Hip Arthroscopy is performed through small incisions (key hole surgery) using a camera to visualize the inside of a joint. Through several small incisions (usually 2-3, about 1 cm wide each), a camera is inserted into one
incision, and small instruments through the other incisions. Key hole hip arthroscopy is a highly specialised technique that is much less invasive than traditional open surgery. It requires significant experience and specialist fellowship training to perform properly. What conditions can be treated by Hip Arthroscopy?Hip arthroscopy is great for visualising the hip joint and treating conditions such as
How hip arthroscopy is performed
Hip arthroscopy can be done as a day procedure, but it is best when you stay overnight so that our nurses can take the best care of you. During the hip arthroscopy, you are placed on your side and your foot is placed in a traction device so that space can be created in the hip joint. Usually, 2 – 3 incisions about 1 cm wide are made around the side of your hip. Special cameras and surgical instruments are passed through these incisions to perform your operation. The procedure can last between 30 – 90 minutes, depending on what needs to be done. Severe hip inflammation seen on hip arthroscopy There should be no floating objects in the hip. Floating cartilage fragments means that some part of the hip joint cartilage has been damaged The hip labrum is torn A normal ligamentum teres After the Hip ArthroscopyAfter the operation, you will be cared for in the Theatre Recovery room. Most people wake up fully when back in their rooms on the ward. Whilst on the ward, the nurses will take care of your every need. It usually takes a few hours to recover fully from the anaesthetic, and our nurses will regularly check on your recovery. The operation is usually less painful than expected and pain relievers can be taken regularly after the operation. The physiotherapist will visit you on the ward to teach you some recovery exercises and help you use your crutches. Recovery after Hip ArthroscopyMost people can go home the next morning after surgery It’s best to take at least 2 weeks off work to recover properly.
A full regime of return to sport and work will be tailored to your needs by our physiotherapy team. In general:
We recommend seeing a physiotherapist who has been trained in prehab, recovery and rehabilitation after hip arthroscopy. Please ring us if you experience any of the following after your surgery
Complications of Hip ArthroscopyThe rate of complications with hip arthroscopy is extremely low, but you must always weigh up the potential benefit to potential risk with every operation: The risks and complications of Hip Arthroscopy include:
FAQsWhat are the alternative treatments to having a Hip Arthroscopy?Before any surgery is performed, you should always consider the non-operation alternatives such as a modification of the activities and exercises that cause your pain. Physiotherapy is also highly recommended. When should I have my hip arthroscopy?Ideally, within 6 months of developing your pain. There has been recent research to show that patients who have their hip arthroscopy performed within 6 months of symptoms have better results than those whose symptoms have been present for more than 6 months. How do I prepare for my hip arthroscopy?Before your operation, your fitness for the operation will be assessed and all the necessary tests performed in preparation for the operation. If you have any concerns, please contact us – we are here to help. TestsTests that may be ordered for you include:
Most patients don’t need blood tests or ECGs before hip arthroscopy surgery. Your Preadmission Form Health Questionnaire will be assessed by the hospital nurses and your anaesthetist. If there are any concerns about your fitness for surgery, you will be contacted by our staff. Preparing Your SkinYour skin should not have any infections or irritations before surgery. Get some help from your friends and familyAlthough you will be able to walk with crutches soon after surgery, you will need some help for several weeks with such tasks as cooking, shopping, bathing, and laundry. Home PlanningThe following is a list of home modifications that may make your return home easier during your recovery:
What is the normal recovery like after hip arthroscopy?It is normal to feel some discomfort and perhaps some swelling in the groin, thigh, lower back and buttock regions. Occasionally patients have some numbness or tingling in the foot, leg, groin, or genitalia, which resolves. When can I start walking?Everyone is slightly different in their response to the surgery. The majority feel good enough to walk the next day, with crutches for support. Can I change the dressing?Yes, you can, but it is unlikely that you will need to do so. It is normal for the wounds to ooze some fluid but this is significantly reduced as the wound is sealed by wound glue at the end of the operation. When can I drive?You shouldn’t drive in the first 48 hours after an anaesthetic. It is reasonable to drive when you have good movement and can walk and put weight on the leg. Most people drive about 1 week after surgery. When can I return to work?This varies considerably with the type of work, and details of the operation. If your work involves mainly office work, then you can return to work after 1 – 2 weeks. If your work involved heavy lifting or manual labour, you may need up to 4-6 weeks off work. Further Reading and References
What can you not do after hip arthroscopy?Avoid putting too much weight on your leg and lifting the leg up. Your surgeon recommends avoiding active hip flexion (lifting your leg up at the hip) until 2-3 weeks after your surgery. This precaution is to prevent excessive hip flexor tendonitis after your surgery.
How long until you can walk after hip arthroscopy?Hip arthroscopy patients can expect to walk using crutches for 1-2 weeks afterward, and to undergo six weeks of physical therapy. It may be 3-6 months before they experience no pain after physical activity.
How long can I sit after hip arthroscopy?Exercises for the first 2 weeks (start the day after surgery): DO NOT STAY IN BED. You are to be up walking as tolerated. We recommend at least 10 minutes of walking every hour while awake, and no more than 30 minutes of sitting at a time.
Can you sit down after hip arthroscopy?When sitting, try to sit with the hips at 90 degrees. Sitting with the knees closer to the chest might produce pain or pinching at the hip. Limit prolonged standing and walking up to four weeks after surgery to avoid hip discomfort. Avoid deep squatting or heavy lifting up to six weeks after surgery.
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