Hip Arthroscopy | Metairie, LA

Arthroscopy is a surgical procedure that orthopedic surgeons use to visualize, diagnose, and treat problems within a specific joint. Even though knee arthroscopy and shoulder arthroscopy has been performed for many years, hip arthroscopy is a relatively new treatment option available to orthopedic surgeons. However, hip arthroscopy is not yet widely available and only very few surgeons have the necessary training to perform such procedures.

During an arthroscopic hip surgery, the orthopedic surgeon inserts a small camera, called the arthroscope, through a small incision (less than 1cm) over the hip joint. This camera contains a lens and a lighting system magnifying and illuminating the hip’s internal structures. The arthroscope feeds to a television screen, which displays high quality pictures that guide the orthopedic surgeon during the procedure.

Through either an additional one or two incisions, the surgeon is able to perform repairs of the labrum and articular cartilage, as well as remove bone spurs and inflamed tissue. This procedure can even be utilized to alleviate snapping hip syndrome, which is caused by a tendon snapping within the hip joint.

Anatomy of the Hip

The hip is a ball-and-socket joint that is formed by the acetabulum (part of the large pelvis bone) and femoral head (upper end of the femur or thighbone). A smooth tissue (articular cartilage) covers the surface of both the ball and socket. This tissue creates a frictionless surface that helps the bones slide across each other. A fibrocartilage (the labrum) forms a seal around the acetabulum socket, while bands of tissues (ligaments) form a capsule to hold the joint together. The thin synovium membrane lines this capsule, releasing a fluid that lubricates the hip joint.

Common Hip Conditions

In many cases, hip problems are caused by an injury; however, other orthopedic conditions can lead to these problems. The most common hip conditions that can lead to damage to the labrum, articular cartilage, or other soft tissue surrounding the joint include:

  • Labral tears
  • Articular cartilage injury
  • Avascular necrosis
  • Snapping Hip Syndromes
  • Loose Bodies
  • Femoroacetabular Impingements
  • Synovitis
  • Dysplasia

Hip Arthroscopy Surgery

If non-surgical treatment fails to alleviate hip pain, the orthopedic surgeon may recommend hip arthroscopy. Non-surgical treatment includes rest, physical therapy, and medications, including injections that can reduce inflammation.

Before surgery, the patient is usually required to take a physical examination to assess overall health. The patient has to make sure to inform the orthopedic surgeon of any medications or supplements that he/she is taking in order to ensure that proper measures are taken. In some cases, the patient may have to stop taking medications prior to surgery.

The surgery is usually performed on an outpatient basis, not requiring an overnight stay in the hospital.

The in-hospital recovery from this type of procedure is usually one or two hours, after which the patient is discharged. Most patients walk with crutches for the first two weeks postoperatively. Occasionally, a hip brace is used to protect the repaired labrum. The orthopedic surgeon will recommend a well-planned physical therapy program to help the patient achieve the best recovery possible. Many patients will recover to the fullest extent, but this depends on the initial damage presented.

Hip Arthroscopy Surgery in Louisiana

Dr. Junius, sports medicine specialist at Crescent City Orthopedics is board-certified in orthopedic surgery with a board certification in the subspecialty of sports medicine. Dr. Junius has special training in hip arthroscopy and minimally invasive joint replacement. To learn more about treatment options for hip pain, schedule an appointment online or call our Metairie office at (504) 309-6500.