Hip arthroscopy

Hip pain in the young patient poses a diagnostic challenge, as there is a plethora of conditions that present as pain in the hip. The pathology of mechanical hip pain in these young patients varies from femoro-acetabular impingement to labral tears of the acetabulum and chondral flaps to name a few.  The other ends of the spectrum are degenerative and inflammatory arthritis.
Management is a multidisciplinary approach involving Orthopaedic surgeon, Radiologists and Physiotherapists.  Arthroscopic surgery of the hip has a major role to play in the diagnosis and treatment of such previously under recognised pathologies and to assesses the severity of degenerative arthritis. This can also help plan future surgery such as resurfacing hip replacement.
Recent developments in arthroscopic surgery of the hip along with technology advances have made it possible to treat a majority of these pathologies using arthroscopic surgery.  Surgical procedures such as chondroplasty, reattachment of labral tears, trimming of the anterior femoral neck ‘bump’ can now be performed arthroscopically. This enables early to return to work and sport

What conditions may be treated by hip arthroscopy?

Impingement of the hip occurs in teenage or early adult life, and is due to a mismatch between the shape of the hip ball and socket. This irregularity causes high pressures in the joint and may lead to cartilage damage. Patients will have groin pain on rotation of the hip and exercise might be limited as a result. Often they will be diagnosed as having recurrent groin strains.

What's involved in a hip arthroscopy procedure?

‘Key-hole’ hip surgery has advanced in recent years and now is more commonly used as an  intervention for some hip problems. Hip arthroscopy is a key-hole surgical technique allowing the inside of the joint to be visualised and any cartilage damage to be corrected. The cartilage rim of the socket may be torn and need trimming or repairing. Loose bodies can be removed and any irregularity in the shape of the femoral neck region can be smoothed off, reducing subsequent impingement. This may reduce the chances of subsequently developing osteoarthritis.

Hip arthroscopy is done as a day case procedure through three 1 cm incisions at the top of the leg.  Pain is usually not severe and wears off within a few days. It may take 2-3 months to return to full sport and running. Unless there is established osteoarthritis in the joint, the majority of patients make a full recovery.

Is hip arthroscopy surgery available on the NHS?

Hip arthroscopies are currently being restricted by the NHS in some areas of the UK and waiting lists are becoming significantly longer. For these reasons many people opt for private treatment.

Why should I consider having a hip arthroscopy operation at a Spire hospital?

Whether you have medical insurance or are paying for your treatment yourself, with Spire Healthcare you will be seen quickly by the consultant-grade surgeon of your choice at a time that suits you. You will be treated in a premium private hospital with some of the UK's highest standards of cleanliness and infection control. What’s more, you’ll be able to recuperate in your own private room with friends and family able to visit when you wish.

To find out more about having a hip arthroscopy privately or to get a guide price, simply

Pay for treatments such as private hip arthroscopy surgery with a one-off payment at Spire Healthcare

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Hip arthroscopy is offered by the following consultant at Spire Hull & East Riding Hospital

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