29861 Arthroscopy, hip, surgical; with removal of loose body or foreign body

Name of the Procedure:

Arthroscopy, Hip, Surgical; Removal of Loose Body or Foreign Body
(Common name: Hip Arthroscopy for Removal of Loose Body)

Summary

Hip arthroscopy is a minimally invasive surgical procedure used to remove loose bodies or foreign objects from the hip joint. Through small incisions, a specialized camera and instruments are inserted to visualize and extract the unwanted material.

Purpose

The primary purpose of hip arthroscopy with removal of a loose or foreign body is to alleviate pain, improve joint function, and prevent further joint damage. This procedure addresses issues such as joint locking, catching, and restricted movement caused by loose fragments or foreign objects.

Indications

• Symptoms such as hip pain, clicking, locking, or restricted range of motion
• Presence of loose bodies or foreign material within the hip joint as confirmed by imaging studies
• Failure to respond to conservative treatments like physical therapy or medication

Preparation

• Fasting for at least 8 hours prior to the procedure
• Adjustment or cessation of certain medications as advised by the healthcare provider
• Preoperative imaging studies such as X-rays or MRI to assess the joint condition
• Blood tests and a physical examination

Procedure Description

1. Patient is placed under general or regional anesthesia.
2. Small incisions are made around the hip joint.
3. An arthroscope, a small camera, is inserted through one of the incisions to provide a visual of the joint interior.
4. Specialized instruments are introduced through the other incisions to remove the loose body or foreign object.
5. The joint is irrigated to ensure all debris is removed.
6. The instruments are withdrawn, and the incisions are sutured closed.

Duration

The procedure typically takes between 1 to 2 hours.

Setting

The procedure is generally performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Surgical technologists

Risks and Complications

• Infection at the incision sites
• Blood clots
• Nerve or blood vessel damage
• Complications related to anesthesia
• Joint stiffness or recurrent symptoms

Benefits

• Relief from pain and other symptoms associated with loose bodies
• Improved range of motion and joint function
• Reduced risk of further joint damage
• Faster recovery compared to open surgical procedures

Recovery

• Post-procedure care includes pain management with medications and ice application.
• Restricted activities and weight-bearing recommendations will be provided.
• Physical therapy may be required to restore strength and mobility.
• Follow-up appointments to monitor healing and progress.
• Most patients can resume normal activities within a few weeks to a couple of months.

Alternatives

• Non-surgical management including physical therapy, activity modification, and anti-inflammatory medications
• Open hip surgery in cases where arthroscopy is not feasible
• Pros of alternatives: less invasive non-surgical options; cons: may not effectively remove the loose body or foreign object.

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel pain. Postoperatively, patients may experience soreness, mild pain, and swelling, which can be managed with medications and rest. Comfort measures such as using crutches or a walker may be advised for a short period.