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Arthroscopic Hip Surgery

What is arthroscopic hip surgery?

Arthroscopic hip surgery is a minimally invasive surgical procedure used to treat a number of hip conditions. This procedure is not to be confused with hip replacement surgery, which is generally done on older patients with arthritis. Arthroscopic hip surgery patients are placed on a special surgery table that allows for use of traction on the affected hip. The procedure usually involves 2-3 incisions, each about 1/4 of an inch long. Through these, a camera and specialized instruments are inserted to correct the problem. The procedure may take anywhere from 90 minutes to 4 hours of surgical time to complete.

watch procedure Hip Arthroscopic Femoral Osteochondroplasty
watch procedure Arthroscopic Microfracture Chondroplasty
watch procedure Arthroscopic Labral Repair
watch procedure Arthroscopic Acetabular Rim Trimming and Labral Reattachment

What are the advantages of arthroscopic hip surgery?

Traditional hip surgery requires a much larger incision, approximately 4-10 inches long. With arthroscopic surgery the incisions are usually about 1/4 of an inch long, therefore there is minimal, if any, scarring.  In traditional surgery, the hip often needs to be dislocated in order for the surgery to be performed. This is not necessary with arthroscopic hip surgery. Arthroscopic hip surgery is usually less painful and requires less recovery time. Arthroscopic patients can usually resume normal activities is less time.

Who should have arthroscopic hip surgery?

The indications for hip arthroscopic surgery include but are not limited to the following conditions: labral tears, chondral lesions, loose bodies, ligamentum teres injuries, femoroacetabular impingement (believed to be a precursor to more severe hip osteoarthritis if not treated early), instability, iliopsoas snapping hip, septic hip, pigmented villonodular synovitis, and select cases of osteoarthritis and avascular necrosis with mechanical symptoms. For any of these conditions, conservative treatment should be tried first. If the condition persists, the patient may be a candidate for arthroscopic hip surgery.

What preparations will be needed prior to surgery?

The surgeon may have the patient see a primary care doctor prior to surgery to make sure there are no medical conditions that may cause a problem with the surgery.  There will be a pre-op appointment prior to the day of surgery that will include a history and physical examination, possible blood samples, possible EKG, and a visit with a member of anesthesia department.  Patients should not eat or drink anything after midnight on the night before surgery.

What type of anesthesia will be required?

Arthroscopic hip surgery usually requires general or spinal anesthesia.

Is there a hospital stay after surgery?

Most arthroscopic hip surgeries are performed on an outpatient basis. The patient will arrive about 2 hours prior to surgery and often leave 1-2 hours after the surgery is finished.

What kind of a recovery can be expected?

Depending upon the specific hip arthroscopic procedure performed, the patient may be advised to use crutches or a walker, sometimes for as long as 6-8 weeks. That said, many conditions allow walking almost immediately post-op. Many patients are riding an exercise bicycle the day after surgery. Physical therapy is requires in some cases, although most patients have been able to rehabilitate at home with as little equipment as an exercise bicycle