Hip

Hip Arthroscopy

Arthroscopy, also called arthroscopic surgery, is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the joint through a small incision.

While many hip conditions can be treated through conservative methods, surgery is often needed because of the excessive weight placed on the joint while walking, standing and performing other regular activities. The advantage over traditional open surgery is that the joint does not have to be opened up fully. With hip arthroscopy, recovery time is reduced and may increase the rate of success due to less trauma to the connective tissue. There is also less scarring, because of the smaller incisions.

The surgical instruments are smaller than traditional instruments. Surgeons view the joint area on a video monitor, and can diagnose and repair torn joint tissue, such as ligaments and menisci or cartilage. Your surgeon can replace damaged cartilage, join together torn ends, remove loose bodies or realign the joint to minimize pain and inflammation.

It is technically possible to do an arthroscopic examination of almost every joint, but is most commonly used for the hit as well as the knee, shoulder, elbow, wrist, ankle, and foot.

Fracture Repair

A hip fracture involves a break in the top of the femur when the bone angles toward the hip joint. This can result in a serious injury, with complications that can be life-threatening. The risk of hip fracture rises with age. They are usually extremely painful and require surgical repair to relieve pain and restore proper functioning.

There are many causes. A severe impact such as a car crash, for example can cause hip fractures in people of all ages. In older adults, a hip fracture is most often a result of a fall from a standing height. In people with very weak bones, a hip fracture can occur simply by standing on the leg and twisting.

Treatment for hip fracture usually involves a combination of surgery, rehabilitation and medication. During hip fracture surgery, an incision is made over the affected area and the bones are aligned back in place. The bones are often held in place with metal pins, screws, rods or plates while they heal, which may or may not be removed later on. The incision is then closed with sutures or staples. This procedure generally takes two to four hours to perform.

Total Hip Replacement

The hip is one of the body’s largest joints. It is a ball-and-socket joint. The socket is formed by the acetabulum, which is part of the large pelvis bone. The ball is the femoral head, which is the upper end of the femur (thighbone).

In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur. The femoral stem may be either cemented or “press fit” into the bone. The artificial joint, known as the prosthesis, may be cemented in place, may be cementless, or may be a hybrid of both. The prosthetic devices provide pain relief and restored function for as long as 25 years or longer in most cases.

The decision to have hip replacement surgery should be a cooperative one made by you, your family, your primary care doctor, and your orthopaedic surgeon. The process of making this decision typically begins with a referral by your doctor to an orthopaedic surgeon for an initial evaluation.

Here at the Florida Center for Orthopaedics, our doctors will help to decide which procedure is the best fit for you based on a thorough evaluation of your condition and medical history. It is important to discuss the details of your procedure with your doctor in order to achieve the best results.