Hip arthroscopy in Berlin (centre)

Hip arthroscopy

In modern hip surgery, most joint-preserving operations are now carried out using joint endoscopy (arthroscopy), in this case hip arthroscopy in Berlin (Mitte).

It is a surgical procedure that is very gentle on soft tissue. A thin camera and a working instrument are inserted into the hip joint through two small skin incisions, each approximately 1 cm long.

A few years ago, large skin incisions were necessary to surgically access the hip joint, but today most joint-preserving operations can be carried out using this procedure. The hospital stay is approximately two days.

bony shape changes of the joint partners

Irregularities in the shape of the two joint partners (femoral head and socket) lead to premature joint wear and chronic injuries to the soft tissue joint structures due to the narrow bony guidance of the hip joint.

The shape disorder can originate from the femoral head (cam impingement) or from the joint socket (pincer impingement).

in Berlin There are often mixed forms of the above-mentioned types of impingement.

The deformity of the joint partners (FAI impingement) is now the most common cause of wear and tear and premature osteoarthritis of the hip.

Treating chronic changes in the soft tissue structures is possible and can prevent premature joint wear or, if signs of wear already exist, delay further progression of osteoarthritis. Your orthopedist in Berlin (Mitte) can even carry out bony changes to the femoral head and femoral neck and, with slight restrictions, to the joint socket arthroscopically.

Damage to the joint lip (labrum tear)

Injuries to the joint lip cause severe, often stabbing pain in the groin and/or hip. The cause of a labrum injury is often acute dislocation of the hip joint or chronic repetitive damage (femoroacetabular impingement). Sports that involve wide hip movements – such as soccer, karate or ballet – offer intense potential for a sports injury.

With the help of arthroscopic surgery on the shoulder joint, suturing, denervation or smoothing or partial resection of the labrum can be carried out. If the findings are very severe, the joint lip is even replaced with the body's own tissue.

Injury to the femoral head ligament (ligamentum capitis femoris tear)

The causes are joint dislocations and subluxations. Pain is often reported to be “deep in the hip” with a partial burning, squeezing quality. After resection or partial resection of the femoral head ligament, the patient is often immediately free of symptoms.

loose joint bodies – chondromatosis

Joint blockages and entrapments are symptomatic.

The reasons for their development are, for example: B. Impact trauma, coxarthrosis, diseases of the mucous membrane.

In chondromatosis, a benign joint tumor, a large number of loose joint bodies occur.

beginning coxarthrosis

In the early stages of any osteoarthritis, even if there is already severe pain, the time of endoprosthetic care can be delayed. However, if osteoarthritis is advanced, arthroscopy should no longer be performed.

unclear hip pain

Even with ultrasound diagnostics and magnetic resonance imaging, severely painful diseases of the hip joint sometimes remain hidden from pre-surgery examination methods. In unclear cases, a test infiltration of the joint with a local anesthetic under X-ray control provides crucial information. If there is no symptoms afterwards, the cause of the symptoms should be looked for in the joint. Hip arthroscopy in Berlin (Mitte) discovers and eliminates the cause of the symptoms.

Pelvic adjustment operations - minimally invasive periacetabular pelvic osteotomy (PAO) for severe hip dysplasia

Femoral head necrosis (Insufficient blood flow to the femoral head)

With the help of a minimally invasive procedure, the blood flow to the poorly supplied femoral head is improved. Occasionally the procedure is combined with hip arthroscopy. However, often only a small skin incision of approx. 1 to 3 cm is necessary along the side of the hip.

If you have any questions about hip arthroscopy in Berlin (Mitte), please call us at 030 / 22 60 53 000 in our practice for orthopedics and sports orthopedics.