Arthroscopic surgery of the hip is a non-invasive procedure usually performed as outpatient surgery. The orthopedic surgeon makes tiny incisions in the hip joint, then places a microscopic camera inside the joint to view the damaged structure.
The surgeon will use several specially designed instruments to repair damaged tissue, reshape abnormal bones, remove bone spurs and repair torn cartilage. Arthroscopic surgery is very effective in treating a variety of hip ailments, including arthritis, bursitis, labral tears, and gluteus medius repairs.
There are several arthroscopic procedures available for hip-related injuries and ailments. We also offer referrals to orthopedic specialists at the Chicago Center for Orthopedics.
Arthroscopic Labral Repair
The labrum acts as seal for the hip joint and supports many functions of the hip in general, including maintaining stability and flexibility, and bearing weight. It is also the “glue” that keeps all the other parts of the hip joint in the correct position. If the labrum tears, any number of areas of the hip may be affected; untreated labral tears could eventually lead to arthritis. Through arthroscopic surgery, the surgeon uses small sutures attached to anchors set into the bone to sew and repair the labral tear.
Watch Dr. Benjamin Domb surgically repair a torn labrum.
Arthroscopic Gluteus Medius Repair
Just as with arthroscopic labral repair, arthroscopic gluteus medius repair involves the same procedure to sew the gluteus medius muscle to the greater trochanter, also known as the hip bone.
Femoral Neck Osteoplasty
Surgeons use this procedure on cam-type impingement, a condition involving an abnormally shaped femoral head, the ball component of the ball and socket hip joint. When the femoral head isn’t properly formed, it rubs against the labrum and cartilage causing lesions which may result in a torn labrum, damaged cartilage or both, because it doesn’t fit correctly into the socket, the acetabulum. Osteoplasty reshapes the femoral head for the right fit into the acetabulum, restoring flexibility and ease of motion without impingement.
Acetabular Rim Trimming
Similar to femoral neck osteoplasty, surgeons conduct acetabular rim to contour the abnormally shaped acetabulum. Pincer lesions occur when the rim of the acetabulum hangs too far over the femoral head. The femur rubs up against the rim of the socket, causing pain and possible severe labral tears. Acetabular rim trimming reshapes the socket to restore freedom of movement without impingement.
This procedure effectively uses the body’s own resources to heal injured cartilage. The surgeon drills tiny holes in the bone, which release stem cells that form new cartilage in the damaged area.
Recovery After Hip Arthroscopy
Because hip arthroscopic surgery is a non-invasive outpatient procedure, recovery is much quicker and involves less pain and discomfort than traditional surgery. Most patients will go home the same day as the procedure, will require less pain medication for a shorter period of time and may be able to resume regular daily activities within two weeks.