anstelle dieses Knorpels zu ersetzen, wobei die lokale Anatomie beachtet wird.<\/p>\n<p>Es gibt zementierte, zementfreie oder gemischte Prothesen, deren Wahl von der Qualit\u00e4t Ihres Knochens, seiner Form und dem Grad der Abnutzung abh\u00e4ngt. Das Reibmoment (das, was sich in der Prothese bewegt) ist ebenfalls variabel und h\u00e4ngt von den Gewohnheiten des Chirurgen, aber auch von der Entwicklung der wissenschaftlichen Erkenntnisse ab. Zusammenfassend l\u00e4sst sich sagen, dass es sogenannte Hart-Hart-Drehmomente (Metall gegen Metall, aufgegeben oder Keramik gegen Keramik) oder sogenannte Hart-Weich-Drehmomente (Metall oder Keramik gegen Polyethylen) gibt.<\/p>\n<p>Die Weichteile, d. h. die Gef\u00e4\u00dfe, Nerven, B\u00e4nder, Muskeln und Sehnen, die das H\u00fcftgelenk umgeben, werden w\u00e4hrend des gesamten Eingriffs respektiert, nur das Gelenk wird ausgetauscht.<\/p>\n<p>Am Ende des Eingriffs wird ein An\u00e4sthetikum in das Synovial- und Kapselgewebe injiziert, um die unmittelbare postoperative Schmerzlinderung zu optimieren. Die Haut wird mit Klammern verschlossen und ein Druckverband f\u00fcr 24 Stunden angelegt.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title= \"die Hospitalisierung \" use_icon= \"on \" font_icon= \"\uf0f8||fa|900\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left \" icon_placement_phone= \"top \" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|20px|20px|20px|false|false \" custom_margin= \"||60px||false|false \" custom_padding= \"60px|40px|60px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone\" custom_css_main_element= \"clip-\".path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title= \"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_main_element_phone= \"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%); \" custom_css_main_element_last_edited= \"on|phone\" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;|||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet= \"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;|||margin-top: 15px \"]<\/p>\n<p>Am Tag des Eingriffs, der in der Regel morgens stattfindet, k\u00f6nnen Sie bereits am Nachmittag aufstehen. Meistens k\u00f6nnen Sie aus eigener Kraft mit Hilfe von Gehst\u00f6cken und in Begleitung einer Pflegekraft gehen.<\/p>\n<p>Am ersten Tag k\u00f6nnen Sie dank allgemeiner (\u00fcber die Venen) und lokaler Analgesie (An\u00e4sthetikum, das am Ende des Eingriffs in die H\u00fcfte gespritzt wird) die ersten 24 Stunden fast schmerzfrei verbringen. Danach bildet sich allm\u00e4hlich ein postoperatives H\u00e4matom und eine Anspannung der operierten unteren Extremit\u00e4t tr\u00e4gt zu Schmerzen bei, die jedoch m\u00e4\u00dfig bleiben sollten. Die Schmerzkontrolle ist eines der Kriterien f\u00fcr die Entlassung.<\/p>\n<p>Am Tag nach dem Eingriff wird Ihre Selbstst\u00e4ndigkeit von einem Physiotherapeuten und den Krankenschwestern der Abteilung bewertet. Anhand verschiedener Kriterien wird Ihre R\u00fcckkehr nach Hause best\u00e4tigt. Die wichtigsten Kriterien sind die Schmerz- und Blutungskontrolle, die Selbstst\u00e4ndigkeit beim Waschen und Anziehen sowie das Treppensteigen. Eine Entlassung nach Hause ab dem ersten Tag nach der Operation ist m\u00f6glich, erfolgt aber im Durchschnitt erst nach 48 Stunden. Es wird Ihnen die M\u00f6glichkeit einger\u00e4umt, l\u00e4nger zu bleiben, wenn Sie sich nicht bereit f\u00fchlen, nach Hause zu gehen. Die Dauer des Krankenhausaufenthalts wird von Fall zu Fall zwischen Ihnen und Ihrem Chirurgen besprochen, aber es hat sich gezeigt, dass je k\u00fcrzer Ihr Aufenthalt ist, desto geringer ist das Risiko einer Komplikation.<\/p>\n<p>Ihr gesamter Krankenhausaufenthalt erfolgt nach einem in der Abteilung erstellten Protokoll mit dem Namen Rapid Recovery (Schnelle Genesung), dessen Ziel es ist, Ihnen eine partizipative R\u00fcckkehr zur Selbstst\u00e4ndigkeit zu erm\u00f6glichen. Diese Wiederherstellung erfolgt \u00fcber eine Motivation, die pr\u00e4operativ beginnt und eine freiwillige, komplikationslose Genesung erm\u00f6glicht. Die sofortige Aufrichtung nach der Operation verringert die mit der Bettl\u00e4gerigkeit verbundenen Komplikationen wie Verdauungs- und Harnwegsbeschwerden, Appetitlosigkeit und Schlafst\u00f6rungen, aber auch das Risiko einer Phlebitis. Es wurde nachgewiesen, dass eine schnelle R\u00fcckkehr in den Alltag zu einer statistisch belegten Verringerung der medizinischen Komplikationen f\u00fchrt, insbesondere im Zusammenhang mit Phlebitis und damit dem Auftreten von Lungenembolien, der am meisten gef\u00fcrchteten Komplikation nach jeder Operation an den unteren Gliedma\u00dfen.<\/p>\n<p><strong>Die R\u00fcckkehr nach Hause ist von entscheidender Bedeutung, um die Komplikationsrate zu senken. Es hat sich gezeigt, dass je \u00e4lter der Patient ist, desto mehr profitiert er von einer fr\u00fchzeitigen Entlassung nach Hause. Postoperative Kuraufenthalte werden zur Ausnahme und sollten nur in Situationen vorgeschlagen werden, in denen die Selbstst\u00e4ndigkeit bereits pr\u00e4operativ sehr gering war, bei einer Person, die allein lebt, wenig Unterst\u00fctzung hat und mit Defekten oder Begleiterkrankungen zu k\u00e4mpfen hat.<\/strong><\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title= \"Nach dem Krankenhausaufenthalt \" use_icon= \"on \" font_icon= \"\uf70c||fa||900\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left\" icon_placement_phone= \"top\" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|20px|20px|20px|false|false \" custom_margin= \"|||73px||false|false \" custom_padding= \"60px|40px|74px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone\" custom_css_main_element= \"clip-\".path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title= \"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_main_element_phone= \"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%); \" custom_css_main_element_last_edited= \"on|phone\" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;|||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet= \"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;|||margin-top: 15px \"]<\/p>\n<p>Wenn Sie nach Hause kommen, wird Ihnen gezeigt, wie Sie den Verband selbst wechseln k\u00f6nnen. Dieser Verband ist wasserdicht und erlaubt die K\u00f6rperpflege ohne zus\u00e4tzlichen Schutz. Die Klammern werden am 18. postoperativen Tag von einer h\u00e4uslichen Krankenschwester oder Ihrem Hausarzt entfernt. Das postoperative H\u00e4matom setzt sich um den 8. postoperativen Tag herum endg\u00fcltig fest. Es kann manchmal beeindruckend sein und das Hautgewebe extrem straff machen, im Extremfall mit dem Auftreten von Phlekten (gro\u00dfe Blasen) auf der Haut. Dieser Bluterguss muss Sie nicht beunruhigen, er ist normal und f\u00fcr den Heilungsprozess notwendig. Solange der Bluterguss nicht mit unertr\u00e4glichen Schmerzen trotz Schmerzmitteln oder einer L\u00e4hmung der Gliedma\u00dfe einhergeht, sollten Sie mit der Selbstrehabilitation und dem Gehen fortfahren. Andernfalls sollten Sie sich mit Ihrem Chirurgen oder Hausarzt in Verbindung setzen und ihm Ihre Bedenken mitteilen.<\/p>\n<p>Sie haben sofort Anspruch auf volle Unterst\u00fctzung, im ersten Monat mit einem Paar Gehst\u00f6cken. Die t\u00e4glichen Aufgaben m\u00fcssen nach der R\u00fcckkehr bew\u00e4ltigt werden k\u00f6nnen. Es ist m\u00f6glich, die Wohnung zu verlassen.<\/p>\n<p>Es wird empfohlen, im ersten Monat nicht zu fahren, wie oben erl\u00e4utert.<\/p>\n<p>Die medizinischen Behandlungen m\u00fcssen wie auf den Rezepten bei der Entlassung aus der Klinik verordnet eingenommen werden. Der erste Kontrolltermin nach der Operation findet zwischen dem zweiten und dritten Monat statt, wird aber von Fall zu Fall angepasst.<\/p>\n<p>Die R\u00fcckkehr zu Freizeitaktivit\u00e4ten erfolgt zwischen dem 2. und 3. Monat, zu sportlichen Aktivit\u00e4ten nach dem 3. Monat, obwohl diese Wiederaufnahme schrittweise erfolgen muss und das pr\u00e4operative Niveau nicht sofort wieder erreicht wird.<\/p>\n<p>Die R\u00fcckkehr an den Arbeitsplatz erfolgt zwischen 1 und 4 Monaten, je nachdem, ob es sich um eine sitzende T\u00e4tigkeit handelt, die wenig Autofahrten erfordert, oder ob es sich um k\u00f6rperliche, intensive Arbeit im Stehen handelt.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title= \"Langfristige Entwicklung \" use_icon= \"on \" font_icon= \"$||divi||400\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left\" icon_placement_phone= \"top\" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|20px|20px|20px|false|false \" custom_margin= \"|||73px||false|false \" custom_padding= \"60px|40px|74px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone\" custom_css_main_element= \"clip-\".path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title= \"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_main_element_phone= \"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%); \" custom_css_main_element_last_edited= \"on|phone\" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;|||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet= \"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;|||margin-top: 15px \"]<\/p>\n<p>In idealen Situationen f\u00fchrt der Einsatz einer H\u00fcfttotalprothese dazu, dass nie wieder ein Eingriff vorgenommen werden muss.<\/p>\n<p>Die Lebensdauer der Prothese kann die des Patienten sein, wenn die H\u00fcfte vern\u00fcnftig genutzt wird. Es handelt sich um Verschlei\u00dfteile, wie in der Mechanik. Daher k\u00f6nnen \u00dcbergewicht (Adipositas), das Tragen schwerer Lasten und intensive sportliche Bet\u00e4tigung zu einer k\u00fcrzeren Lebensdauer des Implantats beitragen. Es wird allgemein angenommen, dass die durchschnittliche Lebensdauer des Implantats 15 Jahre betr\u00e4gt. Wenn jedoch die oben genannten Komplikationen nicht auftreten, erh\u00f6ht sich die durchschnittliche Lebensdauer des Implantats.<\/p>\n<p>Eine gesunde Lebensweise im Alltag ist von entscheidender Bedeutung, um eine lange Lebensdauer der Implantate zu erm\u00f6glichen.<\/p>\n<p>Ihr Chirurg wird eine radioklinische \u00dcberwachung durchf\u00fchren, die anfangs j\u00e4hrlich und sp\u00e4ter in gr\u00f6\u00dferen Abst\u00e4nden stattfindet. Sie sollten au\u00dferhalb dieser geplanten Zeitr\u00e4ume einen Arzt aufsuchen, wenn Sie eine Ver\u00e4nderung des Gef\u00fchls oder der Funktion Ihrer H\u00fcfte bemerken.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbPossibles Complications\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe60f;||divi||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bb&#x4c;||divi||400&Prime; icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbInfection \u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-2\" aria-labelledby=\"ui-id-1\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Sein Risiko wird statistisch auf 2 % gesch\u00e4tzt, aber es ist erh\u00f6ht, wenn Begleiterkrankungen vorliegen, von denen die h\u00e4ufigsten Fettleibigkeit, Diabetes, aber auch eine schlechte Qualit\u00e4t des Venennetzes oder der Haut sind. Auch Tabak- und Alkoholkonsum sind Risikofaktoren. Im umgekehrten Fall, wenn keine Makel vorliegen, Sie sich bereits vor dem Eingriff regelm\u00e4\u00dfig k\u00f6rperlich bet\u00e4tigen und sich ausgewogen ern\u00e4hren, ist dieses Komplikationsrisiko dann geringer als in den statistischen Daten angegeben. Im Falle einer Infektion kann eine sekund\u00e4re Operation in Verbindung mit einer Antibiotikabehandlung erforderlich sein.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"Die Phlebitis \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-4\" aria-labelledby=\"ui-id-3\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Im Zusammenhang mit Bettl\u00e4gerigkeit und verminderter Beweglichkeit in Verbindung mit dem postoperativen H\u00e4matom tritt sie aufgrund einer schlechteren Durchblutung auf. Eine vorangegangene Phlebitis erh\u00f6ht diese Komplikation. Sie erhalten eine vorbeugende Antikoagulationstherapie, deren Dosierung und Dauer an Ihre Vorgeschichte angepasst wird. Die Phlebitis \u00e4u\u00dfert sich durch einen Schmerz, meist in der Wade, der sekund\u00e4r auftritt und immer vermutet und ggf. mit einem Venen-Ultraschall der unteren Extremit\u00e4ten untersucht werden sollte.<\/p>\n<p>Eine unbehandelte Phlebitis kann zu einer Lungenembolie f\u00fchren, d. h. dazu, dass Blutgerinnsel aus den Venen in die Lunge wandern, was in Ausnahmef\u00e4llen t\u00f6dlich enden kann.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"Fraktur \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-6\" aria-labelledby=\"ui-id-5\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Nach der Operation ist der Knochen zun\u00e4chst durch die Unternutzung der Gliedma\u00dfe aufgrund der pr\u00e4operativen Arthrose, aber auch durch die Operation selbst geschw\u00e4cht. Daher kann es bei einem Sturz durch den Aufprall auf den operierten Knochen zu einem Bruch um die Prothese herum oder sogar zu einer Lockerung der Prothese (Abl\u00f6sung der Prothese vom Knochen) kommen. In diesem Fall kann ein erneuter Eingriff erforderlich sein, um den Knochen zu reparieren oder sogar die Prothese auszutauschen.<\/p>\n<p>Im ersten Monat nach der Operation besteht das Risiko, dass das Implantat in den Knochen eindringt. Sie werden gebeten, Ihre Gehst\u00f6cke w\u00e4hrend des ersten Monats zu behalten, um dieses Risiko zu kontrollieren. Das Abst\u00fctzen ist weiterhin erlaubt, wobei die St\u00f6cke wie die kleinen R\u00e4der eines Kinderfahrrads als Sicherheit dienen sollen, falls Sie stolpern oder fast fallen.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"Luxation \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>In den ersten zwei Monaten k\u00f6nnen das postoperative H\u00e4matom und die Muskelsideration zu einer Luxation der Prothese, d. h. einer Verrenkung, f\u00fchren. Wenn dies geschieht, k\u00f6nnen Sie nicht mehr laufen und die Schmerzen f\u00fchren in der Regel zu einem Besuch in der Notaufnahme. Sie m\u00fcssen dann eingeschl\u00e4fert werden, um die Prothese wieder einzurenken.<\/p>\n<p>Dieses Risiko liegt bei 1 %, aber damit es so nahe wie m\u00f6glich bei Null liegt, wird Ihnen beigebracht, bestimmte Bewegungen im Alltag zu vermeiden oder anzupassen. Sie werden auch gebeten, im ersten Monat nicht Auto zu fahren, da eine Luxation beim Autofahren zu einem Unfall f\u00fchren kann. Sie k\u00f6nnen hingegen als Beifahrer im Auto reisen, wobei Sie eine hohe Sitzposition bevorzugen und Fahrten von mehr als einer Stunde ohne Pause vermeiden sollten.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"Ungleichheit der Mitglieder \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-10\" aria-labelledby=\"ui-id-9\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Nach der Operation kann es zu einer Ungleichheit der Gliedma\u00dfen kommen. Bei der H\u00f6henanpassung der Prothese wird die L\u00e4nge der Gliedma\u00dfen ber\u00fccksichtigt und kann in manchen F\u00e4llen sogar wiederhergestellt werden, wenn pr\u00e4operativ eine Ungleichheit bestand. Die Stabilit\u00e4t der Implantate untereinander oder im Knochen ist jedoch wichtiger als die identische L\u00e4nge der Gliedma\u00dfen. Der Chirurg hat daher nicht immer die Kontrolle \u00fcber diesen Parameter, da er die prothetische Stabilit\u00e4t bevorzugt. Eine Ungleichheit von bis zu 2 cm Unterschied ist in der Regel nicht sp\u00fcrbar, kann aber auf R\u00f6ntgenbildern sichtbar sein. Gegebenenfalls wird Ihnen ein Ausgleich durch Einlagen oder Fersenkissen vorgeschlagen.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"Gelenkversteifung \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Die Gelenksteife kann eine Folgeerscheinung der pr\u00e4operativen Steifheit sein. Wenn die Abnutzung schon lange zur\u00fcckliegt und die H\u00fcfte seit mehreren Jahren nicht mehr ihren nat\u00fcrlichen Bewegungsumfang hatte, ist es manchmal schwierig oder sogar unm\u00f6glich, die volle Beweglichkeit wiederzuerlangen. In diesem Fall m\u00fcssen Sie eine gewisse Nachfolgesteifigkeit in Kauf nehmen.<\/p>\n<p>Au\u00dfer in besonderen F\u00e4llen wird Ihnen nach Ihrer Entlassung keine Krankengymnastik durch einen Physiotherapeuten verordnet. Sie erhalten eine Reihe von \u00dcbungen, die Sie selbst durchf\u00fchren k\u00f6nnen. Die H\u00fcfte wird durch das Gehen geschmeidig.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"Andere \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Der postoperative Verlauf kann von St\u00f6rungen durchzogen sein, die nicht als Komplikationen, sondern als postoperative Zwischenf\u00e4lle bezeichnet werden. Diese bestehen aus einer Schwellung der operierten unteren Extremit\u00e4t, die bis zu einem Jahr anhalten kann, und einem Gelenkerguss (Fl\u00fcssigkeit in der H\u00fcfte), der aufgrund lokaler Entz\u00fcndungsreaktionen mehrere Jahre lang anhalten kann.<\/p>\n<p>Es kann ein Grundschmerz bestehen bleiben, der geringer ist als pr\u00e4operativ, ohne dass ein Fehler oder eine Komplikation vorliegt. Dieser Schmerz wird gemeinsam mit dem Chirurgen beurteilt und je nach Intensit\u00e4t behandelt. Wenn er schlecht toleriert wird, kann dies im Extremfall zu einer erneuten Operation f\u00fchren, wenn Anomalien festgestellt werden, die dies erkl\u00e4ren k\u00f6nnten.<\/p>\n<p>In k\u00fcrzerer Zeit k\u00f6nnen Narbenst\u00f6rungen mit verz\u00f6gerter Wundheilung oder sogar Narbenbr\u00fcchen die Genesung beeintr\u00e4chtigen, auch wenn es ohne Infektionssyndrom schlie\u00dflich zur Heilung kommt.<\/p>\n<p>Schlie\u00dflich kann jeder an\u00e4sthesiologische Eingriff theoretisch zu einer massiven allergischen Reaktion, dem sogenannten anaphylaktischen Schock, mit Herz- und Atemstillstand und Tod f\u00fchren. Sie werden jedoch w\u00e4hrend und auch nach dem Eingriff durch ein Monitoring und das Pflegepersonal st\u00e4ndig \u00fcberwacht, so dass dieses fatale Risiko rein theoretisch bleibt und \u00e4u\u00dferst selten geworden ist.<\/p>\n<p>All diese Komplikationen sollten Sie jedoch nicht in Angst und Schrecken versetzen. Sie kommen vor und Sie sollten sie kennen, aber sie sind selten und Ihr Chirurg steht Ihnen jederzeit zur Verf\u00fcgung, um mit Ihnen dar\u00fcber zu sprechen, Sie zu beruhigen und Sie zu begleiten, wenn sie auftreten.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][dipi_before_after_slider _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_before_after_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbProduct\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb0deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.18) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/nasa-6-jTZysYY_U-unsplash-scaled.webp\u00a0\u00bb custom_padding=\u00a0\u00bb10vw||10vw||true|false\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Beratung<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"default \" text_font= \"Inter|700||||||| \" text_text_color= \"#FFFF \" text_font_size= \"2.25rem \" text_line_height= \"120% \" header_2_font= \"-et_global_heading_font||on|||||| \" header_2_text_color= \"#FFFF \" header_2_font_size= \"3.3rem \" header_2_line_height= \"120% \" text_orientation= \"center\" custom_margin= \"||0px|||false|false \" animation_style= \"slide\" animation_delay= \"250ms \" text_font_size_tablet= \"1.75rem \" text_font_size_phone= \"1.25rem \" text_font_size_last_edited=\"on|phone \" header_2_font_size_tablet=\"40px \" header_2_font_size_phone=\"28px \" header_2_font_size_last_edited=\"on|desktop \" locked=\"off \" global_colors_info=\"{} \"]<\/p>\n<h2 style=\"text-align: left;\"><span data-metadata=\"&lt;!--(figmeta)eyJmaWxlS2V5IjoieWwwdmtpY3FYbEF3QloxUTVCQWIzcyIsInBhc3RlSUQiOjQ1MDI1NTg1MCwiZGF0YVR5cGUiOiJzY2VuZSJ9Cg==(\/figmeta)--&gt;\"><\/span><span data-buffer=\"&lt;!--(figma)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(\/figma)--&gt;\"><\/span><span>Vereinbaren Sie einen Termin mit dem<br \/>Dr. Paul MIELCAREK<\/span><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_button button_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@\u00a0\u00bb button_text=\u00a0\u00bbPrendre RDV \u00a0\u00bb button_alignment=\u00a0\u00bbright\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb1rem\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_bg_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb button_border_width=\u00a0\u00bb0px\u00a0\u00bb button_border_color=\u00a0\u00bb#ffffff\u00a0\u00bb button_border_radius=\u00a0\u00bb0px\u00a0\u00bb button_letter_spacing=\u00a0\u00bb1px\u00a0\u00bb button_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb button_use_icon=\u00a0\u00bboff\u00a0\u00bb custom_margin=\u00a0\u00bb||0px|37px|false|false\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb16px||16px|0px|true|false\u00a0\u00bb custom_margin_phone=\u00a0\u00bb0px||24px|0px|false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb13px|33px|13px|33px|true|true\u00a0\u00bb animation_direction=\u00a0\u00bbleft\u00a0\u00bb hover_transition_duration=\u00a0\u00bb700ms\u00a0\u00bb hover_transition_delay=\u00a0\u00bb50ms\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22button_bg_color%22%93}\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb button_text_color__hover=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb button_border_color__hover=\u00a0\u00bb#b6b187&Prime; custom_css_main_element_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bb width:100%;||text-align:center\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbfloat:left;||margin-right:24px\u00a0\u00bb _dynamic_attributes=\u00a0\u00bbbutton_url\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bb4827deed-2a92-4d97-a22f-f01067ae6873&Prime; header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_4_font=\u00a0\u00bbPoppins|600|||||||\u00a0\u00bb header_4_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_4_font_size=\u00a0\u00bb20px\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb header_4_font_size_tablet=\u00a0\u00bb16px\u00a0\u00bb header_4_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb header_4_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>Termin Vereinbaren<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font= \"Freie Franklin|||||||| \" text_text_color= \"#FFFF \" text_font_size= \"16px \" text_line_height= \"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{} \"]<\/p>\n<p>Sie k\u00f6nnen direkt auf Docolib \u00fcber die Seite Kontakt einen Termin mit dem Arzt vereinbaren.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type= \"1_3\u2033 _builder_version= \"4.17.4\u2033 _module_preset= \"default \" global_colors_info= \"{} \"][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font= \"||||||||\" header_4_font= \"Poppins|600||||||| \" header_4_text_color= \"#FFFF \" header_4_font_size= \"20px\" header_4_line_height= \"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{} \"]<\/p>\n<h4>In der Telekonsultation<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font= \"Freie Franklin|||||||| \" text_text_color= \"#FFFF \" text_font_size= \"16px \" text_line_height= \"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{} \"]<\/p>\n<p>Vereinbaren Sie auf Consulib einen Termin f\u00fcr eine Telekonsultation mit Dr. Paul Mielcarek.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type= \"1_3\u2033 _builder_version= \"4.17.4\u2033 _module_preset= \"default \" global_colors_info= \"{} \"][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font= \"||||||||\" header_4_font= \"Poppins|600||||||| \" header_4_text_color= \"#FFFF \" header_4_font_size= \"20px\" header_4_line_height= \"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{} \"]<\/p>\n<h4>Im Kabinett<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font= \"Freie Franklin|||||||| \" text_text_color= \"#FFFF \" text_font_size= \"16px \" text_line_height= \"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{} \"]<\/p>\n<p>5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, empf\u00e4ngt Sie montags bis freitags von 8 bis 12 Uhr und von 14 bis 18 Uhr.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>Die EingriffeTotalh\u00fcftprotheseMit der Abnutzung der HANCHE gehen h\u00e4ufig eine Einschr\u00e4nkung des Gelenkumfangs (Steifheit) und vor allem Schmerzen einher. Klinisch \u00e4u\u00dfert sich dies durch Hinken, Schwierigkeiten beim Anziehen von Schuhen und bei der K\u00f6rperpflege.\u00a0<div class=\"et_pb_module dipi_image_hotspot dipi_image_hotspot_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t\t<div class=\"dipi-image-hotspot dipi-trigger_on_click-off\" data-order-number=\"0\">\r\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/human-body-png-ty0abbpy0ndvd97l.png\" class=\"dipi-hotspot-bg-image-main\" alt=\"\">\r\n\t\t\t\t\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module dipi_image_hotspot_child dipi_image_hotspot_child_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n            <div class=\"dipi-image-hotspot-child\">\r\n                \r\n                    <div\r\n                        class=\"dipi-tooltip-wrap dipi-tooltip-position-left  animated fadeIn\"\r\n                        data-order-number=\"0\"\r\n                    >\r\n                        \r\n                        \r\n                        \r\n                        \r\n                    <\/div>\r\n                \r\n            <div class=\"dipi-hotspot\">\r\n                \r\n                    <img decoding=\"async\" style=\"animation: pulse-key593486967 3s linear infinite;\" src=\"\" class=\"dipi-hotspot-image\" alt=\"\">\r\n                    \r\n                    \r\n                \r\n            <\/div>\r\n            <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","two_page_speed":[],"footnotes":""},"dipi_cpt_category":[],"class_list":["post-24844905","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/pages\/24844905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/comments?post=24844905"}],"version-history":[{"count":10,"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/pages\/24844905\/revisions"}],"predecessor-version":[{"id":24845180,"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/pages\/24844905\/revisions\/24845180"}],"wp:attachment":[{"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/media?parent=24844905"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"http:\/\/www.docteur-mielcarek.com\/de\/wp-json\/wp\/v2\/dipi_cpt_category?post=24844905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}