We Treat

Hip Surgery

Over time the hip sees a lot of wear and tear to the cartilage. Eventually, due to injury, arthritis, or another congenital disease, that loss will need to be repaired surgically. You can count on Los Angeles Bone and Joint Institute to work with you before and after the surgery to make sure you understand the pre- and post-surgery process, including recovery and physical therapy.

Hip Replacement Surgery: Anterior Approach

Anterior Hip Replacement is a minimally invasive hip surgery to replace the hip joint without cutting through any muscles. This procedure involves a small incision in front of the hip, anterior, as opposed to an incision on the side or back of the hip. It is referred to as a muscle sparing surgery because no muscles are cut to access the hip joint enabling a quicker return to normal activity.

Benefits

Potential benefits of anterior hip replacement compared to the traditional hip replacement surgery, may include the following:

• Small incision
• Reduced blood loss
• No post operative restrictions
• Faster mobilization
• Reduced risk of post operative hip dislocation
• Decreased hospital stay

Hip Replacement Surgery: Posterior Approach

Posterior hip replacement is traditionally the most common approach used to perform total hip replacement. In posterior hip replacement, the incision is at the back of the hip close to the buttocks.

Indications

Hip replacement is indicated in patients with arthritis of the hip joint, when the articular cartilage that covers the joint surface is damaged or worn out causing pain and inflammation. Some of the causes of arthritis include:

Revision Hip Replacement

Revision hip replacement is performed to address instability, repeat dislocation, leg length discrepancy, infection, loosening of previous hip replacement, and wear of prior hip replacement parts.

Hip Arthroscopy Surgery

Hip arthroscopy, or “hip scope,” is a minimally invasive procedure in which an arthroscope(camera) is used to examine the inside of the hip joint.

This procedure allows the surgeon to diagnose the cause of hip pain or other problems in your joint. Some hip conditions may also be treated arthroscopically.

Hip arthroscopy may be indicated for the following reasons:

• Debridement of loose bodies: Bone chips or torn cartilage debris cause hip pain and decreased range of motion and can be removed with hip arthroscopy
• Repair of torn labrum: The labrum lines the outer edge of the “socket” or acetabulum to ensure a good fit. Tears can occur in the labrum causing hip pain
• Removal of bone spurs: Extra bone growth caused by injury or arthritis that damages the ends of the bones cause pain and limited joint mobility
  Femoro-acetabular Impingement (FAI)