Hip arthroscopy

Category: Bone, Joint & Spine Procedures · All bone, joint & spine procedures

Hip arthroscopy — Bone, Joint & Spine Procedures

What it is

Hip arthroscopy is keyhole surgery of the hip joint in which a camera and instruments are inserted while the joint is gently distracted on a traction table. It treats problems such as labral tears and femoroacetabular impingement (extra bone that pinches the joint).

Why it is done

It is used for younger and middle-aged adults with hip pain from labral tears or impingement that has not responded to physiotherapy and activity modification, and where arthritis is not advanced.

How to prepare

Assessment includes X-rays and often MRI with contrast. You fast before surgery and plan crutches and time off, because weight-bearing may be protected initially depending on what is done.

What happens during the procedure

Under general anaesthetic, the leg is placed in traction to open the joint space; the camera enters through small cuts and the surgeon trims impinging bone, repairs or trims the labrum and treats cartilage damage as found. Surgery takes one to two hours.

Afterwards — recovery & results

Physiotherapy begins early to restore movement without overloading repairs; crutches are used for a few weeks as advised. Return to sport typically takes three to six months. Sitting tolerance and flexion improve progressively.

Risks & considerations

Risks include temporary numbness in the groin or thigh from traction, infection, blood clots, incomplete relief (especially if arthritis is present), and rarely fracture or joint damage. Patient selection strongly influences success, which your surgeon will discuss.

Frequently asked questions

Who does hip arthroscopy help most?

People with clear mechanical impingement or labral tears, preserved joint space on X-ray and symptoms matching the findings. Advanced arthritis predicts poor results, when hip replacement may be the better discussion.

Why traction?

The hip is a tight ball-and-socket. Gentle traction separates the ball slightly so instruments can enter without damaging the cartilage.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.