Minimally Invasive Arthroscopic Hip Surgery
At the Middlesex Hospital Center for Joint Replacement & Spine Surgery, we treat many patients with joint pain and conditions of the joints. Hip injuries in particular – once thought to be a problem only in the elderly – are extremely common in people of all ages, including athletes and other active people.
Dr. David J. Hergan, board certified and fellowship-trained in orthopedic sports medicine, specializes in the latest arthroscopic and minimally invasive procedures for the hip. He has a special interest in hip preservation and is a national instructor of hip arthroscopy for the treatment of hip impingement and labral tears. Dr. Hergan is performing this minimally invasive procedure for hip pain and many different diagnoses, but especially for hip impingement.
Patients with hip injuries in their teens to mid-50s and beyond may go undiagnosed for years, while others may be misdiagnosed with problems such as groin strains, sciatica, bursitis or hernias.
In cases where patients are correctly diagnosed with hip pain, many have been told they have “early arthritis” or they may eventually need a hip replacement. Many still were simply resigned to living within the constraints of their symptoms, which usually meant giving up their competitive athletic careers or active lifestyles.
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Hip impingement is associated with inflammation, snapping hip syndrome, bursitis, cartilage damage, labral tears, early hip arthritis, sports hernias and low back pain. Previously, a traditional open inpatient surgery was the only option for hip repair, but for patients young and old, outpatient hip arthroscopy is now available by Dr. Hergan at Middlesex Hospital.
With any hip pain and problem, a comprehensive physical examination should take place to determine whether a patient is a candidate for the arthroscopic hip procedure. It is important to note that an accurate diagnosis is essential to slowing or preventing hip arthritis for younger patients caused by hip impingement. And whenever possible, a non-operative course of treatment should be tried first.
The arthroscopic procedure involves making two minimally invasive incisions. A small camera is then used to enter the hip joint where a full diagnostic evaluation of the hip structure and how much damage to the labrum is present.
The hip surgical procedure involves reshaping the hip, repairing tissue damage and restoring the joint to allow it to recover normal function and slow the progression of arthritis in the hip.
The advantages of hip arthroscopy include:
• Outpatient procedure
• Smaller incisions
• Less blood loss
• Faster recovery time
• Same results as an inpatient open surgery
This procedure is part of a growing evolution in orthopedics in the world of arthroscopy, and in particular, hip arthroscopy. In most cases, patients return to their normal function, including work and sports activities, in a much shorter amount of time.