Our Summary

This research paper discusses various aspects related to hip preservation surgery, specifically focusing on conditions like cam and pincer deformities and femoroacetabular impingement. These conditions can cause hip pain and limit movement. The paper explores the use of hip arthroscopy, a minimally invasive surgical procedure used to diagnose and treat problems in the hip joint. The study also delves into labral repair and reconstruction - treatments for a type of cartilage called the labrum found in the hip joint. In addition, the paper discusses capsular management, which refers to the treatment of the capsule, a type of connective tissue that surrounds the hip joint. In essence, the study seeks to provide insights on various surgical techniques and procedures used to treat hip joint issues and preserve its functionality.

FAQs

  1. What is a labral repair and reconstruction?
  2. What is the role of hip arthroscopy in labral repair?
  3. What are cam and pincer deformities in relation to hip preservation surgery?

Doctor’s Tip

After labral repair surgery, it is important to follow your physical therapist’s instructions for post-operative rehabilitation to ensure proper healing and to prevent re-injury. It is also important to avoid high-impact activities that could put stress on the hip joint. Be sure to communicate any pain or discomfort to your doctor during the recovery process.

Suitable For

Patients who are typically recommended labral repair are those who have been diagnosed with femoroacetabular impingement (FAI), a condition in which there is abnormal contact between the femoral head and acetabulum of the hip joint. This can cause damage to the labrum, the cartilage that lines the rim of the hip socket, leading to pain, stiffness, and limited range of motion in the hip joint.

Labral repair may also be recommended for patients with other hip conditions such as cam deformity (an abnormal shape of the femoral head) or pincer deformity (an overcoverage of the acetabulum), as these structural abnormalities can also contribute to labral tears and hip pain.

Overall, patients who are experiencing persistent hip pain, clicking or catching sensations in the hip joint, and limited mobility despite conservative treatments such as physical therapy may be candidates for labral repair surgery. It is important for patients to undergo a thorough evaluation by a hip preservation specialist to determine the best course of treatment for their specific condition.

Timeline

Before labral repair:

  1. Patient may experience hip pain, stiffness, and limited range of motion.
  2. Patient undergoes imaging tests such as X-rays, MRI, or CT scans to diagnose the labral tear and assess the extent of the damage.
  3. Patient may undergo conservative treatments such as physical therapy, medication, or corticosteroid injections to manage symptoms.
  4. If conservative treatments are unsuccessful, the patient may be recommended for hip arthroscopy to repair the labral tear.

After labral repair:

  1. Patient undergoes hip arthroscopy surgery to repair the labral tear.
  2. Patient may experience pain, swelling, and stiffness in the hip following the surgery.
  3. Patient undergoes post-operative rehabilitation, including physical therapy, to improve strength, flexibility, and range of motion in the hip.
  4. Patient gradually returns to normal activities and sports, with regular follow-up appointments to monitor progress and address any concerns.
  5. Patient may experience improved hip function and reduced pain after the labral repair surgery.

What to Ask Your Doctor

  1. What is a labral repair and why is it recommended for me?
  2. What are the potential risks and complications associated with a labral repair surgery?
  3. How long is the recovery process after a labral repair surgery?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. How successful is a labral repair in relieving symptoms and improving hip function?
  6. Are there any alternative treatment options to consider before opting for a labral repair surgery?
  7. How long will I need to be off work or restricted in my activities after the surgery?
  8. What can I do to help promote healing and prevent re-injury after the surgery?
  9. Are there any long-term implications or considerations I should be aware of after a labral repair surgery?
  10. How often will I need follow-up appointments or monitoring after the surgery?

Reference

Authors: Nho SJ, Ukwuani G, Harris JD. Journal: Front Surg. 2017 Jun 1;4:29. doi: 10.3389/fsurg.2017.00029. eCollection 2017. PMID: 28620606