Hip arthroscopy is a surgical procedure that's used to diagnose and treat hip joint problems such as impingement (catching). It's much less invasive than open surgery, which means people generally recover more quickly and are less likely to suffer from surgical complications.
Arthroscopy is a surgical procedure that allows a surgeon to look at the interior of a joint without having to make a large, invasive incision in the skin.
This type of surgery is performed using a device called an arthroscope. These devices are medical instruments that can be inserted into small skin incisions. They typically consist of a long tube, with a tiny light and camera at one end. The other end of the device connects to a screen. When the arthroscope is inserted into a joint, the light and camera are used to capture images of the interior of the joint. These images are transmitted onto the screen, which allows the surgeon to see the inside of the joint very clearly.
Arthroscopy is useful as a diagnostic tool because it allows a surgeon to view the bones and tissues of a joint clearly, without having to perform invasive surgery. It's also useful for other kinds of surgery, which the surgeon performs with miniature medical instruments in addition to the arthroscope.
Hip arthroscopy is often recommended for a patient who has a painful hip problem that doesn't respond positively to non-surgical treatment options such as rest, anti-inflammatory medication, and physical therapy. Some examples of such problems include infection or inflammation of the hip joint, bursitis, and impingement of the hip bone.
Bursitis of the hip is a condition in which structures called bursae become swollen. A bursa is a small sac filled with fluid. There are several located around the hip joints, where they provide soft cushioning for ligaments, tendons, and muscles that are close to the bone. Normally they function smoothly and without pain, but if one or more bursae are inflamed, they can become very painful.
Impingement, which also goes by the name femoroacetabular impingement, or FAI, is a disorder caused by abnormal bone growth. In FAI, abnormal deposits of bone grow in places such as the head of the femur bone. This overgrowths of bone, known as spurs, cause damage to the tissue that surrounds the hip bone, and can also be very painful.
If these conditions don't respond to non-surgical treatments, arthroscopic surgery is an effective treatment method that's minimally invasive, with a short recovery time. During the arthroscopic procedure, the affected leg is put into traction. This allows the surgeon to have easy access to the hip joint so that incisions can be made and the arthroscopic instruments inserted. Next, the surgeon uses the images the arthroscopic camera sends back to the video screen as a guide for performing the surgery. For instance, depending on the procedure, the surgeon might remove inflamed bursae, trim off bone spurs, or trim away damaged tissue.
The recovery time for this kind of surgery is minimal, due to the small size of the incisions that are made, as well as the size of the instruments used. In arthroscopic surgery the absolute minimum amount of cutting is done, so there is less for the body to heal.
Even so, it's still normal to have some pain after this kind of surgery, and to spend a small amount of time in hospital. Depending on the nature of the surgery, some people may be able to go home the same day, or the next day.
I am writing to thanks you & your staff fro the wonderful work you did on my hip repllacement. It is so nice not to be in constant pain and it's enjoy able to go for a walk now & not dread it as before. I can't thank you + the staff at the cavell hospital enough.
After years of arthritic pain, steroid injections, physiotherapy and arthroscopy (which actually made things far worse)... I now feel like a new woman thanks to the knee surgery you performed last month - I have no doubt this is due in no small part to your skill as a surgeon. The wound healed quickly, recovery has been rapid, without any complications and the scar is neat and beautifully stitched!!
Having recently undergone a full left knee replacement I am 100% satisfied with everything Mr Saksena and his team at The Cavell provided. I was given plenty of advice both before and after my surgery, which was very reassuring. My recovery has been rapid with minimal pain and within 8 weeks I had full extension and 130 degree flexion back in the knee. I wouldn't hesitate to recommend Mr Saksena as an orthopaedic surgeon.
I had a total knee replacement with Valgus Deformity 7 weeks ago, and this gave the surgeon extra work to do, I only have good things to say about this surgery and after care with all staff involved at Chase Farm Hospital, as in my experience I have heard a lot of good and bad things about this type of surgery, Well I can only say that if anyone has concerns about this please try not to worry it is worth while as it has given me a new lease of life to what I had before, and yes the first 2 weeks are the worse, but please do try your exercises, because as they say you only get the real benefit if you are prepared to do your bit. Thanks very much for my new lease of life yet again.
I was very fortunate to be referred to Mr Saksena as an NHS patient and was very impressed with the treatment and care provided by Mr Saksena and the whole team at Cavell Hospital. Once discharged, someone was always available to talk to you and an appointment was made immediately if you needed to see a nurse (which I did several times, due to a normal discharge from my wound). The entire staff were all friendly, cheerful and efficient. The scar is very neat and after 7 weeks I am walking well and just using a stick outdoors.
I would like to just sincerely thank you for the job you did on my knees, both of them. Before I had my knees replaced I was in constant pain, which had been the case for nearly 5 years. It was so bad that I often wondered what the use was in living! Now, nearly 2 years later, I feel I have my life back. I can now walk without pain and every single day, and I mean every single day, I walk the roads that I walked pre-operations and I remember the pain that I was in for every small distance I had to walk. Now, I walk with a smile on my face and a thrill in my heart, so very grateful for having the freedom to enjoy walking once again. I also have great fun going with the grandchildren to the park and playing with them, which before the operation was impossible as all I could do was basically sit and supervise them. So there too there is a huge change.
You did a total knee replacement on my right leg on 22nd March in the Kings Oak Hospital and it has been very successful. I am now almost pain free with the knee getting stronger each day. I would like to thank you and your excellent medical team for doing such a neat job. I would also like to thank the wonderful nurses at the hospital who were always cheerful and efficient.
In September 2014 I underwent a knee replacement operation. Mr Saksensa was an amiable professional with a calming influence and caring nature. His team were friendly and supportive. My knee replacement was a complete success and I am still enjoying my favourite sport of skiing.
You performed a partial meniscectomy at Highgate Hospital in late april. I would like to thank you for your hardwork; the problem has been entirely resolved and I am pretty sure that is down to the procedure rather than the passage of time as the condition persisted during the prior two months. Some part of that is surely down to your skill.