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General

Unlike arthroscopic knee and shoulder surgery, hip arthroscopy has seen advances only in the last few years thanks to the development of new surgical instrumentation. With the hip joint surrounded by a thick wall of soft tissue, mostly muscle, the joint space cannot be reached as easily as in the knee or the shoulder.

 
 
 

To create enough space to manoeuver the arthroscope and surgical instruments, the femoral head must be pulled out of the socket, thereby necessitating a special extension table. A general anaesthetic ensures that the muscles are sufficiently relaxed. As with arthroscopic knee and shoulder surgery, there are various points of access to the hip joint and the surgical instruments are frequently shifted from one portal to another in order to reach remote parts of the joint.

 

Liquid is also used when operating on the hip to facilitate the use of motor-driven instruments on the synovium, cartilage and bone. On completion of surgery, the tiny portals are closed with steri strips. In the majority of cases the patient is pain-free after surgery and very often the pain previously experienced is gone instantly. A patient being treated for arthritis of the hip must use crutches for 2 to 3 months to allow the replacement cartilage to grow out and mature. This technique, known as "abrasion arthroplasty", has been used at the Alpha Klinik with great success for more than 20 years. So far over 5,000 such knee operations have been performed for severe osteoarthritis.

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