Hip arthroscopy is a minimally invasive surgical procedure that allows an orthopedic surgeon to see inside the hip joint to diagnose and treat a variety of painful conditions. The term arthroscopy comes from two Greek words, “arthro” (joint) and “skopein” (to look). In simple terms, it’s a “joint scope” procedure.
During hip arthroscopy, a small camera called an arthroscope is inserted into the hip joint through a small incision, about the size of a buttonhole. The camera displays pictures on a video monitor, and your surgeon uses these images to guide miniature surgical instruments.
Because the arthroscope and surgical instruments are thin, the surgeon can use very small incisions, or “portals,” rather than the larger incision needed for open surgery. This results in less pain for patients, less joint stiffness, and often shortens the time it takes to recover and return to activities.
At California Pacific Orthopaedics, our team of experienced, board-certified surgeons is dedicated to providing the highest quality of care to patients in the San Francisco Bay Area. We use the latest techniques and technology to help our patients get back to the activities they love.
Why Is Hip Arthroscopy Performed?
Hip arthroscopy may be recommended if you have a painful condition that does not respond to nonsurgical treatment. Nonsurgical treatment may include rest, physical therapy, and medications or injections that can reduce inflammation.
Hip arthroscopy can be used to treat a range of hip problems, including:
- Femoroacetabular Impingement (FAI): This is a condition where extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. Because they do not fit together perfectly, the bones rub against each other during movement. Over time, this friction can damage the joint, causing pain and limiting activity.
- Labral Tears: The labrum is a ring of cartilage that follows the outside rim of the hip joint socket. It acts like a rubber seal or gasket to help hold the ball at the top of the thighbone securely within your hip socket. A tear in the labrum can be the source of significant pain and instability.
- Snapping Hip Syndrome: This condition is characterized by a snapping sensation, and sometimes an audible “snap,” in the hip when you walk, run, get up from a chair, or swing your leg. It is often painless, but can be bothersome. In some cases, it can lead to bursitis, a painful swelling of the fluid-filled sacs that cushion the hip joint.
- Loose Bodies: These are small fragments of bone or cartilage that break off and move around within the joint. They can cause pain and a sensation of “catching” or “locking” in the hip.
- Synovitis: This is a condition in which the tissues that line the hip joint become inflamed.
What to Expect Before, During, and After the Procedure
Before the Procedure
Before surgery, you will meet with your surgeon at California Pacific Orthopaedics to discuss the procedure in detail. They will review your medical history and perform a physical examination. You may also need to undergo some tests, such as an X-ray, MRI, or CT scan, to help your surgeon plan the procedure.
You will be given instructions on how to prepare for surgery. These may include:
- Stopping certain medications: You may be asked to stop taking certain medications, such as blood thinners, for a period of time before surgery.
- Fasting: You will likely be asked not to eat or drink anything for a certain period of time before surgery.
- Arranging for a ride home: You will not be able to drive yourself home after the procedure, so you will need to arrange for a friend or family member to pick you up.
During the Procedure
Hip arthroscopy is usually performed as an outpatient procedure, which means you can go home the same day. The procedure is typically performed under general anesthesia, so you will be asleep during the surgery.
During the procedure:
- Your leg will be put in traction to open up the hip joint and allow the surgeon to see inside.
- The surgeon will make a few small incisions around your hip.
- The arthroscope will be inserted through one of the incisions, and the surgeon will use the images on the video monitor to guide the surgical instruments.
- Once the problem is identified, the surgeon will use the instruments to repair or remove the damaged tissue.
- After the surgery is complete, the incisions will be closed with stitches or surgical tape.
After the Procedure
After the surgery, you will be taken to a recovery room where you will be monitored for a few hours. Once you are awake and stable, you will be able to go home.
Your recovery will depend on the type of procedure you had. You will likely need to use crutches for a period of time to keep weight off your hip. You will also be given a physical therapy program to help you regain your strength and range of motion.
It is important to follow your surgeon’s instructions carefully to ensure a successful recovery. Most people are able to return to their normal activities within a few months.
