Hip arthroscopy is one of the most cutting-edge areas of orthopedic surgery. The development of highly specialized procedures in hip arthroscopy over the last few years created new options for patients with hip pain, hip injuries, and early arthritis of the hip. These procedures allow athletes to return to their sport, allow workers to return to work, and often prevent or delay the need for joint replacement.
Hip injuries, once thought to be a problem only in the elderly, are extremely common in people of all ages. Young patients with hip injuries may go undiagnosed or misdiagnosed with problems such as groin strains, sciatica, bursitis, or sports hernias. Fortunately, upon correct diagnosis, many people with hip problems are candidates for hip arthroscopy.
Arthroscopic surgery of the hip is performed through tiny poke-hole (portal) incisions using a camera to view inside the hip joint. A variety of instruments are used to repair torn labrum, injured cartilage and soft tissues, remove bone spurs, remove excess bone to re-shape non-spherical femoral heads or acetabular over-coverage. The surgery is performed as an outpatient procedure and lasts approximately 90 minutes. Patients go home the same day using crutches and a brace to assure proper recovery of the hip.
Recovery from Surgery:
Hip arthroscopy is generally an outpatient procedure, with fairly minimal pain. The average postoperative course involves 2 weeks in a hip brace and 2 weeks on crutches to protect the work done on the hip. A brace may be required for 6 weeks, and crutches may be required for up to 8 weeks if the hip’s condition requires a more extensive surgery. Most patients begin riding a stationary bicycle and begin physical therapy the day after surgery. Patients can return to work as soon as 2-3 days after their procedure, depending on their work type. Athletes can expect to return to sports between 3-6 months after surgery. High-level athletes participate in an intense physical therapy course after surgery, gradually increasing their workout intensity.
Publications from the American Hip Institute on Hip Arthroscopy
- Labral Base Refixation in the Hip Rational and technique for an anatomical approach to labral repair 2010
- Acetabular Labral Tear and Post Partum Hip Pain 2012
- Iatrogenic Labral Puncture of the Hip is avoidable 2012
- Endoscopic Repair of Proximal Hamstring Avulsion 2012
- Partial Thickness Tears of the Gluteus Medius Rationale and Technique for Transtendinous Endoscopic Repair 2010
- Partial Thickness Tears of the Guteus Mdius Rationale and Technique 2010
- Hip Impingement Identifying and Treating a Common Cause of Hip Pain 2009
- Open Surgical Dislocation versus Arthroscopy for Femoroacetabular Impingement, Comparison of Clinical Outcomes 2011
- Iliopsoas impingement a newly identified cause of labral pathology in the hip 2011
- Arthroscopic capsulotomy capsular repair and capsular plication of the hip
- Risk factors for ligamentum teres tears 2013
- Arthroscopic ligementum teres reconstruction 2012
- Labral Penetration Rate in a Consecutive Series of 300 Hip arthroscopies 2012