Indications of Hip Arthroscopy

  • Diagnosis and treatment of labral pathology.
  • Removal of loose bodies and foreign bodies.
  • Osteochondral fragments and cartilage flap lesion.
  • Synovial biopsy or limited synovectomy.
  • Synovial chondromatosis.
  • Wash out of infected joint as in septic arthritis.
  • Evaluation of cartilage quality in avasculara vascular necrosis (AVN) mainly in early stages.
  • Debridement of ruptured or impinging ligamentum tears.
  • Assessment of the joint following fixation of a fracture acetabulum or femoral head.
  • Assessment of a painful hip resurfacing or arthroplasty.
  • Excision of osteophytes such as Ganz bump and acetabular spurs.
  • Excision of impinging synovitis such as in case of collagen disease.
  • Assessment of cartilage condition in dysplastic hip and perthes disease in adolescents.
  • Debridement, joint wash-out and chondral microfractures may have a role in management of early arthritis especially in younger patients when it is advisable to delay joint replacement surgery as long as possible.

Contraindications:

This treatment is not advised if you have any of the following conditions:

  • Advanced hip arthritis,
  • Acetabular protrusion,
  • Hip ankylosis,
  • Skin lesions at portal sites.