After anesthesia, your leg will be put in traction. Your hip will be pulled away from the socket enough for your surgeon to insert instruments, see the entire joint, and perform the needed procedures. Two to five small incisions each less than 1 cm long are made around the hip to insert the arthroscopy camera and necessary instruments. An x-ray machine is used to guide the tools into the hip joint.
Fluid sterile saline water irrigates and fills the joint space for better viewing. Once the problem is clearly identified, your surgeon will insert other small instruments through separate incisions to repair it.
Prior to discharge you will be given a written instruction sheet, pictures of your surgery, a prescription for therapy, and a copy of physical therapy PT guidelines. Most patients should be able to walk with crutches immediately after surgery with partial weight bearing foot flat on the ground as you walk. Physical therapy is necessary to achieve the best recovery and, in some cases, can begin the day after surgery.
When using ice it is very important not to place ice directly on the skin. Place a facecloth between the ice pack and your skin. In order to reduce swelling: rest frequently during the day. This should be done lying down. Your first 48 hours should be spent off your feet as much as possible. It is completely normal to feel water in your hip; it may even make a gurgling sound when you bend it.
This is left over irrigation solution from surgery, which will eventually be reabsorbed. Occasionally, patients may experience a strained or numb feeling in the groin or ankle.
This can occur due to the traction used during the procedure or from the numbing medicine local anesthesia given during surgery. This feeling will eventually subside.
Change your dressing in 48 hours. Replace with a large square band-aid. Make sure to wash your hands before and after changing your dressing. If there is oozing from the incision, keep it covered with gauze pads. You should keep the incision covered until your follow up appointment with your doctor. If steri-strips where placed on the incision do not remove, eventually these will fall off or you can peel them off after two weeks. Specially designed arthroscopic surgical tools are also used to perform different types of minimally invasive joint surgery.
Arthroscopy of the hip joint was refined in the late s and early s. Since then, the development of advanced arthroscopic surgical equipment has allowed orthopedic surgeons to treat conditions that were previously untreatable or which required more invasive, open procedures.
This procedure allows the surgeon to diagnose the cause of hip pain or other problems in your joint. Some hip conditions may also be treated arthroscopically.
To perform arthroscopic hip surgery in these cases, the surgeon makes additional small incisions usually one or two to create access points for various arthroscopic needles, scalpels or other special surgical tools. Because HSS uses high-resolution MRI scanning technology, a hip arthroscopy is not always required to make a diagnosis.
Our state-of-the-art scans may reveal that your injury or condition can be treated nonsurgically, such as with physical therapy. For this reason, at HSS, arthroscopic surgery is often performed only when reparative surgery is needed, rather than for exploratory purposes.
Arthroscopic hip surgery is usually conducted on an outpatient basis, where the patient returns home on the same day as the surgery. Depending on your doctor's findings and the type of treatment that will be performed, arthroscopic hip surgery may take between 30 minutes and two hours. Prior to the procedure, you will be given anesthesia to prevent the sensation of pain. You may undergo general anesthesia, in which a gas puts you to sleep, or regional anesthesia, in which an injection or small tube catheter delivers medication to the spinal column, numbing you from the waist down.
Most often, you will be positioned with your leg pulled in traction. This creates space in the hip joint and allows instruments to access the joint without injuring surrounding cartilage. Accessing the narrow space in the hip joint is complicated by the orientation of surrounding nerves and blood vessels. The total duration of physical therapy varies based on the extent of the procedure done, however most hip arthroscopy patients are fully recovered within 4 months or less.
Emblom's or Dr. Ryan's appointment scheduler. Hip Arthroscopy Surgery. Minimally-Invasive Procedure. Hip Anatomy The hip is a ball and socket joint made up of the femur and pelvis. What are Non-Arthritic Hip Disorders? Labral Tear : Injury to the labrum, or cartilage around the rim of the acetabulum. This can be caused by an acute injury ie: hip dislocation or may occur overtime as with FAI - femoroacetabular impingement.
Femoroacetabular Impingement FAI : This is a general term used to define certain types of bony morphology in the hip. It can be broken down into CAM type, pincer type, or mixed. CAM impingement - Deformity of the femoral head that causes the femoral head to be "out-of-round".
This can lead to increased friction or irritation of the labrum and articular cartilage - leading to labral tears and cartilage detachment as well as predisposition to acute labral injury. Pincer impingement - an overcoverage of the acetabular rim or hip socket.
This can also pre-dispose you to labral injury, but is less common than CAM type impingement. When the tendon becomes inflamed, it can snap over the femoral head with movement of the hip, causing a painful snapping or clicking sensation on the anterior or front side of the hip. External Snapping Hip : Similar to internal snapping hip, in that it is caused by inflammation of a tendon and irritated by movement of the hip joint.
However, external snapping hip is caused by inflammation of the iliotibial band, a band of tissue that runs down the outside of the hip. This is commonly associated with Trochanteric Bursitis , inflammation of the Trochanteric Bursa. These conditions can cause painful snapping on the outside of the hip.
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