Hip arthroscopy is a surgical procedure done to diagnose and surgically treat some of the diseases of the hip joint via 3-4 holes called arthroscopy portals made on the hip joint area. In order to perform hip artroscopy following set up required: Special Hip Arthroscopy Instrument and Scope Set, fracture table, C-arm flouroscopy.
In Hip Impingement disease, either on the femoral neck, a bony bump is seen which causes CAM type hip impingement, or a bony spur is formed on the edge of acetabular rim which deepens the acetabular socket and causes PINCER type hip impingement. These bony formations are shaved and trimmed by hip arthroscopy without need for open surgery.
More and more orthopedic surgeons see and become aware or acetabuler labral tears recently. Hip arthroscopic surgery reveals the type of the labral tear. If it is suitable type of labral tear in young patients, a suture material is passed through the torn labrum and then it is attached to the acetablar rim with an anchor. If an acetabular labral tear is not suitable for repair or patient is elder, debridement of the labral tear is carried out with the help of artroscopic shaver, artrocare and artroscopic punches.
If orthopedic surgeon diagnose the articalar cartilage lesion during the hip arthroscopy procedure, debridement of the damaged cartilage are in small size lesions, debridement and drilling or microfracture procedure in medium sized lesions, in bigger lesions and after failure of previous procedures in proper patients taking cartilage sample for cartilage cell culture and autologeus cartilage tissue transfer are done.
Artroscopic Surgery is also performed for removing of loose bodies located in the hip joint and excising the synovial hypertrophy. Healing period is shorter in arthoscopic treatment comparing to the open surgery.
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Key Words: Hip arthroscopy, acetabular labral tear, ligamentum teres, femoroacetabular impingement, hip joint impingement disease.