HIP PRESERVATION SURGERY
Arthroscopic hip preservation surgery of the knee and shoulder has been around since the mid-20th century. However, it wasn’t until the past few decades that techniques advanced for arthroscopic surgery of the hip. Hip arthroscopy is a specialized skill, which many surgeons do not perform. We are fortunately at JIS to have one of the few hip arthroscopy surgeons around. Hip arthroscopy is used to treat conditions such as labral tears, hip impingement and cartilage injury.
Arthroscopic treatment of Femoroacetabular Impingement (FAI)
Femoroacetabular Impingement (FAI) is a condition that results from a mismatch in shape between the ball and socket of the hip. This abnormal shape leads to damage of the cartilage, labrum and often seen in patients who develop arthritis at an early age. The goals of arthroscopic FAI surgery are to reshape the abnormal portions of the bone to reduce pain and future damage to the cartilage and labrum.
Hip labral repair
The hip labrum is a soft structure that surrounds most of the hip socket (acetabulum). This labrum forms a suction seal in the hip and when damaged, can be a source of significant hip pain. Hip labral tears are often caused the abnormal bone shape seen in femoroacetabular impingement. The labrum is vital to normal hip function and should be repaired whenever possible. Sometimes labral tears are so bad that a reconstruction of the labrum needs to be performed with tissue from another source.
Hip tendon repair/bursectomy
There are some causes of “hip” pain that really aren’t from a problem within the hip joint itself. One of the most common of these being trochanteric bursitis and associated abductor tendon injury. These tendons are outside the hip joint and have fluid filled bursal tissue next to them that can become inflamed. Patients will often have pain on the outside of their hip, and if the abductor tendons are torn they can have a limp. When conservative treatments have failed, an endoscopic surgery can be performed to repair the tendon if needed as well as clean out the bursal tissue.