Hip Arthroscopy 

Key hole surgery of the hip
Summary

Hip arthroscopy or key-hole surgery enables the inside of your hip joint to be visualized by inserting a small telescope (arthroscope) through a small incision around the hip.  Through another small incision instruments can be inserted to allow the treatment of either small tears in soft tissues around the hip joint or in some cases shaving or burring away small sections of bone on the femoral head (ball).

As small incisions are used for this surgery it is commonly carried out as a day-case or a single nights stay in hospital.  The general rehabilitation is much quicker than other forms of hip surgery due to be less invasive. 

The operation is carried out under general anesthetic and the surgery itself takes in the region of 1 to 2 hours.

Factors to Consider

What are the risks of surgery?

At the time of surgery or before your surgeon will explain in detail the nature of the surgery, expected rehabilitation for you personally as well as the risks of surgery.  

Below are some of the main risks of hip replacement surgery

 

  • Infection – these risks are very low as the surgery is carried out through small incisions.
  • Blood clots in the leg (Deep Vein Thrombosis - DVT) and blood clots in the lung (Pulmonary embolus- PE) – this risk is low due to your being mobile immediately after the surgery in conjunction to a relatively short surgical time. 
  • Nerve damage – sometimes as part of the surgery small nerves around the hip and groin can become compressed resulting in numbness to the anal, groin or genitalia.  This can be permanent is a very small percentage of cases and usually is short lived. 

 

Important: this information given above is only a guideline as is not complete.  For more information or to book an appointment please contact us.   

After Surgery

Post-operative recovery and rehabilitation

Upon discharge it is common to experience a degree of pain around the hip anything up to a week following surgery with a minor degree of bruising common.

A member of the physiotherapy team will review you prior to discharge and explain the early rehabilitation regime and answer and questions you may have regarding this.

The initial rehabilitation plan is to let the soft tissue swelling settle and then begin a strengthening regime of initially the smaller muscle groups around the hip responsible for control of the hip joint. As comfort allows you will now progress to the larger muscle groups responsible for power such as the quadriceps and hamstring muscles.

Depending on the nature of your work you should expect to have in the region of 1-2 weeks of and then it is sensible to return in a phased manner thereafter.

Return to full sporting activities can take anything up to 3 to 4 months and is dependent on the nature of the surgery and secondly the rate of your rehabilitation progress.  Your surgeon will be able to give you a better guide to the expected rehabilitation process after your surgery