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Main injuries and pathologies of the hip

The hip is the joint where union of the femur and pelvis, providing stability and mobility to the human body. It is one of the parts of the body that is most affected by the wear of bones and cartilage.


Wear and tear of the hip joint caused by trauma or aging in elderly people. The wear of the cartilage prevents the sliding between the surfaces of the hip bones from being carried out correctly, which can lead to a hip break.


Trochanteritis is inflammation of the lateral projection of the femur in the upper thigh. The patient usually presents with acute pain in the area, which can extend along the leg. The causes of inflammation are usually due to repetitive movements or trauma to the hip.

Acetabular labral tear

The labrum is a cartilage located in the hip joint, which acts as a shock absorber for movement. The causes of the tear are usually due to trauma or repetitive movements that wear it out. Symptoms usually manifest as pain in the area and stiffness.

CAM and Pincer injuries

Femoroacetabular impingement of the hip usually occurs in young patients and causes early wear of the hip. They can be differentiated between a “Pincer” impingement, which limits flexion and internal rotation, and a “CAM” impingement, due to an alteration in the sphericity of the femoral head.

hip fractures

These injuries are more common in older people, due to the wear and tear of bones and cartilage, as well as instability, increasing the chances of trauma from a fall. The main symptoms are pain and lack of movement.

Spring hip

This injury is caused by the impact that occurs between the muscle or tendon on a bony protrusion located in the hip. If the origin is in the iliotibial band, it will be referred to as an external snapping hip. If it is in the iliopsoas muscle, it is the hip in internal spring.

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We treat different types of hip fractures such as femoral neck or pertrochanteric fractures.

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Hip arthroscopy traumatologists in Madrid

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Opinion of the hip replacement operation

The hip is the joint most affected in accidents and falls. Our patient went to Elgeadi Traumatology because he had pain in the back and hip. This meant that he could not carry out the sports activities he previously practiced.

After undergoing certain operations, after the recovery time he was able to return to sports such as skiing, cycling and hiking.

All the doctors who serve in our network of clinics in the Community of Madrid are top-level specialized professionals.

All the information on hip arthroscopy and endoscopy, arthroplasty, arthroresonance, fractures and prostheses.

There are different types of hip fractures, therefore, the treatments used will be different depending on the type. There are symptoms common to all fractures, some of them are the following:

  • Strong pain in the groin area. 
  • Immobility in the area.
  • Shortening of the leg on the affected side with respect to the other.
  • In some cases, bruising, thigh deformity and swelling appear in the area.

Different hip fractures

  • Femoral head fracture: in this case the break occurs in the head of the femur. They are very rare injuries. They usually occur in patients over 50 years old, and the most common treatment is osteosynthesis (union of bones with screws).
  • Femoral neck fractures: This type of injury affects the neck of the femur. They are common and are associated with old age. The most common cause is severe trauma (traffic accident, fall from a great height...). The most common treatment is osteosynthesis with screws or arthroplasty, which would involve placing a partial or total hip prosthesis.
  • Intertrochanteric fractures: This injury is located between the greater and lesser trochanters, and is common in elderly people. The surgical intervention consists of joining the bone fragments through a nail or plate with screws.
  • Subtrochanteric fractures: This is the least common hip break. There are two possible treatments for this type of fracture: open surgery to place a plate and screws, or a minimally invasive technique with intramedullary nails.

The team led by Doctor Elgeadi has doctors hip arthroscopy specialists. Thanks to this minimally invasive technique, the patient's recovery after hip surgery is faster and requires a shorter period of rest.

Hip fracture surgery is performed to repair breaks that affect the upper part of the femur, located at the level of the thigh.

The hip fractures usually occur due to falls in elderly people, due to the wear of bones and cartilage.

In most patients, the treatment for hip fracture is surgery and the operating time varies depending on the type of surgery performed.

In cases of elderly patients, who have difficulty walking before the operation, conservative treatment can be chosen, avoiding surgery. Depending on the characteristics of the break, different surgical techniques will be used.

hip arthroscopy

Whenever possible, a hip arthroscopy or endoscopy, which consists of a minimally invasive surgery, lasting approximately 90 minutes. This technique allows injuries to be studied and treated before they worsen. This type of operation is performed by Doctor Elgeadi and his team of specialists in hip arthroscopy and endoscopy in Madrid.

The pathologies most treated using these techniques are: septic arthritis, femoroacetabular impingement, chondrocyte implants, cartilage and labral lesions.

hip arthroplasty

Hip arthroplasty consists of the implantation of an artificial prosthesis that allows certain movements to be carried out. This operation must be carried out by a hip arthroplasty specialist.

The traumatologist makes a cut in the area of action that allows the bone to be clearly observed. Later, it will create a hole in the bone, where the graft will be made and the bones will be welded to the prosthesis. The duration of the intervention is usually approximately one or two hours.

In the case of osteosynthesis, the incision is smaller than in prosthetic surgery and screws, nails and/or special plates are placed to restore stability to the fractured bones.

The operation and types of hip prosthesis vary depending on the characteristics of the patient's injury. In the case of the hip prosthesis There are different options depending on the type of breakage that has occurred:

  • Total hip prosthesis: The femoral head articulates with the acetabular insert (belonging to the acetabulum of the hip). This method is used in those cases in which the patient suffers from wear and tear and osteoarthritis in the hip.
  • Partial hip prosthesis: The femoral head articulates directly against the pelvis. It is used in cases of fractures in people with little activity. Unlike the total, only the femoral head is replaced leaving the pelvic acetabulum cavity intact.
  • Revision prosthesis: It is placed to replace another prosthesis that is causing complications.
  • Cemented and cementless hip prostheses: There are two ways to fix the prosthesis implant to the bone: by using a biological cement (cemented prosthesis), or by pressure fixation (uncemented prosthesis). In patients with degenerative diseases, cemented prostheses are usually chosen. If the bone has good structure, a cementless prosthesis will be used.

The hip fracture consists of an incomplete fracture of the bone that does not separate its parts completely.

Fissures are common injuries in elderly people and usually occur due to trauma.

The recovery procedure is the same, but it does not require as strict immobilization as in the case of rupture.

The most common types of cracks They are longitudinal cracks and fissures. The hip specialist will assess the extent of the injury, studying whether it is a contusion, a fracture or a complete break.

In many cases, the most appropriate option to carry out a hip MRI is to perform an arthroresonance, since it allows a contrast study to be performed through a joint puncture in which a liquid is injected, which helps diagnose pathologies or hip breaks.

This technique is used by the best hip trauma doctors since it is a complex and semi-invasive process.

After the injection process, the patient is transferred to the resonance unit immediately, to prevent the contrast liquid from being reabsorbed.

He arthroresonance analysis most commonly used for evaluation of the acetabular labrum, especially in patients with suspected femoroacetabular impingement syndrome (PFA) or patients with pain in the inguinal area.

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Arthroscopy, arthroplasty and hip replacement surgery | Traumatologists in Madrid

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