San Diego Spine Center
Hip preservation is gaining in popularity as it can delay or avoid the need for hip replacement surgery, as well as slow or reverse certain hip conditions, such as hip impingement or femoro acetabular impingement (FAI).
Hips are prone to wear and tear and athletes are especially vulnerable to degenerative hip disease with underlying abnormality, such as excess bone growth and malformed sockets. In addition, osteoarthritis, which occurs when the protective cartilage on the ends of the bones wears down over time, can also impact hip conditions and often at a young age.
Hip pain is often the result of changes in the shape of the ball and socket of the hip joint. Cartilage when damaged or worn away results in painful joints and limited range of motion. New minimally invasive hip preservation techniques can alleviate many painful hip conditions and allow people to return to an active lifestyle.
For further information, contact us at 619-470-4321
Hip Arthroscope/Arthroscopic-assisted Hip Preservation
Your doctor may recommend hip preservation surgery if you have a painful condition that does not respond to non-surgical treatment. Non-surgical treatment includes rest, physical therapy, and medications or injections that can reduce inflammation. Inflammation is one of your body’s normal reactions to injury or disease. In an injured or diseased hip joint, inflammation causes swelling, pain and stiffness.
Patients with unexplained pain, swelling, stiffness and instability in the hip who have had no success with non-operative treatments may undergo hip arthroscopy for evaluation and diagnosis of their condition.
Hip arthroscopy may be indicated in following conditions
- Debridement of loose bodies
- Repair of torn labrum
- Removal of bone spurs or small CAM lesions
- Hip joint infection
- Restoration of joint morphology
Cartilage Restoration and Labral Repair
Hip preservations surgeries are also indicated in patients with early cartilage damage and labral tear, to preserve the hip and restore its functionality. Articular cartilage restoration and labral repair relieves pain, improves function and can delay or prevent the onset of arthritis in the joint.
Cartilage restoration and labral repair can be achieved using different techniques. Cartilage defects may result from an acute traumatic event or chronic degeneration due to overuse of the hips joint. They can become a significant cause of pain in the hip. Similarly labral tears can be attributed to post-traumatic injuries or from primary impingement causing significant pain. Left untreated, cartilage defects and notable labral tears continue to worsen over time, leading to early arthritis.