Hip Arthroscopy

Hip Arthroscopy is a minimally invasive form of hip surgery which involves 2-3 keyhole incisions (1-2cm), placed about the hip joint and specially designed instruments being placed in the hip joint to allow surgery to be performed.  

“Hip arthroscopy" purely means a keyhole method of accessing the hip joint, the type of procedure performed within the hip joint depends upon the problem within the joint.  Common hip joint problems which can be treated with keyhole (arthroscopic) surgery include:

  • labral tears
  • cam lesions
  • loose body removal
  • ligamentum teres tears
  • cartilage repairs
  • synovial biopsies and diagnosis
 

Advantages

There are several potential advantages to hip arthroscopy:

  • Smaller incisions 
  • Faster recovery
  • Quicker rehabilitation
  • Less tissue and muscle damage

Risks of Hip Arthroscopy

Arthroscopic hip surgery is routinely performed and is generally very safe.  Specific risks of hip arthroscopy include:

  • Residual Pain
  • Numbness – typically due to nerve stretching (affecting the thigh or the groin)
  • Hip clicking/catching – due to scar tissue
  • Wound problems
  • Femur fracture
  • Cartilage problems + arthritis

Rehabilitation After Hip Arthroscopy

Rehabilitation is essential after a hip arthroscopy.  You will be required to use crutches after your hip arthroscopy and then go through a phased rehabilitation program with the assistance of your physiotherapist to get you back into activities.  

Patients continue to improve for 6-12 months after a hip arthroscopy.

Frequently Asked Questions:

When can I drive after a hip arthroscopy?

You can drive once you have stopped taking strong analgesic medications, and you have regained stability and control of your leg.  For a right hip arthroscopy this is usually at approximately 3-4 weeks, however, please confirm this with your surgeon prior to driving.

When can I walk after a hip arthroscopy?

You should be able to stand up and start mobilising with the use of crutches within hours of your surgery.  The duration of crutch use depends upon the type of surgery performed. It can vary from 2-12 weeks. 

When can I resume work after a hip arthroscopy?

This depends upon the type of work you do.  If you do mainly desk based duties or officework, then you may be able to return to work in 1-2weeks.  If however you perform heavier manual labour then you may require 6-12 weeks off work.

Where can I arrange a consultation for a hip arthroscopy?

Please contact our Melbourne office to arrange an appointment at one of our locations in central Melbourne, Knox, or Holmesglen Hospitals.  We can also arrange telehealth consultations across Australia.

What is the cost of a hip arthroscopy?

The cost of a hip replacement for a non-insured, non-medicare covered patient is approximately $15,000.  For an insured patient the cost is typically $500-1000, however, this depends upon the type of insurance, hospital, anaesthetist and many other factors. Please contact us today if you would like a quotation or to discuss your options.

References

  1. Fashion Study https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31202-9/fulltext
  2. Casartelli NC, Valenzuela PL, Maffiuletti NA, Leunig M. The effectiveness of hip arthroscopy for the treatment of femoroacetabular impingement syndrome: a meta-analysis of randomized controlled trials. Arthritis Care Res (Hoboken). 2020 Apr 27. doi: 10.1002/acr.24234. Epub ahead of print. PMID: 32339441.
  3. Schwabe MT, Clohisy JC, Cheng AL, Pascual-Garrido C, Harris-Hayes M, Hunt DM, Harris MD, Prather H, Nepple JJ. Short-term Clinical Outcomes of Hip Arthroscopy Versus Physical Therapy in Patients With Femoroacetabular Impingement: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Orthop J Sports Med. 2020 Nov 17;8(11):2325967120968490. doi: 10.1177/2325967120968490. PMID: 33244478; PMCID: PMC7678402.