Several hip conditions can be treated with less invasive surgery using an arthroscope. The instruments are introduced through two to four small incisions and major surgery can be completed with minimal external scarring. See Figure A1, Figure A2, Figure F1, Figure F2, and Figure F3.
When is it used
- To find the cause of hip pain and evaluate the condition of the hip joint.
- Removal of unhealthy tissue, loose bone, cartilage fragments and foreign bodies.
- Treat labral and cartilage tears with repair or reconstruction.
- Reshaping of the ball and the socket to relieve hip impingement.
How is it done
A significant force is applied to pull on the leg to create space between the ball from the socket. Xrays are used frequently. A large amount of fluid is pumped through the hip to keep the hip distended and the camera picture clear. Narrow camera and instruments are inserted through small incisions and the joint is inspected and any problems are treated.
Less tissue injury, less pain, less blood loss, quicker recovery
In addition to complications that can occur after any surgery, certain complications are rare, but unique to hip arthroscopy.
- Damage to the healthy cartilage of the hip during passage of instruments through tight spaces
- Abdominal distension from fluid leaking from the hip into the abdomen
- Nerve damage from compression from pulling on the leg. This can cause numbness and weakness in the leg and in the genital area.