Hip arthroscopy is a procedure that helps to diagnose and treat certain problems that cause hip pain. Arthroscopy utilizes a small camera to view the hip, so that a large incision is not needed to complete the surgery. This often leads to less pain after surgery.
Dr. John Bojescul is our hip arthroscopy specialist at Augusta Orthopedic & Sports Medicine Specialists. Dr. Bojescul has over 20 years of experience with hip arthroscopy, performing an average of 75-100 hip arthroscopy procedures every year. He trained at the Walter Reed Army Medical Center West Point and the Hospital for Special Surgery (HSS), which are leaders in the field of hip arthroscopy, and has also published articles in medical journals about hip arthroscopy.
When is Hip Arthroscopy Recommended?
Dr. Bojescul typically recommends hip arthroscopy when he suspects a patient may have femoroacetabular impingement (FAI) or a labral tear.
FAI is a condition in which bone spurs develop along the acetabulum (the hip socket) or the head of the femur (the ball-shaped portion of the hip). These bone spurs can irritate and damage the soft tissues in the hip, causing pain.
A labral tear is a tear that occurs in the labrum, the ring of cartilage around the outer rim of the hip socket. The labrum helps to keep the head of the femur securely within the hip socket. Labral tears can cause pain, stiffness, locking, or catching of the hip joint.
Both labral tears and FAI can be difficult to diagnose without arthroscopy. These conditions produce similar symptoms to other injuries. Often, Dr. Bojescul will see patients who have had incorrectly diagnosed hip pain for a couple of years prior to seeing him. For these patients, arthroscopy can help to both diagnose the problem and correct it. However, if patients have significant hip arthritis, arthroscopy is not likely to relieve hip pain. Other arthroscopic hip procedures include hip bursectomy and gluteus medius repairs.
Hip Arthroscopy Procedure
During a hip arthroscopy procedure, Dr. Bojescul makes a small incision in the hip to insert a small camera called an arthroscope. The arthroscope displays images from inside the hip on a monitor, so Dr. Bojescul is able to evaluate the problem without having to make a large incision.
Once Dr. Bojescul has identified the problem and confirmed his diagnosis, he can then proceed with repairing the problem, if needed. To do this, he will make additional incisions to insert small surgical instruments. Depending on the patient’s individual needs, he may repair torn cartilage, remove bone spurs, and/or remove inflamed tissue to address the problems causing hip pain.
When the procedure is complete, Dr. Bojescul will close the incisions and apply a dressing.
Recovering from Hip Arthroscopy
After surgery, patients are typically moved to the recovery area for 1-2 hours before being discharged. Because arthroscopy is minimally invasive, it typically does not require an overnight hospital stay. However, patients should arrange for someone to help them get home and stay with them for at least the first night. Though there will be some pain initially, most patients are off pain medication within 72 hours of surgery.
Weight-bearing is typically tolerable during recovery, but patients will need to use crutches for the first 2-6 weeks after surgery to help them get around. Dr. Bojescul can also provide an optional hip brace, which may be worn for 4-6 weeks. Patients should avoid sleeping on the hip and crossing the legs while sleeping until they are fully recovered. The hip brace is often helpful for patients who are concerned they may move into these positions while asleep. Patients will also participate in outpatient physical therapy for 6-12 weeks to help improve strength and range of motion in the hip.
All patients who have undergone hip arthroscopy will need to take time off work, though the length of time depends on the nature of the job. If the job does not require manual labor, most patients are able to return to work within 2 weeks. If the job is labor-intensive, patients may need to take off for about 6 weeks. Full recovery takes about 4 months, at which point patients are able to return to sports and all other normal activities.
Hip arthroscopy is very successful for about 70-90% of patients, allowing them to return to all normal activities after recovery. Some patients with more severe conditions may need to modify their activities after surgery to avoid pain. If hip arthroscopy does not relieve hip pain, hip replacement surgery may be needed in the future to provide longer-lasting pain relief.
Hip Arthroscopy in Augusta, GA
Our hip arthroscopy specialist, Dr. John Bojescul, has over 20 years of experience and has trained with leaders in the field of hip arthroscopy. If you are interested in hip arthroscopy for diagnosis or treatment of hip pain, Dr. Bojescul can provide an evaluation to see if you are a candidate. To schedule an appointment with Dr. Bojescul, please call our office at 706-863-9797 or fill out our convenient appointment request form online.