Hip Arthroscopic Surgery
Minimally invasive hip surgery or hip arthroscopy involves placing a small fiber-optic video camera, called an arthroscope, into the hip joint between the ball and socket without making a large incision. Drastic improvements have been made in hip arthroscopy techniques and instrumentation in the last 10 to 15 years which allow surgeons to help patients who previously were left without any hope for treatment. As the awareness of the various types of hip injuries improves, we will be able to offer this groundbreaking treatment to more patients.
In general, a day surgery is all that is necessary to perform a hip arthroscopy procedure. Patients often choose general anesthesia to undergo a 1 to 3 hour procedure. During the surgery, traction on the operative leg increases the size of the joint space to allow the introduction of instruments into the hip joint. Patients are protected with special padding to reduce the risk of traction related injury. Reducing the total time of traction also greatly reduces the risk of injury. Most procedures are performed with less than one hour of traction time. In addition, intraoperative monitoring of nerves is often performed in order to improve the safety of the procedure.
Types of Hip Conditions Treated with Arthroscopic Surgery
The SROSM team of orthopedic surgeons will explore non-surgical hip pain treatment options before recommending surgery in most cases. In some cases, hip arthroscopy is the best option to relieve symptoms or repair a problem. Some conditions that are treated with arthroscopy may include:
- Hip arthritis, allowing the orthopedic surgeon to clean up the joint to relieve pain.
- Hip impingement, also called femoroacetabular impingement (FAI) - The hip bone is overgrown, limiting how far your leg can move in the socket. The overgrowth can be repaired with with arthroscopic surgery for many patients.
- Torn labrum - The labrum is the rim of soft tissue or fibrocartilage that surrounds the socket of your hip joint. Labral tears can be caused by trauma such as car accidents, bad falls, severe twisting, hip dysplasia, and repetitive strain or by chronic conditions such as FAI or dysplasia.
- Hip dysplasia - This is the term used for a hip socket that doesn't fully cover the ball portion of the upper thighbone. Hip dysplasia can damage the cartilage lining in the joint and the soft cartilage (labrum) that rims the hip joint socket.
- Abductor tendon injuries (gluteus medius and minimus tears) involve the large muscles/tendons that connect your pelvis to hip. They typically result in pain along the outside part of the hip and can be successful treated with arthroscopic surgery if conservative treatment fails.
- Trochanteric bursitis - this is another common cause of pain on the outside part of the hip. The trochanteric bursa or the soft tissue that sits between the large bony protrusion on the outside part of your hip (trochanter) and the large muscles of the hip can become inflamed due to a variety of causes. The bursitis commonly responds to non-surgical treatment but occasionally may require minimally invasive surgery if non-surgical treatments fail.
- Avascular necrosis is a painful condition that can occur in the hip. In essence, the blood supply to the femoral head becomes compromised which can lead to dead and collapse of the femoral head which in turn can cause painful arthritis. If caught in an early stage, minimally invasive surgery with arthroscopy can be a successful option.
- Snapping or popping hip syndromes cause a tendon to rub across the outside of the joint. This type of snapping or popping is often harmless and does not need treatment. In some cases, however, the tendon is damaged from the repeated rubbing and may be repaired using an arthroscopic procedure.
- Synovitis describes inflammation of the tissues that surround the joint.
- Loose bodies are fragments of bone or cartilage that become loose and move around within the joint.
- Hip joint infection
The ultimate goal of the surgeon is to fix or improve your problem in the most minimally invasive way possible--and arthroscopy offers the ability to do so. Our orthopedic surgeons are experts in arthroscopy and will talk through your treatment options. You can also learn more about hip arthroscopy by downloading our educational document at the button below.
To speak with an SROSM hip specialist, make an appointment at the location closest to you in Spring or The Woodlands.