Hip Arthroscopy in New Delhi

Overview

Hip arthroscopy is a minimally invasive surgical procedure that uses a small camera and specialized instruments to diagnose and treat various hip joint conditions. It involves making small incisions, allowing the surgeon to visualize and address issues such as labral tears, impingement, and cartilage damage, promoting quicker recovery compared to traditional open surgery.

Why Would Someone Need to Have Hip Arthroscopy?

Hip arthroscopy is recommended when individuals suffer from hip joint issues such as labral tears, femoroacetabular impingement (FAI), hip dysplasia, synovitis, cartilage damage, or loose bodies. This minimally invasive procedure enables both diagnosis and treatment, providing effective solutions for hip conditions that may not respond to non-surgical interventions.

Conditions that can require Hip Arthroscopy

• Labral tears

• Femoroacetabular impingement (FAI)

• Hip dysplasia

• Synovitis

• Cartilage damage

• Loose bodies in the hip joint

Requirements & Evaluation for Hip Arthroscopy

Candidates for hip arthroscopy undergo a thorough evaluation. Criteria include persistent hip pain, limited mobility, and unsuccessful non-surgical interventions. Preoperative assessments consider overall health, joint anatomy, and the ability to follow postoperative rehabilitation. The decision is based on optimizing outcomes and ensuring that patients are suitable candidates for hip arthroscopy, offering a minimally invasive approach to diagnose and treat specific hip conditions.

Different Types of Hip Arthroscopy

Hip arthroscopy can address various conditions, and the specific technique used depends on the nature of the problem. Different types include:

• Labral Repair:

Repairing tears or damage to the labrum (cartilage).

• Femoroacetabular Impingement (FAI) Correction:

Reshaping bones to prevent abnormal contact and friction.

• Cartilage Repair or Debridement:

Treating damaged hip cartilage through repair or removal.

• Synovectomy:

Removing inflamed synovial tissue.

• Psoas Release:

Addressing issues with the psoas tendon.

• Loose Body Removal:

Extracting floating fragments in the joint.

The specific type of hip arthroscopy is determined by the underlying condition and the goals of the surgical intervention.

Procedure for Hip Arthroscopy

Before the Procedure:

• Preoperative Assessment: Comprehensive evaluation of the patient's overall health and hip condition.

• Diagnostic Imaging: X-rays, CT scans, or MRI to visualize the hip joint.

• Medical Clearance: Ensuring the patient is fit for surgery.

• Surgeon Consultation: Discussion of the procedure, potential risks, and expected outcomes.

After the Procedure:

• Immediate Postoperative Care: Monitoring in the recovery room.

• Hospital Stay: Usually a day, in some cases outpatient.

• Pain Management: Medications to control pain and discomfort.

• Assisted Walking: Gradual return to walking with crutches or a walker.

• Physical Therapy: Initiating rehabilitation exercises to restore hip function.

Risks:

• Infection: Risk of postoperative infections.

• Bleeding: Potential for bleeding, especially in patients on blood-thinning medications.

• Nerve or Blood Vessel Injury: Rare but possible during surgery.

• Blood Clots: Risk of deep vein thrombosis (DVT).

Benefits:

• Minimally Invasive: Small incisions result in less tissue damage.

• Quicker Recovery: Typically shorter recovery compared to open surgery.

• Diagnostic and Therapeutic: Allows both diagnosis and treatment during the same procedure.

• Reduced Pain: Addresses the underlying hip condition, reducing pain.

Recovery:

• Immediate Postoperative Period: Limited weight-bearing with crutches.

• Physical Therapy: Essential for regaining strength, flexibility, and balance.

• Gradual Resumption of Activities: Incremental return to normal activities.

• Follow-up Appointments: Regular monitoring of healing and progress.

• Full Recovery: This may take several weeks to months, with ongoing improvement over time.

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