Hip Arthroscopy

What is Hip Arthroscopy?

Hip arthroscopy is a minimally invasive (keyhole) procedure that allows the inside of the hip joint to be examined and treated through small incisions. A thin camera called an arthroscope is inserted into the joint, projecting a magnified view onto a screen, while fine instruments are introduced through additional small incisions to address problems within the hip.

Because the hip is a deep joint, arthroscopy is a technically demanding procedure. It is most useful for treating specific problems affecting the structures inside and around the joint, particularly in younger, active patients, rather than for generalised arthritis.

What it is Used For

Hip arthroscopy can be used to diagnose and treat a range of conditions, including:

• Labral tears (repair or treatment of the cartilage rim of the socket)
• Femoroacetabular impingement (FAI) — reshaping abnormal bone causing impingement
• Cartilage injuries
• Removal of loose fragments within the joint
• Certain soft-tissue conditions around the hip

Hip arthroscopy is not an effective treatment for established, generalised hip arthritis. Identifying the right patients and problems is central to a good outcome, and the most appropriate treatment for your hip will be discussed at your consultation. (See also the Femoroacetabular Impingement and Labral Tears pages.)

The Procedure

The procedure is performed under spinal or general anaesthesia. The hip is positioned to allow access to the joint, small incisions are made, and the joint is inspected with the arthroscope. The identified problem — such as a labral tear or impingement — is then treated using fine instruments, which may include repairing the labrum or reshaping bone. The incisions are small and usually require only minimal closure.

Recovery

Recovery depends on what was done inside the hip. It generally involves a period of protected weight-bearing followed by a progressive, structured rehabilitation programme to restore movement, strength, and function. Rehabilitation after hip arthroscopy is an important part of the outcome and is typically staged over a number of weeks to months. Your specific recovery plan will reflect the procedure performed and your individual progress.

Risks and Complications

Hip arthroscopy is generally safe, but as with any surgery it carries some risk, including:

• Infection
• Blood clots (deep vein thrombosis or pulmonary embolism)
• Temporary numbness or altered sensation, related to positioning during surgery
• Injury to structures within or around the hip
• Ongoing or recurrent symptoms
• Progression of any underlying joint wear

All relevant risks will be discussed in detail at your consultation.

Frequently Asked Questions

Can hip arthroscopy treat hip arthritis?

No. Hip arthroscopy is not an effective treatment for established, generalised hip arthritis. It is most useful for specific problems such as labral tears, impingement (FAI), cartilage injuries, and loose fragments, generally in younger, active patients. Arthritis is managed through other means.

What conditions is hip arthroscopy best for?

It is most commonly used to treat femoroacetabular impingement and labral tears, as well as cartilage injuries and loose fragments within the joint. Careful patient selection is important, as the procedure is best suited to specific problems rather than general joint wear.

How long is the recovery?

Recovery depends on the procedure performed and typically involves a period of protected weight-bearing followed by a staged rehabilitation programme over weeks to months. Your surgeon and physiotherapist will guide the timeline based on your individual case.

Medical Disclaimer
The information on this page is intended as general patient education and does not constitute medical advice. Every patient is different, and treatment decisions should always be made in consultation with a qualified medical professional based on your individual circumstances, health history, and imaging. Outcomes from surgery vary between patients and cannot be guaranteed. If you have concerns about your hip health or are considering surgery, please contact Dr Slattery’s rooms to arrange a consultation.