Arthroscopic Surgery
Hip arthroscopy is a relatively new surgical technique that can be effectively employed to treat a variety of hip conditions. Arthroscopy is a surgical procedure in which an arthroscope is inserted into a joint. The benefits of arthroscopy involve smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.
Benefits of surgery include:
- Minimally invasive
- Small incisions
- Quicker recovery
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We Specialize in the Following Procedures & Treatments
Labral Tear Repair – Femoroacetabular Impingement (FAI)
Femoroacetabular Impingement (FAI) is a condition resulting from abnormal pressure and friction between the ball and socket of the hip joint resulting in pain and progressive hip dysfunction. This when left untreated leads to the development of secondary osteoarthritis of the hip.
Bursitis Treatment
A bursa is a small, soft sac located throughout the body, particularly at bony prominences, and their purpose is to cushion and reduce friction. Bursitis is inflammation of the bursa, either by low grade repetitive trauma or one major injury like a fall or contusion. The most commonly inflamed bursa in the hip is the greater trochanteric bursa, which is on the outside of the hip. Symptoms include pain when walking, pain on the hip side with direct pressure, and sometimes snapping. This is typically treated with therapy, medications, and/or injections. However, if the pain does not improve with nonoperative measures, surgery may be necessary.
The bursa can be removed arthroscopically and is an outpatient procedure. In some cases, a group of muscles called the abductor muscles, which lie underneath the bursa, may be torn in addition to the inflammation. If this is the case, these may be repaired at the same time as the bursectomy. This can be done arthroscopically or open, depending on the size of the muscle tear.
Avascular Necrosis (AVN) Treatment
Avascular necrosis (AVN), also called osteonecrosis, is a condition where part of the bone loses blood supply and the bone gradually dies. This can be caused from steroid use, chemotherapy or radiation treatments, or have no known cause at all. It is a progressive disorder than can eventually lead to collapse of the bone that is affected. If caught early, however, sometimes surgery and/or medication can be used to stall or reverse the progression.
Dr. Ranawat specializes in a procedure called a core decompression, where the area of necrosis (dead bone) is drilled out. The good bone that surrounds the necrotic bone brings blood into the area and encourages healing. This is also used in conjunction with bone graft mixed with a patient’s own bone marrow cells being placed in the area where the necrosis is drilled out. The goal is to revascularize and promote bone healing. This is only possible in stages of AVN where there is no collapse, but can be an effective joint preservation procedure.
Complex Hip Deformity
We see patients suffering from a variety of congenital deformities:
- Surgical Dislocation
- Osteotomy
Pre-Op & Post-Op Course
Pre-Op Course
All procedures require medical clearance by an internist at HSS which must be done within 28 days prior to your surgery date. We will coordinate these appointments as well as an educational class.
We recommend stopping use of all anti-inflammatory, fish oil supplements, and other blood thinning medications one week prior to surgery. Your clearing doctor will make recommendations regarding other prescription medications.
Post-Op Course
Your hospital course will entail admission from 1-2 days. Once you are cleared by therapy you can be discharged to home with provided visiting nurse services and physical therapy services at home. This will be followed by outpatient Physical Therapy. Your initial follow-up will be six weeks postoperative.
On average your return to work recovery will be approximately six to eight weeks, depending on individual recovery. The majority of patients will be able to resume most sporting activities in twelve weeks post op.