HIP
ARTHROSCOPY

Our Process

Hip Arthroscopy is most commonly performed to treat Femoro-acetabular impingement. In almost every case bone is removed around the hip joint (CAM or Pincer lesions) and the labrum is repaired (or partially removed if irreparable). Many patients will also have some degree of localised cartilage damage and this may either be tidied up (chondroplasty), or a procedure to cover exposed bone is performed (microfracture). The main indication for hip arthroscopy is surgery to alleviate femoro-acetabular impingement (FAI). The overall improvement rates for FAI are 80%. Outcome is influenced by the presence of arthritis, patients with arthritis who undergo hip arthroscopy have an approximate 40% chance of improvement. Those patients with severe damage at the chondrolabral junction (i.e. localised cartilage damage without widespread arthritis) are more unpredictable in outcome (between 40 and 80% depending on the cartilage damage).

Timeline

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Step 1

Following a consultation with Mr Datta, you will be given a date for surgery.

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Step 2

You will be called by one of our nursing staff who will conduct a pre-assessment within 2 weeks of your surgery for blood tests and a medical examination

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Step 3

Hip arthroscopy is performed under general anesthetic. Three small keyhole incisions are made allowing us to pass through small cameras and instruments. Once access is gained, the femoral head and acetabulum (socket) are viewed. The labrum is repaired if necessary.

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Step 4

Although your hip will be sore post surgery, you shouldn’t experience any severe pain. You will be on crutches for 4 – 6 weeks (depending on what exactly was done during the arthroscopy) and won’t be able to drive for this period. You will not be able to drive yourself home so please arrange for someone to take you on the day of discharge.

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Step 5

As we do pull on the leg quite hard during the procedure (this is to enable us to get a good look inside the hip joint) there may be some numbness around the groin area but this should resolve in a few days, occasionally weeks.

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Step 6

Good post-operative rehabilitation is key to a good outcome following surgery. Hydrotherapy is very effective in the first few weeks following surgery whilst you are still on crutches. A phased rehabilitation programme is commenced and the full recovery is around 3-6 months.

Treatment Cost

frequently asked questions

How painful will it be post surgery
As with any surgery, there will always be a degree of pain and the amount will depend on the patient’s pain threshold. You will be prescribed suitable painkillers and be advised to take them regularly. Ice wrapped in a towl can be used as a compress to help any additonal swelling. Keep doing any prescribed exercises to help with mobility.
Is there any activites that I shouldn’t do post surgery?
We would say to avoid bending your hip beyond 90 degrees or crouching or squatting. These activities should be avoided for up to 8 weeks post surgery
When can I drive again post-surgery
You will be told by Mr Datta at which point in your recovery phase you can return to driving. Ideally when you are fully weight baring and not requiring strong paint medication. Follow any instructions provided to you by your insurance company also.