Hip
Hip Arthroscopy
Hip arthroscopy is a recent advancement in sports medicine that has allowed us to better treat issues of the hip. Hip arthroscopy involves using a minimally invasive approach by using 3-4 small incisions to gain access to the hip. We can use this technique to multiple conditions such as labral tears and hip impingement.
Labral Repair
Labral tears of the hip can cause significant issues with playing sports and continuing to remain active.
Cause
Multiple reasons can cause labral tears. A trauma to the hip can create a tear,but often times, labral tears are caused by a common issue that can occur known as impingement or femoroacetabular impingement (FAI). Hip dysplasia can also cause instability and tearing of the labrum
Symptoms
Symptoms typically include pain deep in the groin and is usually worse with activity or certain positions.
Treatment
Conservative Options (non-surgical)
Rest from activity, physical therapy, and possibly injections are all options depending on symptoms and activity.
Surgical Options
Hip arthroscopy with repair of the injured labrum using strong suture and suture anchors. During surgery, there is typically a treatment performed to shave down and remove any bone that is causing impingement on the labrum.
Hamstring Rupture
The hamstrings are some of the largest muscles in the leg and serve an important function in everyday activities, such as walking, to high level activities, such as running and sprinting. A sprain of the hamstring can be common in athletes that run and sprint. A complete rupture or tear of the hamstrings occurs higher at the tendon and can cause disability if not treated appropriately.
Cause
A complete tear of the hamstring can occur chronically from wear and tear of the tendon and also most commonly from an acute event. These events commonly occur during slip and falls, doing the “splits” or during running.
Symptoms
Hamstring tears present as pain mostly noted behind the thigh toward the buttock, swelling and bruising.
Treatment
A complete rupture of the hamstring often requires surgery to regain full function. The hamstring tendon stump is identified through an incision and secured back to the bone using strong sutures and multiple suture anchors.
Total Hip Replacement
Total hip replacement is a surgical procedure where damaged bone and cartilage is removed from the hip joint and replaced with artifical implants. The damaged femoral head is removed and replaced with a metal stem into the femur and a ceramic ball on top of the stem to act as the femoral head. The damaged socket is removed and replaced with a metal socket. A ceramic or metal spacer is then used between the ball and socket to allow fluid motion of the joint. This procedure aims to treat patients with painful arthritis in the hip whether it be osteoarthritis, rheumatoid arthritis, or traumatic arthritis.
Anterior Hip Replacement
The anterior approach hip replacement surgery is a minimally invasive technique aiming to replace the hip joint without cutting through muscles and tendons. One potential advantage of this approach is that hip precautions are usually not necessary for stability post surgery.
Posterior Hip Replacement
The posterior approach hip replacement surgery is a minimally invasive technique aiming to replace the hip joint and is the most common technique used for total hip replacement. The incision is made toward the back of the hip, near the buttocks.
Minimally Invasive Total Hip Replacement
The minimally invasive total hip replacement technique accomplishes the goals of a total hip replacement but by using smaller incisions and specialized tools. This technique results in less soft tissue dissection. There are numerous advantages to this technique such as: shorter hospital stays, quicker recovery, minimal blood loss, smaller scars, and less pain.
Revision Hip Replacement
Revision hip replacement is a procedure where a previous implanted hip joint is partially or totally replaced with a new implant. This complex surgery could be recommended if the previous implant is dislocated, the plastic or polyethylene prosthesis is worn, there is an infection, or if there is weakening of bone surrounding the initial implant.