Hip Arthroscopy

Arthroscopic hip surgery is a minimally invasive procedure that can diagnose and fix certain hip joint abnormalities through small incisions instead of long open procedure. It is definitely the most positive measure to regain lost active lifestyle caused by hip pain. The procedure uses a fiber optic telescope that is called arthroscope.

What are the Indications for Hip Arthroscopy?

Arthroscopy may be recommended for following hip problems:

  • Labral tears

  • Snapping hip syndromes

  • Hip impingement

  • Femoroacetabular impingement deformities

  • Articular cartilage (surface cartilage) injuries

  • Removal of loose bodies in the joint

  • Early arthritis

  • Hip tendon or ligament injuries

  • Ligamentum Teres injury

  • Hip instability

  • Inflamed or damaged synovium

Procedure:

Hip arthroscopy procedure is usually performed under general or spinal anesthesia with two to three small incisions. The instruments are introduced into the hip joint after application of traction to widen the view and insert instruments. An arthroscope is introduced through the incision to view and identify the damage inside hip joint. Other surgical instruments are introduced through separate incisions to perform the repair procedure. The length of procedure and its postoperative recovery depends upon the type of surgery.

Advantages of Hip Arthroscopy

  • Better diagnosis in cases where CT or MRI does not clearly states the cause of a problem in the hip joint

  • Hip arthroscopy eases the procedure to take sample of tissue from hip joint for biopsy

  • Relieves pain and improves hip joint stability

  • Delay the onset of osteoarthritis

  • Delay the need for a total hip replacement

  • Improve quality of life

  • Optimize activities of daily living

  • Smaller incisions as compared to open procedure

  • Outpatient procedure or shorter hospital stay

  • Patient can mobilize the same day

  • Earlier and faster rehabilitation

  • Safe procedure with very low complication rate

Recovery, Rehabilitation & Long term outcomes

Patients recovery & rehabilitation plan (physical therapy & exercises) depend upon the type of procedure and may take 3-6 months. Initially if there is any limping, patient may need crutches for 1 to 2 months.

Almost all the patients return to full, unrestricted activities after arthroscopy.