Hip arthroscopy is a minimally invasive surgical procedure recommended for treating specific hip disorders. This technique allows access to the hip joint through small incisions while utilizing an arthroscope (video camera) and specialized instruments to address issues previously

Why is Hip Arthroscopy Performed?

Hip arthroscopy effectively treats various hip problems, including:
  • Labral tears
  • Surface cartilage damage
  • Femoroacetabular impingement deformities
  • Snapping hip" syndromes
  • Synovitis
  • Early arthritis
  • Ligamentum teres rupture
  • Loose bodies
  • Other less common conditions

How is the Surgery Conducted?

During hip arthroscopy, a specialized surgical table provides traction and joint access. Small incisions are made around the hip, through which a camera-equipped device is inserted to provide visual access to the joint on monitors. Clear arthroscopic fluid is used to enhance visibility, while specialized tools address joint problems.
The procedure involves the removal or repair of damaged tissues like cartilage or labral tears. In cases of femoroacetabular impingement, abnormal bone protrusions are removed. If cartilage loss occurs, microfracture techniques may stimulate new cartilage formation.

What to Expect After Hip Arthroscopy?

Patients typically undergo general anesthesia and may expect a two to four-hour procedure duration. While most procedures are outpatient, some may require overnight hospital stays. Recovery involves crutches for two to four weeks, oral pain medication, and immediate physical therapy focusing on range-of-motion exercises and strength-building.
Dr. Duncan will devise a tailored physical therapy plan to rebuild muscle strength around the hip. Most patients require about 12 weeks of therapy for full recovery, with a return to normal activities expected within six weeks to two months. However, complete recovery may take three to four months, with ongoing improvement for up to 18 months post-surgery.
Regular follow-up appointments with Dr. Duncan are crucial for monitoring progress after surgery.

Advantages of Hip Arthroscopy

Compared to open surgery, hip arthroscopy offers advantages such as smaller incisions, outpatient procedures, shorter hospital stays, and potentially faster rehabilitation.

Who is a Candidate for Hip Arthroscopy?

Hip arthroscopy is recommended for physically active individuals experiencing hip pain and specific hip disorders suitable for arthroscopic treatment.

Risks and Benefits

While generally safe, hip arthroscopy carries risks including infection, nerve damage, bleeding, and anesthesia complications. However, it may avoid or delay the need for open surgery or total hip replacement, fully resolving certain hip issues in some cases.
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