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Hip Arthroscopy

(key hole surgery)

This is minimally invasive operation that treats damage and pre-arthritic condition of the hip through minor incisions. 

 

Conditions that can be treated with keyhole are: 

  • Labral tears

  • Hip impingement (also known as FemoroAcetabular Impingement -FAI)

  • Early osteoarthritis

  • Removal of loose cartilage/bone within the joint

  • Ligament and tendon injuries

How we perform Hip Arthroscopy

Hip arthroscopy is performed as a day-case or overnight stay procedure. The operation is performed under a general anaesthetic and lasts about 1 hour.

We use a special table which allows us to gently pull on both feet and a soft support is placed between the legs. This allows us to open up the hip joint slightly.

Once this is done we can then access the joint using a small camera and a variety of specially designed instruments.  We usually use 2 or 3 incisions which are around 1cm in length. 

Hip arthroscopy

Procedures

Labral Repair

Labral tears can be trimmed or repaired.

The repair process involves passing sutures around the labrum and then securing them with tiny plastic anchors that are placed within the bone at the rim of the hip socket.

These sutures and anchors stay within the tissues and get covered with scar tissue over time.

Labral Repair

Labral Repair

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Treatment of Hip Impingement

This procedure is also known as an

osteo-chondroplasty. 

 

It is designed to remove the bony protrusion known as a Cam Deformity from the front of the ball joint of the hip.

 

A very small high-speed burr is used to reshape that front of the hip joint. 

The hip is then bent up at the end of the procedure to check the impingement has gone. 

Another type of impingement is possible. This is called Pincer- impingement, where the socket is too deep. In this type, the socket can be recessed to using a similar technique.