1. Can I avoid hip surgery?
In many cases, surgery can be avoided by treating your pain or injury with non-operative measures. This may include activity modification, physical therapy, oral anti-inflammatories and pain medication, or injections, such as cortisone or PRP (Platelet-Rich Plasma).
2. Could I be a candidate for hip arthroscopy?
If you have hip pain or have sustained a hip injury, and do not have severe arthritis, you may be a candidate for hip arthroscopy. Through arthroscopic procedures, it is possible to repair labral tears, femoro-acetabular impingement, cartilage injuries, instability, snapping hip, gluteus medius tears and many other injuries.
3. How do I find a surgeon who can perform a hip arthroscopy?
There is a fairly small selection of orthopedic hip or sports surgeons around the country who specialize in hip arthroscopy. These select few surgeons have dedicated many years to a fellowship in hip arthroscopy, and perform a high volume of procedures. Since hip arthroscopy is a highly-technical procedure, it is critical that the surgery be performed by an expert. American Hip Institute Research Foundation is dedicated to performing hip arthroscopy at the highest level. AHI continues to train evolving and advanced surgeons to be leaders in the field of Hip Arthroscopy and Preservation.
4. What is the recovery like, for those who’ve had hip arthroscopy?
Hip arthroscopy is generally an outpatient procedure, with fairly minimal postoperative pain. Most patients begin recovery by riding a stationary bicycle and beginning physical therapy the day after surgery. Patients can return to work as soon as two to three days after their procedure, depending on their procedure and occupation.
5. Can I get back to sports after hip arthroscopy?
High-level athletes and recreational athletes go through an intense rehabilitation and physical therapy course after surgery, gradually increasing their workout intensity. Athletes can expect to return to playing sports between three to six months after surgery.
6. Is hip arthroscopy proven successful?
There are more than 300 published studies on successful techniques and treatments in hip arthroscopy. This provides overwhelming evidence in the role of hip arthroscopy for treating injuries of the hip.
7. I have dysplasia. What do I do?
Dysplasia is a potentially serious congenital abnormality in which the acetabulum, or socket, of the hip is too shallow. Dysplasia should be evaluated by a surgeon specializing in Hip Preservation. In cases of mild dysplasia, hip arthroscopy may be possible. More severe cases should be treated with an open surgery, known as a peri-acetabular osteotomy (PAO) .
8. How do I decide between hip resurfacing and hip replacement?
Hip resurfacing Hip resurfacing has significant advantages for highly-active males under 60 years old. Hip resurfacing has the advantage of conserving more of the hip’s bone and reproducing your native anatomy. Hip replacement has advantages in women and those who will not place extremes of activity demand on their hip after surgery. Dr Domb and his team will educate you to decide which surgery is right for you.
9. Can my injury be treated with PRP?
Platelet-Rich Plasma (PRP) is an injection of growth factors and platelets extracted from your own blood. PRP has shown great promise in stimulating repair of body tissues including tendons, ligaments and cartilage. It has been used extensively in professional athletes who need to return to sports quickly. If you have a problem involving a tendon, ligament or joint, PRP may be a nonsurgical option.
10. What is robotic hip replacement?
Robotic hip replacement is performed with the MAKO Surgical Robot, a specialty surgical robot which works with the surgeon to allow increased surgical precision. Greater precision can mean lower complication rates, decreased risk of hip dislocation and a longer-lasting hip replacement.
11. What is minimally-invasive hip replacement?
Minimally-invasive surgery refers to both small incisions and the avoidance of any disruption of the soft tissues, such as muscles and tendons. Procedures of this type typically involve decreased postoperative pain and may allow for a quicker recovery. The direct anterior approach and mini-posterior approach are both minimally-invasive techniques.
12. How do I decide between robotic and minimally-invasive hip replacement?
You don’t have to. A robotic replacement can be performed through a minimally-invasive approach.