Hip arthroscopy

Definition

Hip arthroscopy is surgery that is done by making small cuts around your hip and looking inside using a tiny camera. Other medical instruments may also be inserted to examine or treat your hip joint.

Alternative Names

Arthroscopy - hip; Hip impingement syndrome - arthroscopy; Femero-acetabular impingement - arthroscopy; FAI - arthroscopy; Labrum - arthroscopy

Description

During arthroscopy of the hip, the surgeon uses a tiny camera called an arthroscope to see inside your hip.

Spinal or epidural or general anesthesia will be used in most cases. You may also receive medicine to help you relax.

Why the Procedure Is Performed

The most common reasons for hip arthroscopy are to:

Less common reasons for hip arthroscopy are:

If you do not have one of these problems, hip arthroscopy will probably not be useful for treating your hip arthritis.

Risks

The risks for any anesthesia are:

The risks for any surgery are:

Other risks from this surgery include:

Before the Procedure

Always tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

During the 2 weeks before your surgery:

On the day of your surgery:

After the Procedure

Whether you fully recover after hip arthroscopy depends on what type of problem was treated.

If you also have arthritis in your hip, you will still have arthritis symptoms after hip surgery.

Outlook (Prognosis)

After surgery, you will need to use crutches for 2 to 6 weeks.

Your surgeon will tell you when it is OK to return to work. Most people can go back to work within 1 to 2 weeks if they are able to sit most of the time.

You will be referred to physical therapy to begin an exercise program.

References

Shah A, Busconi B. Hip and pelvis. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 21.

Miller MD, Hart J. Surgical principles. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 2.