The hip joint is created from the insertion of the head of the femur (thigh bone) into the socket of the acetabulum (pelvis). There is a layer of slippery white cartilage surrounding the ends of these bones that protects them from friction as they move over one another during joint movement. Lining the acetabular socket is a ring of cartilage that strengthens and stabilizes the hip joint. These cartilaginous tissues naturally wear down over time, narrowing the space between the bones. Frequently seen in weight-bearing joints such as the hip, this tissue degeneration causes osteoarthritis, the most common type of arthritis. If left untreated, the cartilage will continue to deteriorate often leading to bone-on-bone movement. Dr. Frank McCormick, orthopedic hip specialist serving Orlando, Palm Beach County, and surrounding Florida communities, has the knowledge and understanding, as well as substantial experience, in treating patients who have experienced arthritis of the hip.
The following hip conditions are just a few of the various acute and degenerative hip conditions that can be addressed with hip arthroscopy:
The hip arthroscopy procedure is often favored by surgeons due to the minimally invasive technique and the risk reduction of infection and blood loss during the procedure. The patient is first placed under anesthesia and traction is applied where the hip joint is separated just enough for the arthroscope and surgical instruments to be inserted. A small puncture, approximately the size of a buttonhole, is made over the hip joint to introduce the arthroscope. A sterile solution is continuously circulated throughout the procedure to enhance visualization of the tendons, muscles, and ligaments of the hip and control bleeding. Dr. McCormick reviews the images of the hip joint structures as they are transmitted to a video screen. The specialized surgical instruments are then introduced through separate portals to conduct the necessary revisions based on Dr. McCormick’s intra-operative findings. When the necessary repairs have been completed, the arthroscope and surgical instruments are withdrawn and the incisions are closed with sutures or steri-strips. The hip is then reduced back into the joint and an absorbent dressing may be applied over the incisions.
The patient’s willingness to comply with the post-operative care instructions often determines the recovery period following successful hip arthroscopy. While arthroscopic surgeries have been shown to decrease recovery time, the ligaments, tendons, and bones of the hip joint still take the same amount of time to heal. A combination of rest, ice, and non-steroidal anti-inflammatory medications (NSAIDs) can be integrated for pain and inflammation management. Weight-bearing, as tolerated, with crutches or a walker allows the hip repairs to heal properly while also preventing additional damage to the hip joint. The key to recovery following successful hip arthroscopy is active participation and completion of the prescribed physical rehabilitation program. This program typically involves physical therapy and daily exercises to restore hip strength and improve mobility. The majority of patients in Orlando, Palm Beach County, and the surrounding Florida communities can expect a return to a normal daily routine, including sports-related activities, within 3 to 6 months following hip arthroscopy.
For more information on hip abductor injury or hip abductor tears, their symptoms or for expert diagnosis of your hip pain, please contact the office of Frank McCormick, MD, orthopedic shoulder specialist serving Orlando, Kissimmee, West Palm Beach County, Florida and the surrounding areas.
