Technique

Although Arthroscopic surgery is much less invasive with faster recovery times, it still requires the use of anesthetics and specialised equipment and the patient will be admitted into hospital for the day or overnight. The procedure is performed under general anesthesia or spinal anesthesia.

Two or three small incisions (portals) are made just above the bony prominence of the hip and a blunt tube (trocar) is inserted into the incisions and instruments are inserted through these first to visualise and treat any spurs on the femoral neck or acetabulum.Traction is then applied and the instruments gain access to the hip joint to treat any pathology intra-articulary on the hip. These instruments can also smooth off rough surfaces, remove loose pieces of cartilage and excise bony osteophytes that may be causing a problem. The arthroscope sends magnified images from inside the joint to a monitor allowing the surgeon to accurately assess and treat the affected joint.

Sufficient traction is applied to open the joint by 7-8mm. The joint will open up with capsular creep and the spinal needle is inserted as the negative pressure in the joint is released.

Local anesthetic is injected into the hip and wound following the procedure. On occasion synvisc will be used, a lubrication that can be injected.

After the surgery is complete the portals are closed with sutures or tape and will be covered with a dressing.

As the surgery is minimally invasive, there are smaller incisions, less damage to surrounding tissue and faster recovery times.