After being administered anaesthesia, the patient is positioned so the surgeon can easily access the hip joint. The leg is often placed in traction, which means it is gently pulled to create more space within the hip joint to insert instruments. The skin over the hip is cleaned and sterilised to prevent infection.
Hip Arthroscopy Specialist In Singapore
Dr Wang Lushun
Senior Consultant Orthopaedic Surgeon
MBBS (Singapore)
MRCS (Edin)
MMed (Ortho)
FRCS (Ortho) (Edin)
- Fellowship-trained orthopedic surgeon
- Internationally recognised, more than 1500 surgeries performed
What is Hip Arthroscopy?
Hip arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various hip problems. Unlike traditional open surgery, arthroscopy involves making small incisions through which a camera and surgical instruments are inserted. This technique allows surgeons to view the hip joint without making a large incision, leading to a faster recovery and less postoperative pain.
Indications for Hip Arthroscopy
Hip arthroscopy is typically indicated when conservative treatments have not provided adequate relief from symptoms. Common indications include:
Labral Tears
The labrum, a cartilage ring surrounding the hip joint socket, can tear due to injury, structural abnormalities, or degenerative processes.
Femoroacetabular Impingement (FAI)
FAI is a condition where extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. These bones may rub against each other during movement, leading to joint pain and damage.
Snapping Hip Syndromes
These syndromes occur when a tendon rubs across the outside of the joint. While often not harmful, they can be painful and lead to inflammation.
Synovitis
This involves inflammation of the synovial tissue that surrounds the joint. Patients with synovitis often experience swelling, warmth, and pain, particularly with movement.
Loose Bodies
Small pieces of bone or cartilage that become loose and move around within the joint can cause pain and hinder joint movement.
Early-stage Hip Arthritis
In cases where arthritis is not advanced, arthroscopy can clean out inflamed and damaged tissue to relieve pain and improve mobility.
Preoperative Considerations
Before undergoing hip arthroscopy, several preoperative considerations are taken into account to ensure the safety and effectiveness of the procedure. These include:
Medical Evaluation
Patients may need a comprehensive medical evaluation to assess their health status and identify any conditions that could complicate surgery or anaesthesia. This assessment often includes blood tests, physical examinations, and medical history reviews.
Medications
Patients should inform their surgeons about all their medications, including over-the-counter drugs and supplements. Certain medications, such as blood thinners, may need to be adjusted or temporarily discontinued before surgery.
Imaging Studies
Advanced imaging studies, such as magnetic resonance imaging (MRI) or computed tomography (CT) scans, are often required to provide detailed views of the hip’s anatomy. These images help in planning the surgery.
Fasting
Patients will be instructed to fast (not eat or drink) for a certain period before the surgery, usually starting at midnight before the procedure, to reduce the risk of complications during anaesthesia.
The Hip Arthroscopy Procedure
The hip arthroscopy is generally an outpatient procedure, meaning patients can go home the same day. The duration of the surgery and the recovery period in the hospital can vary depending on the specific interventions performed. Key steps include:
Preparation
The Surgical Technique
Small incisions, or portals, are made around the hip joint. Through one portal, the arthroscope is inserted. This device transmits images of the inside of the joint to a video monitor, guiding the surgeon in navigating the surgical instruments inserted through the other portals.
The surgeon may perform various tasks, such as trimming or repairing torn cartilage, removing loose bodies, or shaving bone spurs causing impingement.
After Surgery Care
After the procedure, the incisions are closed with sutures or adhesive strips and covered with sterile dressings. The patient is then moved to a recovery area where they are closely monitored as they wake up from anaesthesia. Instructions for home care, including wound care, activity restrictions, and the use of assistive devices, are provided before discharge.
Benefits of Hip Arthroscopy
Hip arthroscopy offers several advantages over traditional open hip surgery, particularly due to its minimally invasive nature. Key benefits include:
- Reduced Pain and Swelling: Smaller incisions lead to less tissue disruption, significantly reducing postoperative pain and swelling.
- Shorter Recovery Time: The minimally invasive approach generally allows for a quicker return to daily activities and work.
- Lower Risk of Complications: Complications such as infection and blood loss are lower than open surgery.
- Improved Diagnostic Accuracy: Hip arthroscopy provides a clear view of the inside of the hip joint, which can enhance the accuracy of diagnosis for intra-articular conditions.
- Preservation of Hip Joint Structure: By enabling precise surgical interventions, hip arthroscopy can help preserve the natural anatomy of the hip joint.
Potential Risks and Complications
While hip arthroscopy is generally safe, as with any surgical procedure, there are potential risks and complications that patients should be aware of:
Infection
Although rare, there is a risk of infection at the incision sites or within the hip joint. This may require antibiotics or further surgery to treat.
Nerve Damage
The surgery may inadvertently affect nearby nerves, potentially leading to numbness or tingling in the leg or foot, which is usually temporary.
Blood Clots
Surgery and periods of immobility can increase the risk of blood clots forming in the legs, known as deep vein thrombosis (DVT), which could travel to the lungs (pulmonary embolism).
Tissue or Bone Damage
There is a risk of damage to the tissues or bones around the hip joint due to the surgical instruments.
Anaesthesia Risks
General anaesthesia carries its risks, such as allergic reactions and respiratory issues, though these are rare.
Postoperative Pain and Stiffness
Some patients may experience persistent pain or stiffness in the hip joint after the procedure.
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Recovery and Rehabilitation
Recovery and rehabilitation intend to restore mobility, strength, and function to the hip joint. This process varies among people but generally includes the following stages:
Immediate Postoperative Period
- Patients may need crutches or a walker to avoid putting full weight on the operated hip.
- Pain management typically involves medications to control pain and reduce inflammation.
- Patients are encouraged to engage in gentle movement exercises to prevent stiffness and improve circulation.
Physical Therapy
- A tailored physical therapy program usually begins within a few days to weeks after surgery, focusing on gradually increasing the range of motion and strengthening the muscles around the hip.
- Techniques such as manual therapy, stretching exercises, and guided strength training are typically used.
Gradual Return to Activities
- Patients can usually return to normal daily activities within a few weeks, with a full return often possible in 2 to 6 months, depending on the extent of the surgery and the person’s condition.
Ongoing Care
- Follow-up appointments monitor the progress of recovery and address any concerns.
- A focus on maintaining hip health through lifestyle modifications, such as regular exercise and weight management, can help sustain the benefits of the surgery.
Long-term Outcomes and Prognosis
Patients typically see significant improvements in pain and function, especially when addressing labral tears and femoroacetabular impingement, allowing many to return to pre-injury activity levels. However, those with advanced arthritis or complex conditions may only find temporary relief, potentially requiring further procedures like total hip replacement.
Overall, the prognosis post-arthroscopy is positive, with most patients enjoying symptom relief and improved joint function, thus enhancing their quality of life.
Dr Wang Lushun
Senior Consultant Orthopaedic Surgeon
MBBS (Singapore)
MRCS (Edin)
MMed (Ortho)
FRCS (Ortho) (Edin)
Internationally Recognised & Double Fellowship-Trained Surgeon With Over 18 Years of Experience
- Bachelor of Medicine & Bachelor of Surgery (MBBS),
National University of Singapore - Member of The Royal College of Surgeons (MRCS),
Edinburgh, United Kingdom - Master of Medicine in Orthopaedic Surgery (MMed),
National University of Singapore - Fellow of The Royal College of Surgeons in Orthopaedics and Traumatology (FRCS), Edinburgh, United Kingdom
As a Senior Consultant Orthopaedic Surgeon and former Head of the Hip and Knee Division in Ng Teng Fong Hospital, he has won awards for superior patient outcomes (value driven), service quality and enhanced recovery programmes. His patients include current and former national athletes and sporting professionals.
Why Choose
Dr Wang Lushun?
Trusted
Leadership on Orthopaedic Advisory Boards
Skilful
Double Fellowships at Centres of Excellence
Experienced
Senior Consultant with Over 18 Years of Experience
Can I Use Medisave For My Treatment?
Yes, you can use funds from your Medisave account to offset the cost of your treatment.
Reach out to us today to learn more about payment options.
Patient-Centred Orthopaedic Care
We are dedicated to your recovery and well-being. Every patient deserves the freedom that comes with active living. Whether you're an athlete sidelined by an injury or a weekend hobbyist desperate to return to your passion, our mission is to help you regain your mobility and independence.
Personalised Approach For Positive Outcomes
Our clinic prioritizes time dedicated to understanding each patient’s injuries and needs. Dr Wang strongly believes that personalised care & patient management will lead to better outcomes & positive experiences.
Minimally Invasive Techniques For Faster Recovery
Dr Wang’s extensive experience with minimally invasive procedures allows for less scarring, lower risk of complications and faster recovery compared to traditional surgical methods.
Aftercare Focused On Restoring Mobility & Well-Being
As an avid sportsperson, Dr Wang understands the time and patience required to regain mobility and return to active living. After your procedure is completed, Dr Wang will make sure your recovery is smooth and comfortable.
Insurance
We accept all patients, with or without insurance plans. Additionally, we are on the specialist panels of these Health Networks/Insurance Plans. Please contact us if you have any queries and we will be happy to assist you in checking with your insurance provider.
Our Clinic Locations
3 Mount Elizabeth, #13-14
Mount Elizabeth Medical Centre
Singapore 228510
820 Thomson Road, Mount Alvernia Hospital, #05-51, Medical Centre D, Singapore 574623
Frequently Asked Questions (FAQs)
Can hip arthroscopy cure arthritis?
Hip arthroscopy is not a cure for arthritis but can alleviate symptoms and improve function in the early stages of the disease. It is particularly effective for specific conditions like labral tears or impingement.
How long do the results of hip arthroscopy last?
The longevity of hip arthroscopy results varies, with many patients experiencing significant relief from symptoms and improved function for several years. Factors influencing outcomes include the patient’s activity level, lifestyle, and progression of underlying conditions.
How soon can I drive after undergoing hip arthroscopy?
The ability to drive after hip arthroscopy depends on several factors, including the side operated on, the type of transmission in your vehicle (automatic or manual), and your overall recovery progress. Patients may typically be cleared to drive within 2 to 6 weeks post-surgery, provided they can perform emergency stops without pain or hesitation.
Can I return to sports after hip arthroscopy?
Many patients successfully return to sports and physical activities after recovering from hip arthroscopy. The timeline for return varies, typically involving several months of rehabilitation to restore strength and mobility.