29916 Arthroscopy, hip, surgical; with labral repair

Name of the Procedure:

Arthroscopy, Hip, Surgical; with Labral Repair

Summary

Arthroscopy of the hip with labral repair is a minimally invasive surgical procedure used to diagnose and treat problems within the hip joint. It involves the use of an arthroscope, a small camera, to visualize the inside of the joint and repair any damage to the labrum, which is the ring of cartilage surrounding the hip socket.

Purpose

This procedure addresses hip labral tears, which can cause pain, instability, and decreased range of motion. The goals are to alleviate pain, restore hip function, and prevent further joint damage.

Indications

• Persistent hip pain unresponsive to conservative treatments
• Clicking or locking sensation in the hip
• Limited range of motion
• Hip instability
• Diagnosis of labral tear through imaging studies

Preparation

• Fasting for at least 8 hours prior to surgery
• Discontinuation of certain medications as advised by the doctor
• Physical examination and possibly imaging tests like MRI or X-rays
• Preoperative blood tests to ensure suitability for surgery

Procedure Description

1. The patient is administered general anesthesia or regional anesthesia.
2. Small incisions are made around the hip.
3. An arthroscope is inserted into the hip joint to provide visuals.
4. Surgical tools are introduced through the incisions to repair the torn labrum.
5. The labrum may be reattached to the bone using sutures or anchors.
6. The joint is rinsed, and the incisions are closed with sutures or staples.

Duration

The procedure typically takes between 1 to 2 hours.

Setting

This procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Surgical technologists

Risks and Complications

• Infection
• Blood clots
• Nerve damage
• Stiffness or limited motion
• Failure to relieve symptoms
• Rarely, damage to surrounding tissues

Benefits

• Reduction or elimination of hip pain
• Improved hip stability and function
• Increased range of motion
• Prevention of further joint damage
• Benefits typically realized within a few months post-surgery

Recovery

• Initial post-procedure care involves pain management with medications.
• Instructions for weight-bearing restrictions and use of crutches.
• Physical therapy for rehabilitation typically starts a few days after surgery.
• Full recovery is expected within 3 to 6 months, depending on individual healing rates.

Alternatives

• Non-surgical treatments (physical therapy, medications, injections)
• Open hip surgery (more invasive)
• Pros: Non-surgical options are less invasive and carry fewer immediate risks.
• Cons: They might not be effective for severe labral tears, and open surgery has a longer recovery time.

Patient Experience

• During the procedure, the patient will be under anesthesia and won't feel anything.
• Post-surgery, varying levels of discomfort and swelling are expected, which can be managed with medications.
• Gradual improvement in symptoms as the joint heals and physical therapy progresses may be noticed.