Name of the Condition

• Acquired Absence of Unspecified Hip Joint
• ICD Code: Z89.629

Summary

Acquired absence of the hip joint refers to the condition where an individual does not have one or both hip joints. This can result from surgical removal or other traumatic events. It primarily affects mobility and can influence daily activities significantly.

Causes

• Surgical removal due to severe arthritis or hip fracture
• Traumatic injury necessitating joint removal
• Complications from previous surgeries or medical conditions, such as infections

Risk Factors

• History of hip surgery or injury
• Advanced age, typically more common in older adults
• Underlying hip disorders like osteoarthritis

Symptoms

• Difficulty in walking or standing
• Limited range of motion in the hip area
• Imbalance or instability when moving

Diagnosis

• Physical examination to check joint presence and functionality
• Review of medical history and any prior surgeries
• Imaging tests, such as X-rays, to assess the absence of the joint

Treatment Options

• Prosthetic hip joint replacement to restore functionality
• Physical therapy to strengthen surrounding muscles and improve mobility
• Pain management through medications

Prognosis and Follow-Up

• With appropriate treatment, patients can regain substantial mobility.
• Regular follow-up is crucial to monitor joint health and prosthesis integrity.
• Continuous physical therapy may be necessary to maintain mobility.

Complications

• Ongoing pain or discomfort in the hip region
• Increased risk of falls due to imbalance
• Potential for prosthetic complications if a hip replacement is performed

Lifestyle & Prevention

• Engaging in low-impact exercises to maintain joint health
• Nutritional support to strengthen bones and muscles
• Using assistive devices (e.g., walkers or canes) to enhance mobility

When to Seek Professional Help

• Sudden increase in pain or difficulty in movement
• Noticeable changes in the ability to perform daily activities
• Signs of infection around a surgical area, like redness or swelling

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS) website
• Patient support groups, such as the Arthritis Foundation

Tips for Medical Coders

• Ensure the hip joint's absence is accurately documented in the medical records.
• Avoid confusion with congenital absence or conditions affecting other joints.
• Double-check any related surgical history or prior interventions for precise coding.