Professor Shmuel Dekelorthopedist
A distinctive feature of coxarthrosis treatment at Top Ihilov is the use of the latest prosthetics from leading global manufacturers. For example, young people in need of joint replacement are fitted with special MAYO conservative hip bone-preserving prosthetics, which facilitate a subsequent surgery that they will clearly need, as no prosthetic, even the most durable, remains viable for more than 20 years. Another innovation used at Top Ihilov is the perfectly fitting trabecular titanium prosthetic, manufactured using state-of-the-art electron beam melting (EBM) technology, which allows for the rapid creation of prosthetics of any complexity.
What distinguishes coxarthrosis treatment at Top Ihilov from treatment in CIS countries?
- Safety and sterility of surgeries. All joint replacement surgeries at Top Ihilov are performed with strict adherence to special sterility standards, which are generally not observed in CIS countries. For example, Top Ihilov surgeons operate in specially sealed suits resembling space suits, completely eliminating the possibility of infection.
- High quality of medications. At Top Ihilov, only the highest quality medications are used for joint treatment, completely excluding the use of counterfeit or substandard products.

Would you like to learn more about the advantages of joint treatment at Top Ihilov?
At Top Ihilov, mobility is quickly restored even in the most complex cases
In our clinic, you can receive treatment from the leading orthopedist in the country. The method of coxarthrosis therapy at Top Ihilov depends on the degree of damage to the hip joint.
Non-surgical treatment
If coxarthrosis is diagnosed at early stages and there is insignificant damage to the joint tissues, medication treatment is the main method for treating coxarthrosis. The patient is prescribed a series of medications, primarily anti-inflammatory agents.
Physiotherapy and therapeutic exercise in our clinic complement the treatment.
Medications used at Top Ihilov to reduce the inflammatory response (NSAIDs) are prescribed for a short period (during diagnostic procedures and determining the treatment strategy). This reduces the risk of complications associated with prolonged use of this group of drugs.
If medication treatment is ineffective, surgical intervention is indicated.
Surgical treatment
In cases of significant joint damage, surgical treatment may be indicated. Our clinic performs surgeries using minimally invasive techniques, with minimal tissue incisions, ensuring a shortened rehabilitation period and rapid recovery for the patient.
One such operation is arthroscopy - a highly effective and minimally traumatic method for treating coxarthrosis. During the surgery, the surgeon makes 2-3 small incisions, into one of which a microcamera is inserted for visualization of the process. Special instruments are introduced through the other incisions to perform all necessary manipulations. This treatment method is usually employed in the early stages of the disease. At Top Ihilov, such surgeries are performed at a high level.
However, the most effective method for treating coxarthrosis is hip joint arthroplasty (joint replacement with a prosthetic). Top Ihilov offers a wide selection of high-quality endoprosthetics that precisely replicate the anatomical structure of the joint.
At Top Ihilov, 4 types of modern prosthetics are used:
- Porous titanium prosthetic, created using 3D printing with electron beam melting (EBM). This is a novelty in the field of prosthetics. The porous structure fully matches the bone surface, facilitating fitting, titanium is virtually wear-resistant, and beam melting allows for the creation of any prosthetic in record time.
- The bone-preserving MAYO conservative hip prosthetic, which is smaller than usual and causes less trauma to the joint bone, facilitating a subsequent replacement surgery.
- Ceramic ball on a ceramic socket - this prosthetic is the least wear-prone.
- Both parts of the prosthetic made of metal - this is one of the simplest options, but it is used less and less in Israel.
During hip arthroplasty, the surgeon removes the damaged joint surfaces and installs prosthetic components made using modern technologies from polymer materials, composite alloys with nanocoating, and ceramic elements. The socket of the artificial joint is attached to the bone using a tight fit method Press Fit or with the help of special bone cement (Bone Cement).
Today, the orthopedists at Top Ihilov are among the best in the world in hip arthroplasty, attracting more and more patients each year. Hip arthroplasty at the Israeli clinic Top Ihilov is quality medical care from the best orthopedists in Israel.
Would you like to know more about the latest methods and technologies for treating the hip joint at Top Ihilov?
Learn more about joint replacement at Top Ihilov
- Joint replacement. Arthroplasty and arthroscopy
- Joint arthroplasty
Top Ihilov – Accurate diagnosis in a short time
Coxarthrosis ranks among the top degenerative-dystrophic diseases of the musculoskeletal system. The disease can be accompanied by severe pain syndrome and leads to limited mobility of the entire body, up to complete loss and formation of disability. Therefore, the diagnosis of coxarthrosis should begin without delay. Our clinic provides all conditions for early diagnosis and rapid diagnosis.First day – Initial examination
On this day, the patient is directed to the diagnostic department, where they are examined by the leading orthopedist of our clinic. After a thorough examination, the doctor issues referrals for tests and corresponding instrumental diagnostic procedures.
Second and third days – Diagnosis
The patient undergoes the prescribed examination:
- Complete blood count (detailed), biochemical blood analysis. These studies help exclude other causes of joint pain, such as rheumatoid arthritis.
- General urine analysis
- X-ray of both hip joints. This allows for the assessment of joint space changes, the presence of growths, or other pathological changes in the joint.
- Magnetic resonance imaging of the joints and CT.
- As needed, the doctor may prescribe ultrasound, as well as joint aspiration and analysis of the obtained contents.
The duration of the diagnostic program is 3 – 4 working days. If necessary, the program can be supplemented. It will always differ in optimal timing, cost, and obtaining the most accurate results in the form of a correct, detailed diagnosis.
Would you like to learn more about joint diagnostic methods at Top Ihilov or order a diagnostic program?
Fourth day – Treatment assignment
To summarize the examination and assign treatment, the patient is directed to the expert group specialists, who develop an individual treatment plan. The group meets for each patient, and its tasks include not only developing a treatment plan but also monitoring the patient's condition until their departure. Often, monitoring continues online for up to a year after departure. The expert group includes internationally recognized orthopedists specializing in hip joint treatment.