What is hip arthroscopy: reviews, how it’s performed, especially
How and why is hip arthroscopy
Arthroscopy of the hip joint refers to the number of surgical interventions, to carry out which is possible with specialized equipment. In medicine, such a device is called an arthroscope.
This device consists of a ultra accurate optical sight and enough bright luminous flux, which significantly facilitate surgery performed on the hip joint.
The main feature of arthroscopy is considered that such surgery is less traumatic than the other, because during the procedure, the expert does not have big incisions of soft tissues.
What is an arthroscopy
Arthroscopy of the hip joint should be carried out only in the case where the diagnosis requires a careful and informative study.
Persistent pain in the hip may be a contraindication to having to resort to medical treatment, using the arthroscope.
In the course of surgical intervention the surgeon can optionally remove the unnecessary bodies that were localized in the thigh region. Also, if possible does the removal of damaged cartilage in joint tissue.
During arthroscopy the doctor requires the maximum attention to the space between the socket of the joint, the head of the thigh bone and other critical components of the hip bone.
The operation is performed using a common type of anesthesia or local type anestezirutaya. To all manipulations were easier to produce, the foot is subjected to pre-stretching.
Recommendations for conducting intervention
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Specialist may recommend the patient arthroscopy of the hip joint in the following cases:
- diagnosis in the joint intra-articular foreign bodies;
- the manifestation of the negative consequences after previously performed the joint replacement surgery;
- violation of the integrity of the cartilage of the hip joint;
- diagnosis of changes in the structure of the bone joint at the initial stages;
- acute inflammatory process of the synovial membrane;
- violation of the integrity of the pipe joint in the result of the injury.
Even despite the fact that arthroscopy is considered safer and more effective procedure than conventional surgical intervention, in turn, it has a sufficient number of contraindications that need to be considered when preparing for the treatment of the patient.
Contraindications are as follows:
- Diagnosis of ankylosis of the hip joint. This kind of disease is the main reason that the operation becomes impossible. Indeed, in the course of the disease the possibility of expanding the intra-articular cavity is reduced to zero. Because of this to perform some swift action becomes practically impossible.
- Anomalies in the development and functioning of the patient’s joint. Sometimes there are cases when the structure or location of the bones makes it impossible to carry out the procedure using the arthroscope. Then the experts take an alternative solution to this problem.
- The patient suffers from overweight. Because of the excess accumulation of adipose tissue, to reach the surface of the damaged hip joint is impossible.
How to prepare for the procedure?
Preparatory stage before surgical intervention is as follows:
- Consultation with a physician. It needs to examine the patient and to identify comorbidities, if any. If necessary, can be assigned additional laboratory blood tests.
- The detection of chronic diseases and pathologies, the patient is examined more carefully.
- Before the operation the patient must inform his doctor about what medicines he takes. If necessary, in time, it is necessary to refuse to accept funds.
- To determine the variety of the used anesthesia, the patient is administered a consultation of an anesthesiologist. Based on test results and personal preference determines the type of anesthesia. Anesthesia can be General, spinal or epidural. With special emphasis on the establishment of allergic reactions to components of painkillers.
How is it performed?
Arthroscopy TZB includes holding such manipulations:
- traction of the injured extremity immediately before the procedure;
- then the surgeon makes a small incision on the soft tissue, it is necessary to insert a tube of the arthroscope;
- then, for the introduction of other equipment in the doctor makes an additional notch on the skin (no more long loops for buttons);
- depending on the decision of the diagnosis, the surgeon performs all the necessary manipulations;
- on average, arthroscopy can last from 1 to 3 hours.
Usually after arthroscopy complications do not occur. However, if the disease is diagnosed in the later stages, the negative effects can be:
- the development of acute forms of synovitis;
- the development of infection in the inner tissues;
- joints can be injured due to the use of surgical instruments;
- in the joint cavity can gather copious amounts of blood (hemarthrosis);
- scarring and adhesions;
- you may experience tightening of muscles and soft tissues of the liquid or gas used during the surgical treatment;
- violation of the integrity of the nerve endings;
- changes in the level of chibiemote and razvivaemosti in the operated joint.
The rehabilitation period
The recovery of the patient after the procedure in most cases, is fast enough and after a few days the patient is discharged from the clinic.
In that case, if appear any complications, the hospital stay may last from 20 to 30 days.
Often rehabilitation happens from a few weeks to 3-4 months. In order for the patient quickly returned to normal life need be required to implement the following recommendations:
- after the surgery, you will undergo a course of antibiotics, this reduces the likelihood of infections;
- the first couple of days the patient must provide full rest;
- the operated joint after the procedure, it is important to securely lock;
- for 3-5 days, the patient must resort to wearing compression underwear and elastic bandages;
- locomotor activity the first time is not recommended, as it can cause inflammation in the soft tissues;
- for 14 days, take hot baths is strictly prohibited;
- to be under the direct rays of the sun are also not recommended.
Practice, practice and more practice
From the reviews of patients who were subjected to arthroscopy of the hip joint.
Arthroscopy TZB I did about a year ago. Was pleased with the result. The doctors got smart, so no problems during and after the intervention I have not encountered.
Natalia, 38 years
Recently it was found that in the hip the cartilage is destroyed. The doctor recommended an arthroscopy. Not yet sure about the effectiveness of the procedure, I want to consider all possible options.
Ivan, 43 years
The word expert
The experience of the arthroscopy I have a rather large (over 7 years). All of my patients were pleased with the result of the operation.
I think that arthroscopy in some cases is the only true solution to the problem. Therefore, if there are indications for its use, it is necessary to agree to the operation.
Alexander B. age 45, surgeon
Today, hip arthroscopy is considered the most effective and safe method for the treatment of various pathologies which develop in the bones of the limbs.
It will not only help to achieve a full recovery, but will not leave visible traces on the body.
The cost of the procedure at the moment can range from 9000 to 20000 thousand rubles.
It all depends on the diagnosis and manipulations that need to be replaced during surgery.