Hip Arthroscopy- All You Need to Know

 

This was probably the area of ​​Hip Surgery that presented the biggest and most expressive evolution in the last years.

The term arthroscopy in Delhi refers to a surgical technique, the act of “looking at the joint”. It is a method, a means of carrying out a treatment. It allows different procedures to be performed on or near the joint.

This is possible through the use of micro-cameras and special instruments, of small caliber, that give us access to the interior of the joints without the need for surgical accesses of traditional surgeries.

In arthroscopy, we use cutaneous incisions of about one centimeter each, in varying numbers – usually from 2 to 4 accessions, explains the orthopaedic in Delhi.

What can be treated by hip arthroscopy in Delhi?

The most frequent indications are:

• Femoral-acetabular impact: for bone and cartilage remodeling (osteochondroplasty).
• Lesions of the acetabular Labrum: for its resection or reinsertion to the bone bed with the use of anchors.

Other indications include:

• Snap in hip.
• Removal of free bodies or foreign bodies from the joint.
• Repair of injuries to the gluteal tendons and lateral hip pain syndrome.
• Treatment of traumatic and atraumatic cartilage lesions.
• Lesions of the round ligament.
• Osteochondritis dissecans.
• Synovectomy: for rheumatoid arthritis or villonodular synovitis.
• Deep gluteal pain syndrome or piriformis syndrome: to release the sciatic nerve.
• Some sequelae of pediatric pathologies, such as Legg-Perthes: for removal of free bodies or chondroplasty.
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Can my case be treated by arthroscopy in Delhi?

Through clinical evaluation and imaging tests we can define who will benefit or not from this type of treatment.

Although this surgery is extremely versatile, not all hip injuries can be treated in this way.

Cases of major morphological changes, hip dysplasia and osteoarthritis, for example, are likely to be better treated through conventional surgery, when indicated.

Although common sense is that arthroscopy in Dwarka is “better and more modern”, this is not always true. Each case has its indication. In some cases, traditional surgery may bring more benefits.

The indication of treatment must be decided on a case-by-case basis by the orthopaedic doctor in Delhi.

How is the surgery?

Surgery can be performed with spinal anesthesia and sedation or under general anesthesia.

To gain access to the hip joint, it is necessary to use an orthopedic traction table, under anesthesia, creating space in the joint for the insertion of optics and instruments.

In addition to the video material, we also use a radioscopy device, which is a kind of “live” radiography.

After making the access portals, we introduced the micro-camera and we can use a wide variety of tweezers to correct injuries, sutures, scrapes, micro-perforations, etc.

The instruments used in hip arthroscopy are specific to this surgery, being longer than the material traditionally used for knee and shoulder, for example.

We also have flexible instruments that can deviate from the femoral head and increase our range within the joint, however, the shape and location of the hip imposes a natural limit on the range of the instruments, explains the orthopaedic surgeon in Delhi.

What are the risks?

As with any surgical procedure, there are risks involved.

In addition to the “general” risks, such as: anesthetic risk and infection, there are also specific risks of arthroscopic treatment, especially paresthesias (alteration of sensitivity) in the inguinal region or skin problems, among others. The evolution of technique and materials has fortunately made these problems increasingly rare.

In addition, as with all endoscopic surgery, there may always be a need for conversion to traditional surgery (“open air”).

How is recovery after surgery?

According to the severity of the injury and the treatment instituted, specific physiotherapy protocols are initiated. The use of crutches is necessary for two to six weeks and the return to sports is allowed according to the type of injury, the type of sport and the individual recovery. Final recovery can take anywhere from six months to a year, states the orthopaedic surgeon in Delhi.

It is usually necessary to stay in the hospital for a day for post-anesthetic recovery and the postoperative period is generally not very painful.

Will I never have hip pain again? Can I go back to sports?

Statistically up to 80% of patients are able to resume their sports activities with at least partial relief of symptoms.

In practice, each case is different. Depending on the problem you had in your hip, arthroscopy can only be palliative, in an attempt to preserve your joint. In some situations, it may be more prudent to abandon impact sports altogether.

Eventually the symptoms may remain or appear again after a while. You should inquire about the details of your case with your orthopaedic surgeon in Dwarka.

In our practice, we observed the best results in those patients who obtained an earlier diagnosis and in small lesions, without compromising cartilage.

For this reason, you should not neglect your symptoms, in case of pain in the groin or hip always look for an orthopaedic in Delhi.

Total Hip Arthroplasty: Indications, Types of Prostheses and Risks

 

Known as ” total hip arthroplasty ”, this replacement surgery is an option for the patient whose hip pain interferes with your daily activities and the simplest treatments do not improve. Arthritis, and the damage it causes, is the most common reason why patients seek a hip replacement in Delhi.

Generally this surgery is performed for different disorders that damage the joints located in the hip, so a replacement is sought, says the orthopaedic in Delhi.

• Osteoarthritis that is generated by wear and tear and damages the slippery cartilage that covers the ends of the bones and that also helps the joints have smooth mobility.
• Rheumatoid arthritis occurs as a consequence of an overactive immune system. This produces an inflammation that usually erodes the cartilage and sometimes the bone that is underneath, which causes damage to the joints.
• In Osteonecrosis, if there is any irregularity in the blood supply to the spherical part of the hip joint, the bone may lose its shape and collapse.

This option for hip replacement in Delhi may be considered if you have pain with these aspects.

If it worsens when walking, even if you have a cane, if it interferes with your sleep, with your ability to go up and down stairs, and if it is difficult to get up when you are sitting.

The two main indications for a total hip replacement are pain and functional disability suffered by the patient. After the hip replacement in Delhi, not only does the pain disappear, but the patient can regain normal mobility of the affected hip and return to performing their daily activities in a satisfactory way.

Currently, both young patients and elderly patients who have osteoarthritis or some other degenerative disease of the hip (necrosis or fracture of the femoral head, hip dysplasia…) benefit from this hip replacement surgery in west Delhi, recovering both quality of life, such as the hope of being able to perform demanding physical activities (swimming, cycling, …), explains the orthopaedic in Delhi.

What is hip replacement surgery and what types of prostheses are there?

The hip replacement surgery in Delhi consists of the replacement of the affected joint by a mechanical implant, the prosthesis.

There are many types of prostheses, but in a generic way we can say that a total hip prosthesis consists of three basic elements; an implant for the femur part (stem), an implant for the pelvic or acetabulum part (cup), and an implant between the stem and cup (head).

Both the stem and the cup are fixed to the bone, and this fixation will be responsible for a hip replacement lasting more or less time. Depending on the fixation of the stem or cup to the bone, prostheses are classified as cemented or non-cemented.

Another important part of the prosthesis is the friction torque (components that are in contact during movement), which is classified according to the material: metal-polyethylene, ceramic-polyethylene, ceramic-ceramic, oxynium-polyethylene, metal-metal. Currently, the most widely used total hip prosthesis, according to the orthopaedic surgeon in Delhi, is the uncemented one with a metal-polyethylene friction pair.

The choice of the type of prosthesis and friction torque will depend on different factors such as age, medical history of the patient…. But, in any case, the experience of the orthopaedic surgeon in Delhi is essential to choose the most suitable for each patient in this type of intervention.

The risks that are associated with this hip replacement surgery in Delhi can have:

Some blood clots after it, some clots can form in the veins of the legs, which can be dangerous, since some portion of the clot is able to break off and move to the lungs, the heart and even the brain. Most likely, your orthopaedic doctor in Delhi will prescribe blood-thinning medications to eliminate this risk.

Infections can appear at the incision site and in the deeper tissues in our hips. They are mostly treated with antibiotics, but some serious ones may be near the prosthesis, you may need another surgery.

Some fracture is probable, although little. In the healthy parts of the hip joint.

The adequate preparation for this surgery is a consultation with the orthopaedic in Delhi so that they can give you all the necessary recommendations for it.

This hip replacement surgery in Delhi will bring a total improvement, the pain felt before the surgery disappears completely, the range of motion of the joints will be improved. Generally, you could not do the same amount of things that you did before your hip replacement. For example, physical activities like playing basketball or running can be very stressful for an artificial joint.

What is an Arthroscopy and its Advantages?

 

Arthroscopy in Delhi is a minimally invasive surgery, which is used for the diagnosis and treatment of the joints. It is performed by introducing an arthroscope connected to a high-resolution camera, which allows the joint to be viewed in its entirety through a high-definition monitor.

This technique has many benefits and is increasingly being used to treat joint diseases. It allows a more complete view of the joint, through minimal incisions, which are made under local anesthesia. As it is a minimally invasive intervention, it offers good results and the patient’s recovery times are reduced, states the orthopaedic in Delhi.

Types of arthroscopy

It could be said that there are no different types of arthroscopy in Delhi, since the technique used is always the same, however, the differences arise depending on the joint operated.

The most common arthroscopies are the following:

• Shoulder
• Elbow
• Doll
• Hip
• Knee
• Ankle

When is an arthroscopic operation performed?

Arthroscopy in Delhi is a technique that is carried out to visualize the inside of the patient’s joint. In many cases, it is carried out as a diagnostic test, for example, to take samples or perform biopsies of the area, in case of tumors or intra-articular lesions.

However, in other cases, it is carried out for the treatment of joint injury, for example, to remove cysts, perform intra-articular washes or remove extra-articular bodies that can cause inflammation of the patient’s joint. It is important that you are always advised by a specialist orthopaedic doctor in Delhi.

How is the arthroscopic operation?

Arthroscopic intervention is usually carried out using local anesthesia at orthopaedic clinic in Delhi, that is, localized anesthesia in the area to be intervened. First, a minimal incision is made by the orthopaedic surgeon in Delhi, through which the arthroscope will be inserted.

Once the incision has been made, cartilaginous cleaning is carried out, that is, debridements are corrected in order to provide stability to the cartilage. In many cases, a treatment with plasma rich in platelets or stem cells is applied, which help the regeneration of the intervened tissues, explains the orthopaedic in Delhi.

Advantages of arthroscopy

Arthroscopic interventions have many advantages over traditional surgeries. First of all, it is a minimally invasive technique, the incisions are of a minimum size, which makes the risk of suffering infections considerably lower.

In addition, the patient recovers quickly and the time it takes to be able to return to their normal activities is reduced, says the orthopaedic in Delhi.

How is recovery after arthroscopy?

As explained, the recovery after an arthroscopic operation is fast, since the invasion into the tissues is minimal. Proper care of the incisions is especially important to avoid infections that can affect recovery.

Usually, the patient will start a rehabilitative treatment one month after the operation, with the aim of strengthening and restoring joint mobility. Three or four months after surgery, the patient will be able to recover his usual activities, avoiding activities that imply an impact on the joint, explains the orthopaedic in Delhi.

Rehabilitation after arthroscopy

In arthroscopic interventions, rehabilitation is of particular importance, which can be carried out under the supervision of an orthopaedic doctor in Dwarka or a specialized physiotherapist in Dwarka. The objective is to strengthen the joint, to prevent the injury from developing again, and to regain joint stability.

In this process, it is advisable to carry out sports practices that do not imply a great impact on the joint, for example, walking. In addition, the patient must perform prescribed flexion and extension exercises, which help to regain full mobility of the joint, says the orthopaedic in Dwarka.

As explained, arthroscopy in Dwarka is a technique that can correct injuries that are disabling for the patient and help him regain his quality of life.