ISBN 978-86-80593-52-4 155 Application of Telemedicine in Treatment of Coxarthrosis Using Cementless Endoprosthesis of the Hip Joint with Fitmore® Hip Stem Ivan Golubović 1 , Zoran Baščarević 2 , Ivica Lalić 3 , Marko Kadija 7 , Zoran Golubović 1,4 , Predrag Stoiljković 1 , Stevo Najman 4 , Marija Trenkić-Božinović 5 , Slađana Petrović 4,6 , Zoran Radovanović 4,6 , Sanja Stojanović 4 , Milica Stanisavljević 4 , Mila Janjić 4 , Saša Stojanović 1 , Sonja Stamenić 1 , Milan Ćirić 4 1 Clinical Center Niš, Clinic for Orthopaedic Surgery and Traumatology, Niš, Serbia; 2 University of Belgrade, Faculty of Medicine, Institute of Orthopaedic Surgery Banjica, Belgrade, Serbia; 3 Clinic for Orthopaedic Surgery and Traumatology, Novi Sad, Serbia 4 University of Niš, Faculty of Medicine, Niš, Serbia; 5 Clinical Center Niš, Clinic for Ophthalmology, Niš, Serbia; 6 Clinical Center Niš, Center for Radiology, 18000 Niš, Serbia golubowic@gmail.com Abstract— Coxarthrosis is a chronic degenerative disease of the hip joint which is characterized by pain and limitation of movements in the hip joint, which significantly disturbs the quality of life. Radiologically, narrowing of the joint space with destructive changes in the head and the acetabulum of the hip joint is present. Treatment of coxarthrosis in the early stage of disease is conservative, while in the later stages surgical treatment must be applied. By installing of endoprosthesis a diseased hip joint is replaced with artificial which helps eliminate the pain and provides a satisfactory range of movements in the operated hip. In this case, after complete preoperative preparation, cementless endoprosthesis of the hip joint with Fitmore ® Hip Stem by Zimmer was implanted. The entire surgical procedure was broadcasted via video beam to the collegium of orthopaedic clinic, since it was a new type of stem of the hip joint endoprosthesis which was for the first time implanted into a patient at the Clinic for Orthopaedic Surgery and Traumatology Niš. The doctors from Clinic watched the whole operation via video beam from the medical room and asked questions during the operation to which they immediately received responses from surgeons from the operating room. Cementless endoprosthesis with Fitmore ® Hip Stem represents the treatment of choice in patients of younger age. I. INTRODUCTION Coxarthrosis is a chronic degenerative disease with clinical manifestations usually in the fifth, sixth and seventh decade of life. Causes of coxarthrosis are different and most frequently quoted are congenital abnormalities of the hip joint, abnormalities obtained during growth, excessive loading of the hip joint, traumatic damage of the hip joint such as dislocation of the femoral head, fracture of the femoral head or acetabulum, microtrauma, hormonal disorders and aging process (1,2). The main signs of coxarthrosis are pain and limitation of movements which significantly alter the quality of life. Treatment of coxarthrosis depends on the stage of disease. In the initial phase of the disease treatment does not require surgical intervention while in more developed stage of the disease it is necessary by implantation of endoprosthesis of the hip joint. II. MATERIALS AND METHODS This paper presents a patient with advanced clinical symptoms of coxarthrosis (constantly present pain and limitation of movements in the hip joint) which was treated surgically by cementless endoprosthesis of the hip joint with Fitmore ® Hip Stem by Zimmer. The entire surgical procedure was broadcasted via video beam to the collegium of orthopaedic clinic, since it was a new type of stem of the hip joint endoprosthesis which was for the first time implanted into the patient at the Clinic for Orthopaedic Surgery and Traumatology Niš. The doctors from Clinic watched the whole operation via video beam from the medical room and asked questions during the operation to which they immediately received responses from surgeons from the operating room. III. CASE REPORT Patient C.D. was treated repeatedly ambulatory using antirheumatics and physical therapy, because of the pain and limitation of movements in the right hip joint, with variable success (Figure 1). When all methods of non-operative treatment were exhausted, the patient was admitted to the Clinic for