Hip pain can make simple activities like walking, climbing stairs, or sitting for long periods uncomfortable. For many people, non-surgical treatments such as rest, physiotherapy, and medication are not always enough. In such cases, hip arthroscopy may be recommended as a minimally invasive solution.
This article explains what hip arthroscopy is, why it is performed, how the procedure works, and what recovery looks like.
What is Hip Arthroscopy?
Hip arthroscopy is a surgical procedure that allows doctors to look inside the hip joint using a small camera called an arthroscope. The camera sends images to a monitor, giving the surgeon a clear view of the joint.
Through small incisions, specialized instruments are inserted to repair or remove damaged tissue. Unlike traditional open surgery, arthroscopy requires only small cuts, leading to quicker recovery and less scarring.
According to the American Orthopaedic Society for Sports Medicine, hip arthroscopy has become one of the fastest-growing orthopaedic procedures, with more than 25,000 surgeries performed annually in the U.S.
Conditions Treated With Hip Arthroscopy
Hip arthroscopy can help with several joint problems, including:
- Femoroacetabular impingement (FAI): Extra bone growth that causes friction in the joint.
- Labral tears: Damage to the ring of cartilage (labrum) that helps stabilize the hip.
- Cartilage injuries: Worn or damaged cartilage causes pain and stiffness.
- Loose fragments: Small pieces of bone or cartilage floating in the joint.
- Snapping hip syndrome: A tendon snapping across the joint, irritating.
- Hip dysplasia: A shallow hip socket that may lead to instability.
These issues can cause pain, stiffness, and limited movement. Arthroscopy provides a way to treat them without large surgical cuts.
Signs You Might Need Hip Arthroscopy
Hip arthroscopy is usually recommended when symptoms do not improve with non-surgical care. Common signs include:
- Ongoing hip or groin pain
- Pain that worsens with activity
- Clicking or catching sensations inside the hip
- Limited movement or stiffness
- Pain that interferes with sitting, walking, or sports
Doctors usually confirm the need for arthroscopy with scans such as MRI or CT before recommending surgery.
How the Procedure Works
Step 1: Preparation
The patient is given anesthesia so they are comfortable during surgery. The hip joint is gently widened using traction to make space for the instruments.
Step 2: Camera Insertion
A small camera is placed inside the joint through a tiny incision. This gives the surgeon a clear view on a screen.
Step 3: Repair
Depending on the problem, the surgeon may:
- Smooth out excess bone causing impingement
- Repair or trim a torn labrum
- Remove loose fragments
- Treat cartilage damage
Step 4: Closure
The instruments are removed, and the small cuts are closed with stitches or tape. The entire surgery usually takes one to two hours.
Benefits of Hip Arthroscopy
Hip arthroscopy has several benefits compared to open surgery:
- Smaller incisions and less visible scarring
- Less post-surgical pain
- Lower infection risk
- Shorter hospital stays (often same-day discharge)
- Faster return to normal activities
A 2018 Journal of Bone and Joint Surgery study found that 85–90% of patients experienced significant improvements in hip pain and function after arthroscopy.
Possible Risks
Although hip arthroscopy is considered safe, no surgery is completely risk-free. Possible complications include:
- Infection
- Blood clots
- Nerve or blood vessel injury
- Stiffness in the hip joint
- Persistent pain if the arthritis is advanced
Fortunately, studies show complication rates are less than 2%, making hip arthroscopy one of the safest orthopaedic procedures.
Recovery Timeline
Recovery varies depending on the condition treated and the patient’s overall health.
First 2 Weeks
- Crutches may be needed to limit weight on the hip.
- Pain and swelling are managed with medication and ice.
- Gentle physiotherapy starts early to restore movement.
Weeks 3–6
- Gradual return to walking.
- Strengthening exercises introduced.
2–3 Months
- Most daily activities are possible.
- Low-impact exercise, such as cycling and swimming, is encouraged.
4–6 Months
- Many patients return to running and sports.
- Athletes may need up to 6 months before full competition.
The British Journal of Sports Medicine reports that 80% of athletes return to sport within 6 months following hip arthroscopy.
Who Benefits Most From Hip Arthroscopy?
The procedure is most effective for:
- Patients under 50 with hip pain that doesn’t improve with non-surgical treatments
- People with labral tears, FAI, or cartilage injuries
- Patients with little to no arthritis
Those with advanced arthritis may benefit more from hip replacement instead of arthroscopy.
Cost of Hip Arthroscopy
The cost of hip arthroscopy depends on the surgeon, hospital, and insurance.
- In Australia, the procedure generally costs $6,000 to $12,000.
- Medicare and private health funds may cover part of the cost.
It’s best to confirm fees with your surgeon and insurer before scheduling surgery.
Preventing Hip Injuries
While not every hip injury can be prevented, certain habits reduce risk:
- Maintain a healthy body weight
- Strengthen muscles around the hips and core.
- Stretch regularly for flexibility.y
- Avoid repetitive high-impact activities without proper conditioning.
Choosing the Right Specialist
The experience of the surgeon plays a key role in successful outcomes. An expert in minimally invasive techniques can ensure accurate diagnosis, effective treatment, and proper rehabilitation.
For patients in Western Australia, consulting highly experienced orthopaedic surgeons Perth provides access to advanced care and tailored treatment options.
Conclusion
Hip arthroscopy has become an important solution for people with hip pain that doesn’t respond to other treatments. It is less invasive than traditional surgery, offers quicker recovery, and provides excellent long-term results for many patients.
If you are struggling with persistent hip pain, discussing hip arthroscopy with a qualified specialist may help you return to normal activities and prevent further damage to your joint.
