Hip Surgery

The treatment of hip disorders has undergone marked transformation in recent times. As opposed to earlier periods, there are now many treatment options for young active patients with early onset hip pain. Arthroscopic surgery of the hip is a relatively new procedure that allows access to the hip through small portal incisions. A camera can be introduced into the joint in order to address a variety of hip problems. Labral tears, femoroacetabular impingement, and loose bodies can all be addressed successfully through minimally-invasive arthroscopic procedures. The goal of these procedures is to eliminate pain, improve function, and reduce the risk of further joint damage or arthritis.

photo of labral tear in hip; orthopedic hip surgery

Probing of an acetabular labral tear during arthroscopic examination of the hip

Hip pain can also be related to the supporting soft tissue structures surrounding the hip. Problems can include piriformis syndrome, proximal hamstring origin pathology, snapping iliopsoas tendinits, and osteitis pubis. Many of these disorders can be managed through non-operative measures such as physical therapy or corticosteroid injections. If conservative treatments fail then minimally invasive surgery can often be very effective.

Arthroscopic recession of Iliopsoas tendon to treat “snapping hip syndrome”

Once there are significant arthritic changes in the hip joint itself then joint replacement (joint arthroplasty) is often the best surgical option. Arthritis of the hip results in the degradation of the native articular cartilage of the joint. When this occurs then pain, deformity, and stiffness of the hip can result. Non-operative treatment options for hip arthritis include physical therapy, corticosteroid injections and use of nonsteroidal anti-inflammatory medications. If symptoms persist then hip replacement surgery is an excellent treatment option. Hip resurfacing is a type of hip replacement where the femoral head is capped rather than being completely replaced.

Successful right total hip replacement in a 54 year old male who previously suffered debilitating hip pain

Total hip replacement involves replacing both the “cup” (the acetabulum) as well as the “ball” (the femoral head). Recent advances in materials and bearing surfaces for hip replacement implants offer the real hope of increased durability and decreased need for future revision surgery.

Having done sub-specialty fellowship training in both arthroscopic surgery as well as total joint replacement, Dr. Wind is able to offer patients a full range of treatment options for any hip condition. Please click on any of the tabs on the right for more information on common hip problems treated by Dr. Wind.

 

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