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HIP ARTHROSCOPY

WHAT IS IT?

Hip arthroscopy is a relatively new surgical technique, it is used to solve a variety of diseases. Via arthroscopy it is possible to see inside joints, this helps the doctor to have a better diagnose and treatment for joint diseases.

WHEN IS HIP ARTHROSCOPY RECOMMENDED?

Hip arthroscopy relieves pain in many problems in which the labrum, articular cartilage and other tissues around the hip are damaged. Although many problems can be caused by blows there are diseases that can be solved by hip arthroscopy, such as:

  • Femoroacetabular Impingement (FAI): Growth spurs around the hip causing pain on movement.
  • A click caused by the rubbing of the tendons around the hip.
  • Synovitis caused by inflammation around the hip.
  • Loose bodies are bone fragments that breaks off and move across the joint.
  • Hip infections

DIAGNOSIS AND PREPARATION FOR HIP ARTHROSCOPY

The doctor will perform you a complete examination to assess that you are fit for surgery, he will request you blood tests to check your medical condition. Usually, hip arthroscopy is performed as an outpatient surgery or requiring only a one night hospitalization.

Before surgery you will be evaluated by the anesthesiologist.
Hip arthroscopy is usually performed under general anesthesia, where you are asleep during surgery.
Another type of anesthesia such as epidural can be used.
The anesthesiologist will decide which procedure is best for you.

WHAT HAPPENS DURING SURGERY?

Before starting the procedure, your leg is put in traction. This means the area of the acetabular cup will separate just enough for the surgeon to place the instruments and camera into the hip.
Two or three incisions of 0.5mm are performed to enter the camera and instrumental in the hip so we can be able to perform the hip arthroscopy.

There are several procedures that can be done for the hip, for example:

  • Repair cartilage lesions
  • File the spurs in Femoroacetabular Impingement
  • Remove swollen synovial tissue

REHABILITATION

  • Therapy is needed to gain strength, mobility and flexibility.
  • The surgeon would guide your rehabilitation program, in most cases using crutches for 4-5 days.
  • Most people return to their pre-injury activity after arthroscopy.
  • Recovery will depend on the grade of injury presented in the hip.

Dr. Vilchez had an official training to perform hip arthroscopy in a surgical center endorsed by the International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine.

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