Before details of Hip Arthroscopy Surgery, let's briefly answer the question of what is Hip Arthroscopy.
What is Hip Arthroscopy?
It is to reveal the problems by imaging the hip joint with an endoscopic camera (arthroscope) (diagnostic arthroscopy) and the application of simultaneous treatment. Impingement syndromes due to Femoro-acetabular incompatibility (Femoro-acetabular impingement = impingement; FAS-FAI), treatment of cartilage lesions, free parts (joint rat excision), bursitis, Snapping, repair of fascia tears, labrum tears repair, Perthes cheliectomy, Biopsy can be performed for cleaning osteophytes, joint membrane inflammation (synovitis-synoidal tissue hypertrophy and tumors), tumors.
Arthroscopy imaging is the gold standard in revealing chronic joint pain that cannot be detected on MRI. Provides a definitive solution for joint pain and stuttering that do not respond to medication.
In Which Situations Is Hip Arthroscopy Preferred?
Femoro-Acetabular Impingement = Impingement (FAS = FAI): Painful joint movement limitation and abrasion resulting from femoral head disharmony of the hip joint's acetabulum (joint cavity).
There can be three types of incompatibility:
1 - There can be three types of incompatibility:
2 -If the structure of the head is larger or different in size than the joint cavity, or its axis is different and its shape is elliptical, the wedge = CAM lesion develops and tears the joint edges
3 - Combination of these two situations (combined = mixed type)
Labrum tear:The acetabulum is a structure that stabilizes the joint in the labrum cartilage structure at the edge of the joint cavity. In case of tearing, pain and stiffness occur in movements that force the joint limits. It is repaired closed with hip arthroscopy.
Snapping is the displacement of muscle beams in the form of painful jumping during contraction and movement as a result of coming out of their grooves or losing their support. With hip arthroscopy, the cause is repaired, muscles and tendons are fixed.r.
Bursitis: It is the swelling and inflammation of the cushions between the muscle gates. Bursectomy is applied with arthroscopy.
Synovitis:It is inflammation of the joint membrane or tumoral inflammation. The synovia can be taken by arthroscopy and pathological examination can be performed by biopsy.
How Long Does Hip Arthroscopy Take?
Since hip arthroscopy requires special operating room conditions, it is one of the operations whose preparation takes a long time. Arthroscopic procedures can take up to 1-2 hours.
What Should the Patient Do Before Hip Arthroscopy?
Load can be given immediately, except for postoperative repair operations. In some of the repair operations, it is possible to give weight early. Depending on the strength of the suture material used, it can be pressed immediately or after 3 weeks. After the surgery, joint movements are started immediately and the movement limits are tried to be reached. Exercises should be extremely regular and diligent.
What is the Recovery Process After the Surgery?
Wound healing is completed within 5 days, if stitches are made, 5 mm wounds are immediately closed and a bath can be taken.
Depending on the type of surgery, it is immediately mobilized and the patient returns to work. The rest period may vary between 3-6 weeks for athletes or professionals working in jobs based on physical force.
Will It Repeat After Surgery?
In arthroscopic treatments, the tissues that are removed or cut are not replaced. It is possible for fibrotic healing tissues to regrowth, these can be prevented with early movement and exercise treatments.
In arthroxopic repair surgeries, recurrence is not expected if there is no new trauma in such a way that the repair area is damaged without adequate recovery. Intra-articular injections and PRP combination may be required in joint cartilage abrasions.
How Much is the Surgery Fee?
It depends on the type of surgery and the use of materials. Pricing is made according to the hospital class determined according to the patient's budget.