Hip Arthroscopy

It is a minimally invasive technique for treating hip joint problems and is done through 3 or 4 (depending on the lesions found) small 1 cm incisions. Through these incisions (ports) a camera and the working instruments are introduced. It is usually done under general anaesthesia and takes about 1h30 minutes to 2 hours.

It is an outpatient procedure (no need to stay in the hospital) and it is recommended to walk with 2 crutches for 7 to 10 days. During this period, you may carry assisted weight-bearing on the operated limb, unless otherwise indicated by the assistant doctor. The stitches are removed 2 weeks after the operation. They take analgesic medication, prevention of heterotopic calcifications (tablets) and thromboembolic prevention (1 injection a day) for 10 days.

The physiotherapy and rehabilitation programme begins during the first post-operative week. This is divided into two phases: the first phase of 6 weeks with a physiotherapist and the second phase of gym work which also lasts around 6 weeks. Between the 2nd and the 4th week of the operation, the patient is able to carry out their daily activities (for example driving). Between the 2nd and 3rd month after the operation, the patient starts running on a flat surface and returns to sports activities after the 3rd or 4th month after the operation, depending on the sports activity practised. In some specific cases, the return to competition may be indicated between the 4th or 5th month after the operation.

– Walking using loaded canes on the operated limb during the first hours after surgery.

– The procedure is performed as an out-patient procedure, without the need for an overnight stay.

– Use of crutches for the first 7 to 10 days.

– You can drive and carry out your daily tasks from the 2nd week after the surgery

– Physiotherapy and rehabilitation programme started in the first week and lasting 6-12 weeks

– Full recovery after 4-5 months

Our team uses an analgesic approach without opiates that comprises an anti-inflammatory (prevention of heterotropic calcifications) and an analgesic. We do thrombo-embolism prevention with elastic stockings and 1 injection daily for 10 days.

Arthroscopic joint surgery is not indicated if the hip is not symptomatic. Depending on the type of pathology, activity index and degree of joint damage, the proposal for arthroscopic surgical treatment should be considered in consultation with the attending physician.

We recommend bilateral arthroscopic hip repair in cases of bone conflict pathology and sequel joint lesion in the labrum and/or cartilage tissue, in athletes or high-intensity sportspeople who have active complaints in both joints and need to take short periods of rest in order to quickly return to competition or their basic sports activity.

When the hip is diagnosed assertively and at an early stage, it is possible to perform joint repair and functional rehabilitation, compatible with the return to the pre-injury activity and lifestyle.