Surgical Treatment Options

Hip Arthroscopy

Hip arthroscopy is a surgical procedure where an arthroscope (4 mm camera) is inserted into the hip to allow for excellent visualization and management of hip injury and conditions.

The patient is positioned on the operating table and anesthesia is given. Traction is applied to the patient’s leg until 2 cm of space is created between the ball (femoral head) and the socket (acetabulum) allowing the insertion of instruments to proceed without damage to the surrounding joint. Two or Three puncture holes about 1 cm in size are generally needed to perform the surgery. Small instruments such as graspers, shavers and burs are introduced through these puncture hole to work on the various tissues in the hip joint. An X-ray machine called a fluoroscope (or C-arm) is used throughout the case to help gain access to the hip joint and to monitor the progress of the reshaping of the bone.

Hip arthroscopy typically takes between 1.5 to 2.5 hours to complete and is a complex arthroscopic procedure. During the procedure, the hip labrum can be repaired, debrided or reconstructed, loose bodies can be removed, and bony prominences (such as cam or pincer lesions) can be reshaped. The patient is typically able to go home on the same day as surgery and is on crutches between 2-6 weeks postoperatively. A physiotherapy protocol is provided by your surgeon and is typically begun within a week of surgery.

Hip arthroscopy is a challenging procedure and the best outcomes from surgery are obtained by sub-specialty trained, high volume surgeons.

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Hip Replacement

The surgical treatment for hip arthritis is to replace the hip joint. A hip replacement involves surgically removing the damaged acetabulum and femoral head, and replacing them with new metal, plastic or ceramic joint surfaces to restore the function of the hip joint. For appropriate patients, the results of hip replacements are excellent and among the most successful operations in orthopaedics. The life span of a standard hip replacement is 20-25 years in most patients. There are different options for hip replacement materials that your hip replacement surgeon will be able to discuss with you. If you require a hip replacement you will be directed towards a surgeon in your local area with expertise in hip replacement.