What happens during a hip arthroscopy?

Written by: Mr Adam Cohen
Edited by: Conor Lynch

In this article below, highly reputable consultant orthopaedic and trauma surgeon, Mr Adam Cohen, details how a typical hip arthroscopy is performed.

When is a hip arthroscopy necessary and who is most suitable for it?

A hip arthroscopy is generally an operation I preserve for younger patients. They often have abnormalities, injuries, or deformities of the hip. The typical deformities are usually when someone has some form of bone abnormality, usually on the femur side of the hip joint, excessive bone, tears of the cartilage, and loose bodies within their hip joint that require removal.  


How can patients prepare for a hip arthroscopy?

Most patients will be referred for some sort of physiotherapy before they have had a hip arthroscopy. We don’t want patients gaining too much weight as this will complicate surgery. Patients should inform themselves as much as possible about the surgery before undergoing it.


What happens during a hip arthroscopy?

Most patients will be fully asleep. The muscles have to be fully relaxed while the operation takes place. Patients are put on a special operating table which is a table that is able to provide traction to the hip joint.


The wounds that we make on the side of the leg are normally small. With very narrow cameras and instruments, we can put these instruments through the gap that we have inserted. We can remove bone from areas that we don’t want bones to be. We can also repair cartilage.


Generally speaking, it takes no more than a half a hour, but in some cases, it can last around two and a half hours.


Is it a painful procedure?

No, it’s not very painful. Pain-relieving medications work effectively. I Inject a lot of local anaesthetic in and around the hip joint at the end of the surgery to reduce the pain.


Are there any associated lasting side effects?

Not usually, no. Patients could suffer a complication from the surgery. The only situation where this could be a possibility is when the pathology of the hip joint was too severe for the surgeon to correct.


To book an appointment with Mr Adam Cohen, you can do so via his Top Doctors profile here today.

By Mr Adam Cohen
Orthopaedic surgery

Mr Adam Cohen is a renowned consultant orthopaedic and trauma surgeon who sub-specialises in lower limb reconstructive surgery, particularly for the hip and knee. With a career spanning over 20 years, he has garnered a leading level of expertise and at present, he attends private patients at the well-known hospitals of Spire Hospital Norwich and James Paget University Hospital Private Patient Unit.

With his advanced skills and knowledge, he is able to assist patients with their hip replacements, knee replacements, the revision of hip and knee replacements, hip arthroscopy, knee arthroscopy and foot surgery. Among these patients are those with sports injuries and young adults with hip problems who may be interested in joint preservation surgery.

Not only does he dedicate his career to giving the utmost quality of care for his NHS and private patients, but also to research. His interests centre on hip and knee reconstruction and this work has been presented at national and international conferences. Furthermore, his research papers have been published as textbook chapters and have featured in prestigious scientific journals. What's more, he teaches surgical techniques to trainees, other consultants and physiotherapists.

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