Arthroscopic surgery is considered as one of the most minimally invasive surgical procedure. It is regarded as one of the major breakthrough in the management of patients with conditions affecting the musculoskeletal system.
Hip arthroscopic surgery was introduced for the first time by Burman in 1931. 1 However, indications and procedure for arthroscopic surgeries remained very few for many decades because of lack of expertise and instrumentation. Since the early 1990s, the number of hip arthroscopic surgeries being performed has increased worldwide. Hip arthroscopy was introduced in India in the past decade only and still there are very few centres in India which perform arthroscopic management of hip pathologies. Ours is one …show more content…
Total of five patients who were having Hip pathology and were being managed using hip arthroscopy were included in this study. The average age of the patients was 38.5 years. All patients were male. All the patients who presented with hip pain were initially evaluated at our centre for hip pathology. The clinical features included hip pain, limp, painful ambulation, clicking or locking sensation on rotation of the hip. . All the patients were examined in supine and standing position and pain on rotation of hip was elicited. Patients were further evaluated radiologically with X-ray of hip and pelvis, computed tomography (CT) Scan or magnetic resonance (MR) imaging (Fig.1 & 2). The various indications for which hip arthroscopy was performed are listed in table …show more content…
In our series of five patients, good functional outcome was achieved. One patient has minimal trauma to the head of the femur because of the injury because of trocar but there was no injury to labrum or any other complication. One of the main drawbacks of the study was the short follow-up.
The hip arthroscopic procedure has a long learning curve, requiring specially designed instrumentations. There are recent reports suggesting improved clinical outcome and lesser complications with improvement in technology and as one gains experience in hip arthroscopic technique. 15-16
In conclusion, hip arthroscopy has the following advantages over a traditional hip arthrotomy. 1) It does not require dislocation of the hip, which lessens serious complications such as avascular necrosis of the femoral head. (2) Under the arthroscopic magnification, good visualisation of pathology can be done properly with arthroscopic instruments. 3) Hip arthroscopy because of and a short rehabilitation period allows early return to functional status after the