什么是髋关节镜检查?
A hip arthroscopy is a minimally invasive surgery that allows your doctor to see what is happening inside your joint and repair any damage at the same time.
在这个过程中, your doctor will make an incision in your hip (about the size of a buttonhole) to insert a small camera into the joint. 这款相机, 也叫关节镜, will project an image of the inside of your hip onto a screen so your doctor can look for damage and assess the injury or condition. 然后, surgical instruments can be inserted through another small incision to:
- 重塑髋关节的骨骼；
- remove torn cartilage, excess bone growth, or inflamed tissue; or
- 修复骨折或撕裂.
找一个髋关节镜专家
什么是髋关节镜治疗
Specialists recommend an arthroscopy for patients who have symptoms that don’t improve with non-surgical treatments, 像其他, 药物治疗, 或者物理治疗. 这些症状可能包括：
- pain, swelling, or stiffness in the hip;
- 软骨或韧带撕裂;
- 唇部撕裂（髋臼内壁）；
- 骨刺;
- arthritis; or
- 髋部骨折.
期待什么：程序日
你的手术当天, you can choose to receive either general anesthesia (meaning that you will be unconscious during the procedure) or regional anesthesia (meaning that you will be numb from the waist down, 这样你就不会感到任何痛苦). Talk to your doctor about what option is best for you.
Next, you'll be prepared for the procedure to begin. Your leg will be put in traction by pulling it away from your hip so that the joint opens up and creates enough space for your surgeon to perform the procedure. 然后, your surgeon will make marks on your hip to indicate where the incisions will be made.
Your doctor will make a small incision for the arthroscope and a sterile fluid will be pumped into the joint to expand the area. 然后, your doctor will insert the arthroscope and use it to evaluate your hip joint before making the additional incisions needed to treat it.
After your doctor has looked at your joint using the arthroscope, he or she will make other small incisions as needed to insert surgical tools and treat the problem. 一旦程序完成, the incisions will be closed up using one or two stitches or small bandages.
髋关节镜检查恢复
Because the procedure only requires two or three small incisions, recovery from a hip arthroscopy is much faster than other types of open hip surgery. There is also a smaller risk of infection and less scarring.
You should be able to return home a few hours after your procedure, but you'll need to take some precautions to avoid any complications during your recovery.
- Plan on using crutches for one to two weeks after your surgery to avoid putting too much weight on your joint.
- Use the pain 药物治疗 your doctor prescribes for you as needed during your recovery.
- Rest, ice, and elevate your leg to help manage any pain or swelling.
- Avoid swimming or taking a bath for two weeks to prevent infection in the incision sites.
- Eat a healthy diet and avoid smoking to make sure your body is able to recover as quickly as possible.
- Do physical therapy exercises to help you restore mobility and strength in your hip.
It will most likely take two to three weeks for you to fully recover after the procedure, but everyone's recovery process is different. 呼叫 your doctor if you experience severe pain, 发红, 或发热, or if you have any questions about your surgery, 药物, 或恢复.
髋关节镜检查后行走
Your surgeon will let you know how soon you can expect to walk after your surgery. With the vast majority of hip arthroscopies, you can begin to walk on your hip as soon as you feel able. It's a good idea to use crutches if you are limping, especially due to pain. Unless you are specifically told by your surgeon to avoid any weight on the hip, you will not damage the surgery by walking. However, it could increase your pain as you begin to put weight on the hip.
后续的约会
You will have multiple follow-up visits after your surgery to check your progress and address any concerns you have. These visits are typically spaced out over a 6-month time period. In addition, X-rays are taken after surgery to evaluate your joint and check for any complications. These X-rays are also helpful because if anything should happen to your hip in the future, your doctor will have a baseline of what your hip looked like shortly after surgery. This helps rule out potential issues after hip surgery.
倾听病人的心声
全国速滑冠军, 布莱尔Cruikshank, 开始经历持久的, worsening hip pain that interfered with her training. After she was diagnosed with femoroacetabular impingement syndrome (FAI), she and her family sought treatment for her condition at the Hip Preservation Program. Today she is back on the ice at full speed after undergoing a successful hip arthroscopy procedure.
下一个步骤
If you are suffering from hip pain or would like to be evaluated by a specialist, call 801-587-7109 to request an appointment.