Surgical and Nonsurgical Hip Procedures and Treatments
Many patients, depending on the severity and progression of the disease or injury can be treated without surgery. Typically, this is over-the-counter, anti-inflammatory medications, such as ibuprofen, supplements and physical therapy. Many patients have long term relief over the course of many years with these treatments.
Injections, such as steroids, botox and hyaluronic acid can also be used to give, in some cases, long term temporary relief.
If the disease, usually arthritis, progresses to the point where day to day activities are greatly impacted by pain a walker, splints and other types of bracing can be used. Lifestyle changes such as diet and weight loss may also give considerable relief.
Non-Surgical Hip Procedures
- Evaluation of the hip
- Physical therapy
Hip Procedures – Surgical Treatment
If pain and swelling worsens to the point of immobility then surgery may be recommended. Usually, the patient has considerable impact to their daya to day activities – this includes, walking, sitting and even sleeping.
Surgical options include:
The word arthroscopy comes from two Greek words, “arthro” (joint) and “skopein” (to look). The term literally means “to look within the joint.” Arthroscopy is a minimally-invasive, out-patient surgical procedure that allows your surgeon to visualize, diagnose, and treat problems inside a joint. Typically, this is because the hip has torn or loose pieces of cartilage or loose fragments of bone.
Arthroscopy is referred to as minimally-invasive because the orthopedic surgeon makes small incisions and inserts pencil-sized instruments. These instruments contain a camera and lights that allow the structures of the inside the joint to be seen. This means that your surgeon can now assess, repair or correct your joint injury through small incisions versus large incisions of the past.
Osteotomy means “cutting of the bone.” The bone is reshaped to relieve pressure and help the bone to align properly. The typical result is a relief in pain, an increase in function, flexibility and mobility. Usually an osteotomy is performed on younger patients and may delay joint replacement for many years.
Hip replacement involves the removal of the injured or diseased hip joint and the insertion of a new joint.
There are numerous types of hip replacement surgeries:
Additional Surgical Hip Procedures
- Bipolar hip replacement (arthroplasty)
- Cup arthroplasty
- Hemi hip replacement (arthroplasty)
- Hip resurfacing
- Repair of femoral neck fracture
- Repair of trochanteric fracture
- Total hip arthoplasty (THA)
- Unicompartmental hip replacement (arthroplasty)
- Partial Hip Replacement
- Total Hip Replacement
- Anterior Approach
- Antero-lateral Approach
- Lateral Approach
- Minimally Invasive Approach
- Posterior Approach
- Comparison of Posterior and Anterior Approaches for Hip Replacement Surgery
Adapted from AAOS
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