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What Is Hip Arthroscopy, And What Are The Causes, Risks, And Consequences?

5 July 2023

Hip arthroscopy is a surgical procedure to repair hip deformities by making a small incision to reach the hip joint. Because it is a closed type of surgery, a camera and instruments are inserted to view the joint. This treatment method, which is used to correct various hip problems, reduces pain and restores mobility. A device called an arthroscope is used in hip arthroscopy, which is slightly different from other surgical procedures. It is a mild surgical intervention because it is minimally invasive. This surgical method, which has been used more in recent years, is preferred because it provides early recovery. It also has fewer complications compared to open surgical procedures. The image of the hip joint is magnified on the monitor, and hip deformities are seen more closely.

Why Is Hip Arthroscopy Performed?

Hip arthroscopy is a treatment method usually recommended for young patients. Some hip pain is seen in young people for many reasons. These pains can usually be caused by sports injuries, overloading the hip bone, and falls. All of these can cause abnormalities in the hip. Soft tissue damage in the hip can also be repaired with hip arthroplasty. This procedure also corrects hip deformities caused by malformation. Hip arthroscopy, which is a type of surgical procedure, therefore does not involve very serious joint disorders. For example, it is not a recommended treatment for people with osteoarthritis. The following conditions are considered for hip arthroscopy:

  • Bone spurs (osteophytes)
  • Synovitis
  • Loose pieces of cartilage in the joint after an injury
  • Tendon fractures around the hip
  • Hip impingement
  • Hip labral tear

These are conditions to be treated with hip arthroscopy. If treatment of these conditions is delayed, hip arthritis may develop. If hip arthritis occurs and develops, hip replacement surgery may be inevitable. Therefore, hip arthroscopy treatment can be performed in a short time to avoid the need for hip replacement surgery.

How To Prepare For Surgery?

Before preparing for hip arthroscopy, it is checked whether the person is suitable for this treatment. This is decided after a physical examination and imaging tests. If certain findings are detected, hip arthroscopy is offered as a solution. With the person’s consent, the process of preparing for surgery begins. If hip arthroscopy is performed on a healthy person, outpatient treatment is performed. This means that it is possible to be discharged from the hospital on the same day. All processes in the treatment are informed by the doctor. After the patient receives the information, her or his questions about the treatment are answered. The patient should also tell the doctor about the medications and supplements used during this process. Important information is also given about the date of the operation and what can and cannot be eaten before the operation. In short, this is the process of preparing for hip arthroscopy treatment.

Hip Arthroscopy Process

Hip arthroscopy consists of three processes. Before surgery, during surgery, and after surgery are the processes within this treatment. Information about the processes involved in hip arthroscopy is given below:

  • Before Surgery

The person is checked by an anesthesiologist before being taken into surgery. This particular surgical technique calls for general anesthesia to be provided. Spinal and epidural anesthesia are also options. These anesthetics keep the person awake and numb the body. The anesthesia method is applied according to the general health condition of the person and the treatment method to be performed. In the next stage, the surgical procedure begins.

  • During Surgery

At the beginning of the surgery, the person’s leg is placed in traction. The surgeon makes a small incision to insert the arthroscope and other surgical instruments. This provides a better view of the hip joint and reveals hip problems. These problems are evaluated by the surgeon, and surgical intervention is performed accordingly. The problem is fixed, and the incision is closed with surgical materials.

  • After Surgery

After the surgery is completed, the person is taken to the recovery room, where their general health status is monitored. It is possible to be discharged on the same day, but this varies depending on the surgery and complications. Crutches are given to facilitate walking during discharge. It is therefore important that someone helps you during discharge.

After hip arthroscopy, the recovery process begins at home. During this process, the doctor may refer you to a physiotherapist to strengthen the joints and facilitate a better recovery. Hip exercises that can be done at home are prepared by a personalized physiotherapist. Crutches will be used for a while. When to stop using them is determined by the doctor. Exercises should be continued for about 6 weeks. Since the general recovery process will be controlled by the doctor, you should visit the doctor now and then.  In general, the recovery process for hip arthroscopy is between three and six months.

Risks Of Hip Arthroscopy

Hip arthroscopy has many risk factors. The risks are generally low with this minimally invasive procedure. The risks of hip arthroscopy include:

  • Infection
  • Damage to blood arteries, muscles, and nerves
  • Hip pain
  • Numbness in the groin

In general, these complications are rare and temporary. Therefore, there is no risk to life. However, if hip pain occurs after the operation, you should consult a doctor.

Results Of Hip Arthroscopy

Minimally invasive hip arthroscopy is a closed surgical procedure. It, therefore, has fewer risk factors than other types of surgery. Any problem in the hip can be treated with this treatment method. The results of hip arthroscopy therefore include:

  • Faster recovery
  • Minimal blood loss 
  • Small scars 
  • Low complication risks 
  • Less pain after surgery 

In conclusion, hip arthroscopy is a successful and safe surgical procedure. This treatment for young people relieves hip pain and corrects hip deformities. The recovery process depends on the person’s lifestyle and general health. At the end of the check-ups, the surgeon will advise whether the person can start a strong exercise. In general, the time to return to strong exercise is 3-6 months.

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