Hip Arthroscopy Specialist Treating Patients in Houston, Beaumont and Cypress

Hip Arthroscopy

Arthroscopy, also referred to as keyhole or minimally invasive surgery, is a procedure in which an arthroscope is inserted into a joint to check for any damage and repair it simultaneously.

An arthroscope is a small, fiber-optic instrument consisting of a lens, light source, and video camera. The camera projects an image of the inside of the joint onto a large screen monitor allowing the surgeon to look for any damage, assess the type of injury, and repair the problem.

Hip arthroscopy is a surgical procedure performed through very small incisions to diagnose and treat various hip conditions including:

  • Removal of torn cartilage or bone chips that cause hip pain and immobility.
  • Repair a torn labrum: The labrum is a fibrous cartilage ring which lines the acetabular socket.
  • Removal of bone spurs or extra bone growths caused by arthritis or an injury.
  • Removal of part of the inflamed synovium (lining of the joint) in patients with inflammatory arthritis. This procedure is called a partial synovectomy.
  • Repair of fractures or torn ligaments caused by trauma.
  • Evaluation and diagnosis of conditions with unexplained pain, swelling, or stiffness in the hip that does not respond to conservative treatment.

Hip arthroscopy is performed under regional or general anesthesia depending on you and your surgeon’s preference.

Your surgeon will make 2 or 3 small incisions about 1/4 inch in length around the hip joint. Through one of the incisions an arthroscope is inserted. Along with it, a sterile solution is pumped into the joint to expand the joint area and create room for the surgeon to work.

The larger image on the television monitor allows the surgeon to visualize the joint directly to determine the extent of damage so that it can be surgically treated.

Surgical instruments will be inserted through other tiny incisions to treat the problem.

After the surgery, the incisions are closed and covered with a bandage.

The advantages of hip arthroscopy over the traditional open hip surgery include:

  • Smaller incisions
  • Minimal trauma to surrounding ligaments, muscles, and tissues
  • Less pain
  • Faster recovery
  • Lower infection rate
  • Less scarring
  • Earlier mobilization
  • Shorter hospital stay

As with any surgery, there are potential risks and complications involved. It is very important that you are informed of these risks before you decide to proceed with hip arthroscopy surgery. Possible risks and complications include:

  • Infection at the surgical incision site or in the joint space
  • Nerve damage which may cause numbness, tingling, pain, and weakness
  • Excess bleeding into the joint, a condition called hemarthrosis
  • Blood clots may form inside the deep veins of the legs which can travel to the lungs (pulmonary embolism).

Your doctor may advise you to take certain precautions to promote faster recovery and prevent further complications. These include:

  • Taking pain medications as prescribed.
  • Use of crutches to prevent or limit bearing weight on the operated hip
  • Physical therapy exercises should be performed to restore normal hip function and improve flexibility and strength
  • Eating a healthy diet and avoiding smoking will help in faster healing and recovery
  • Avoid activity which involves lifting heavy things or strenuous exercises for first few weeks after surgery

With advances in surgical techniques, arthroscopy plays an important role in diagnosis and treatment of hip diseases. Also, patients can anticipate a quicker recovery with less post-operative complications following hip arthroscopy surgery.

Modern technology gives orthopedic hip surgeons the tools to offer minimally invasive surgery. Arthroscopy involves advanced techniques and instruments that simplify the operation. Not as many specialists perform hip arthroscopy as they do knee and shoulder arthroscopy. However, Dr. Gombera has the experience and knowledge to provide this special procedure. He gives patients in Houston, Beaumont and Cypress the option of faster and safer recovery from hip treatment.

What Is a Hip Arthroscopy?

Arthroscopy receives its name from the arthroscope — the main instrument in the procedure. An arthroscope is about the size of a pencil and has a camera and light. Instead of making a large cut to see and repair a hip problem, an arthroscope lets a doctor make a much smaller cut. The arthroscope goes through this hole and projects its camera's image onto a computer screen. Once the doctor sees the issue, they make additional incisions for small instruments that treat the area.

When you receive a hip arthroscopy from Dr. Gombera, he uses an arthroscope to view and address your hip issue. A hip arthroscopy has the following advantages over traditional open hip surgery:

  • Shorter hospital stay (if any)
  • Less damage to the surrounding tissue
  • Less pain
  • Faster recovery time
  • Lower risk of infection
  • Less scarring at the treatment site
  • Shorter amount of time off your feet

When Might Someone Need Arthroscopic Hip Surgery?

If you have hip pain that doesn't get better after non-surgical treatment, Dr. Gombera might recommend a hip arthroscopy. Arthroscopic hip surgery can relieve conditions such as:

  • Femoroacetabular impingement (FAI): When you have FAI, your thighbone or hip socket has extra bone that wears down cartilage as you move. In many cases, these bone spurs appear on both the bone and the socket. The damaged cartilage becomes painful and inflamed and may not go away without intervention.
  • Torn cartilage or ligaments: Your body repairs minor tears in your joints on its own. However, more serious damage requires help from a specialist.
  • Loose bodies: Certain hip issues cause parts of your bone and cartilage to come off. These pieces stay in your joint and irritate the surrounding tissue. They cause pain and block movement.
  • Dysplasia: This issue forces the thick cartilage inside the socket to give the thighbone more support. The increased pressure on this cartilage increases its risk of tearing.
  • Hip joint infection: Some infections can spread to your hip joint, causing cartilage damage and pain. Some professionals call this disorder septic arthritis.

What Does Hip Arthroscopy Accomplish?

Dr. Gombera performs arthroscopic hip surgery to achieve one or more of the following goals:

  • Remove damaged cartilage or bone chips that cause pain and restricted movement
  • Repair the labrum, the fibrous cartilage that protects the inside of the hip socket
  • Shave down bone spurs and other bone growths
  • Take out part of the inflamed joint lining in patients with inflammatory arthritis
  • Mend torn ligaments or fractures caused by injury and trauma
  • Diagnose a condition that doesn't get better with non-surgical treatment
  • Drain infected fluid from the joints

No matter what method Dr. Gombera uses, he has one main mission — to address your hip pain and help you move again.

How Does Dr. Gombera Perform a Hip Arthroscopy?

During your arthroscopy procedure, you'll receive regional or general anesthesia. You can discuss your anesthesia preferences during one of the appointments before your surgery. After he numbs the area, Dr. Gombera will create a few small incisions that measure about a quarter of an inch. He'll insert the arthroscope into your hip through one of the incisions.

To make more room to see and work, Dr. Gombera will pump in a sterile fluid that opens up the joint. Once he sees your hip problem on the surgical monitor, he'll insert tiny instruments through small incisions to provide treatment. After he finishes, he'll use strong adhesive strips to close the incisions.

Does a Hip Arthroscopy Have Any Side Effects?

Since arthroscopic surgery needs only small incisions, it causes fewer side effects than open surgery. However, every procedure has risks, including hip arthroscopy. In rare cases, arthroscopic hip surgery can result in:

  • Infection in your incision or the treated joint
  • Damage to your nerves, which causes pain, tingling and numbness
  • Excess bleeding in the treated joint
  • Pulmonary embolism, a condition where blood clots in your legs' deep veins travel to the lungs

Taking good care of your hip after your arthroscopy will lower your risk of complications. Make sure that Dr. Gombera knows about all your health conditions and medications before your procedure. He can take the right precautions if you have a higher risk of experiencing one of these side effects.

What Should I Expect After the Procedure?

In many cases, you can go home the same day you have your hip arthroscopy. You and Dr. Gombera will schedule a follow-up appointment after the procedure. Between your surgery and the follow-up visit, you need to take some precautions to prevent complications and recover as fast as possible. The post-operative checklist includes tasks like:

  • Taking pain medications to reduce discomfort and prevent clotting
  • Using crutches to take weight off your recovering hip
  • Completing basic physical therapy exercises to keep your muscles strong
  • Limiting smoking and eating a healthy diet to make recovery faster
  • Avoiding strenuous physical activities like heavy lifting
  • Keeping your dressing and incisions dry and clean
  • Applying ice to your hip to reduce swelling

After the follow-up appointment, you'll continue to do physical therapy exercises for the next few months. The length of time it will take for your hip to recover depends on the nature of the surgery and your body's natural recovery.

How Do I Schedule an Initial Appointment With Dr. Gombera?

The office of Mufaddal Gombera, MD welcomes new patients looking for relief from hip pain. Patients in the Houston, Cypress and Beaumont areas can get treatment for their hip, shoulder and knee issues.

Dr. Gombera has experience working with both professional athletes and less active patients. Anyone can get hip treatment from our office, no matter if they need to get back on the field or get back to work. Use our online booking tool to schedule a visit online, or call us at (713) 794-3457. We look forward to helping you find a solution to your hip problem.


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American Academy of Orthopaedic Surgeons The American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America american shoulder and elbow society international society for hip arthroscopy