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Hip Cartilage Repair

Cartilage repair is usually performed by arthroscopy, also referred to as keyhole surgery or minimally invasive surgery.

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What is Hip Cartilage Repair?

Cartilage repair is usually performed by arthroscopy, also referred to as keyhole surgery or minimally invasive surgery. During the surgery, loose fragments, small bone pieces, and cartilage floating within the joint are removed. Areas of excess bone growth are trimmed and a torn labrum may also be repaired depending on the extent of the injury. Surgery is opted to treat cartilage injuries when the non-surgical options are ineffective and pain persists.

Tests and Diagnosis

Your physician will conduct all the routine blood tests to rule out infection. You will be asked to take certain tests to determine the cause of your hip pain. Aspiration of the hip joint is rarely done to diagnose or rule out infection. Your surgeon will assess your cartilage damage based on the following diagnostic results.

Symptoms
Medical history
Physical examination
Radiological techniques: X-rays and Magnetic resonance imaging (MRI) may also be ordered to evaluate the labrum.
Types of Hip Cartilage Repair Surgery

There are several different types of surgical procedures to reinstate the cartilage. Some of the following treatment options are listed below.

Arthroscopy: Hip cartilage repair is usually performed by arthroscopy. This involves the use of an arthroscope, a narrow tube with a tiny camera attached to the end, to assess the hip cartilage damage. Your surgeon will make 2 to 3 small incisions around the hip joint. The arthroscope is gently inserted through one of the incisions and the camera attached to the arthroscope helps visualize the hip joint on a monitor. A sterile solution is then pumped into the joint to clear the view and increase the space for surgery. Specifically designed instruments are inserted through the other incisions. After the completion of the surgical procedure, the arthroscope is removed and incisions are closed.

Other arthroscopic surgeries recommended to manage cartilage injuries include:

Microfracture surgery: This surgery involves stimulating the formation of new articular cartilage by drilling many tiny holes in the bone underneath the damaged cartilage. This results in blood clot formation within the damaged cartilage, stimulating the growth of new cartilage known as fibrocartilage. The fibrocartilage formed is different from the normal hyaline cartilage, but it can provide substantial improvement in the symptoms.

Risks and complications:

As with any surgery, there are maybe some risks that occur when undergoing a microfracture procedure such as:

Bleeding
Infection
Increased stiffness
Breaking down of newly formed cartilage