Hip Arthroscopy

Arthroscopy is a surgical operation that provides physicians an unobstructed view of the inside of a joint. This can help them diagnose and handle joint issues.

During hip arthroscopy, your operating surgeon inserts a little camera, called an arthroscope, in the hip joint. The camera displays images on a television screen, and your doctor employs these photos to guide tiny surgical instruments.

Hip arthroscopy has been done for a long time, but not as frequent as knee or shoulder arthroscopy.

Anatomy

Enthesopathy of Knee  Bursitis of Knee Foot Fracture Gait AbnormalityThe hip is a ball and socket joint. The socket is formed by the acetabulum, which is part of the large pelvis bone. The ball is the femoral head, which is the upper end of the femur (thighbone).

A slick tissue generally known as articulary cartilage covers the surface of the ball and the socket. It creates a smooth, frictionless surface that helps the bones slip easily across each other.

The acetabulum is ringed by strong fibrocartilage known as labrum. The labrum forms a gasket around the socket.

The joint is encompassed with bands of tissue known as ligaments. They create a capsule that holds the joint together. The undersurface of the capsule is lined by a thin membrane referred to as the synovium. It produces synovial fluid that lubricates the hip-joint.

When Hip Arthroscopy Is Advised

Your doctor may recommend hip arthroscopy if you have a irritating condition that doesn't react to nonsurgical treatment. Nonsurgical treatment includes rest, therapy, and medicines or shots that will reduce inflammation. Inflammation is one of your body's typical responses to injury or illness. In an injured or diseased hip joint, inflammation causes puffiness, pain, and stiffness.

Hip arthroscopy may alleviate painful signs and symptoms of many issues that harm the labrum, articular cartilage, or other soft tissues surrounding the joint. Even though this damage can result from an injury, other orthopaedic conditions can lead to these issues, such as:

•   Femoroacetabular impingement (FAI) is a condition where bone spurs (bone overgrowth) around the socket or the femoral head result in damage.

•   Dysplasia is a disorder where the socket is abnormally shallow and makes the labrum more subject to tearing.

•   Snapping hip syndromes make a tendon to rub over the outside of the joint. This snapping or popping is frequently benign and doesn't require treatment. In some cases, however, the tendon is damaged from the consistent rubbing.

•   Synovitis forces the tissues surrounding the joint to be inflamed.

•   Loose bodies are fragments of bone or cartilage that get loose and move about within the joint.

•   Hip-joint infection

Planning for Surgery

If you're choosing arthroscopy, you will need a physical examination from a medical professional to evaluate your health. He or she will identify any issues that may affect the surgery.

If you've got select health problems, a more intensive evaluation may be needed prior to your surgical procedure. Make certain to notify your orthopaedic surgeon of the medicines or supplements that you take. He or she might tell you which medicines to stop and which to take prior to surgery.

If you're by and large healthy, your hip arthroscopy will in all probability be done as an outpatient. This means you won't need to remain overnight at the hospital.

The hospital or surgery center will contact you in advance to supply specific details of your procedure. Make sure to adhere to the instructions on when to arrive and especially on when you should give up eating or drinking prior to your treatment.

Before the procedure, you will be examined by a member of the anesthesia team. Hip arthroscopy is most frequently conducted under general anesthesia, in which you fall asleep for the procedure. Regional anesthesia, like spinal or epidural, may also be used. With regional anesthesia, you are conscious but you are numb from the waist down. Your orthopaedic surgeon and your anesthesiologist will talk to you about which way is ideal for you.

Surgical Procedure

At the outset of the treatment, your leg will be put in traction. This means your hip will be pulled from the socket adequately for your physician to insert instruments, see the entire joint, and perform the procedures necessary.

After traction is applied, your operating surgeon will make a small puncture in your hip (about the size of a buttonhole) for the arthroscope. From the arthroscope, he or she can look at the inside of your hip and discover harm.

Your doctor will put in other instruments through separate incisions to handle the problem. Different procedures can be done, depending on your needs. For instance, your doctor can:

•   Smooth off damaged cartilage or repair it

•   Trim bone spurs caused by FAI

•   Get rid of inflamed synovial tissue

The duration of the process will depend on what your surgeon finds and the amount of work to be performed.

Complications

Hand Fracture Hip Sprain Internal Derangement of Knee Knee Dislocation Meniscal Tear Knee SprainConcerns from hip arthroscopy are rare. Any operation in the hip joint carries a small injury risk to the surrounding nerves or vessels, or the joint itself. The traction necessary for the operation can stretch out nerves and result in numbness, but this is usually temporary.

There are additionally small chances of infection, as well as blood clots developing in the legs (deep vein thrombosis).

Recovery

Following surgery, you will stay in the recovery room for 1 or 2 hours prior to being dismissed home. You will need someone to drive you home and keep with you at least the first night. You can expect to be on crutches, or a walker, for some period of time.

Rehabilitation

Your physician will develop a rehabilitation plan according to the surgery you needed. In many cases, crutches are required, but only until any limping has stopped. If you required a more extensive treatment, however, you may need crutches for one or two months.

Usually, physical therapy is needed to attain the best recovery. Specified exercises to recover your strength and mobility are crucial. Your therapist can also direct you with extra do's and dont's during your rehabilitation.

Long-Term Outcomes

Lots of people get back to full, unrestricted activities following arthroscopy. Your recovery will be determined by the type of damage that was present in your hip.

For some, lifestyle changes are required to safeguard the joint. An illustration may be changing from high impact exercise (such as running) to lower impact activities (including swimming or cycling). These are decisions you'll make with the guidance of your operating doctor.

Sometimes, the damage is extreme enough that it can't be entirely stopped and the procedure may not be successful.

Future Developments

Arthroscopy has helped physicians and researchers better understand many hip joint issues. As surgical techniques progress, it's expected that hip arthroscopy will play a greater role in the diagnosis of and the treatment of hip disease.

Thanks again for being a physician my Dad trusts!

H.F.