Hip Arthroscopy Treats Many Hip Conditions with Minimal Invasive Techniques

Hip arthroscopy is a diagnostic and surgical process in which a small telescope is introduced into the hip to assess any damage of the hip joint and repair damage secondary to femero-acetabular impingement.

People who are suffering with hip pain which does not respond well to non-surgical treatment such as medicines, physiotherapy, and rest may be referred to a specialist to assess the cause of their hip pain. In some individuals, the cause of the hip pain may be secondary to femero-acetabular impingement and can be treated with hip arthroscopy. Hip arthroscopy is an operation that involves the use of an arthroscope, i.e. a tiny camera, which is inserted into the hip joint through a small incision. The surgeon examines the condition of the hip joint and performs the surgery via key hole.

Historically, hip arthroscopy was originally used primarily for diagnostic purposes and for undertaking basic interventions such as removal of loose bodies and debridement of damaged tissue such as the acetabular labrum. Following the scientific publication of Dr. Reinhold Ganz’s work on femoro-acetabular impingement in the year 2003, orthopaedic surgeons have worked on open as well as arthroscopic procedures to address the damage caused by these mechanisms. Owing to its effectiveness and benefits, this surgical technique has received acknowledgment by many reputed surgeons around the world. It is widely recognized now that arthroscopic technique provides comparable outcomes via a minimally invasive approach to the open techniques.

Procedure of the surgery

During hip arthroscopy, the bones of the hip joint (ball and socket) are separated by approximately 1-1.5 cm by applying traction using special boot which is strapped to the foot of the patient. Usually, two, and sometimes three, tiny incisions of 1-1.5 cm in length are made on the side of the hip. After the completion of the procedure, a combination of local anaesthetic, anti-inflammatory and morphine are injected into the hip to lessen post-operative pain. Finally, the incisions are closed with sutures and covered with a waterproof dressing.

Problems of the hip addressed by this surgical technique

The doctor may recommend hip arthroscopy to the patients suffering with any of the following problems of the hip:

Presence of symptomatic femero-acetabular impingement with cam lesions and or labral tears

Snapping hip syndrome (painful clicking iliopsoas tendon or ilio-tibial band)

Osteochondritis dissecans ( cracks in the underlying cartilage and or bone)

Unexplained symptomatic total hip replacement

Ligamentum teres injuries (tears)

Chondral(cartilage) lesions

Removal of loose bodies

Iliopsoas or trochanteric bursitis

Dr Parminder J Singh is a specialist of Hip arthroscopy surgery and knee arthroscopy, total hip replacement including anterior muscle sparing total Anterior hip replacement and total knee replacement surgery.

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