. . SPORTS MEDICINE : MEDICAL: SURGERY : HIPS: Hip Replacement - Less Invasive Surgery May Prevent the Need . . Hip Replacement - Less Invasive Surgery May Prevent the Need By Dr. Scott Levin Sep 22, 2011 - 9:38:41 AM Health News Digesthttp://www.healthnewsdigest.com/news/Surgery_540/ Hip_Replacement_-_Less_Invasive_Surgery_May_Prevent_the_Need.shtml
. A shorter URL for the above link: . http://tinyurl.com/3brzge2 . .According to the National Institute of Arthritis, Musculoskeletal and Skin diseases more than 231,000 hip replacement operations are performed each year in the United States. But are all of these surgeries necessary and what other alternatives are available for people suffering with hip pain?
.Hip arthroscopy is a less invasive outpatient procedure that may be a viable alternative to open surgery for some patients, notes Dr. Scott Levin, leading sports medicine doctor with Somers Orthopaedic Surgery & Sports Medicine Group. Because the incisions are so small, arthroscopy is usually less painful, less costly, and affords a quicker recovery time than open surgery, which requires an inpatient stay in the hospital, adds Dr. Levin. It can decrease soft tissue trauma and blood loss, resulting in a faster recovery period compared to a more invasive open surgery. Plus, the majority of scientific studies found the rate of complications to be less than five percent.
.The procedure allows a doctor to look at the inside of a joint and the surrounding soft tissue through a thin viewing instrument called an arthroscope. It can be used to diagnose a joint problem, perform surgery that repairs a joint problem, remove a loose or foreign body, or monitor a disease or the effectiveness of a treatment.
. Little pain and much gain .According to Dr. Levin, arthroscopy may even eliminate or at least postpone the need for hip replacement surgery. Current metal and plastic implants deteriorate and will eventually need to be replaced. Because arthroscopy can delay hip replacement, implants are likely to be made of better, more organic material that wont suffer the same degradation by the time a patient needs hip replacement.
.Arthritis of the hip causes a gradual loss of cartilage and alters the chemical composition of the joint fluid, he explains. This leads to irritation of the lining and fraying of the joint, causing further inflammation and fraying. Since arthroscopy staves off this damage, it may eliminate the need for an implant altogether.
Who is an ideal candidate? .Hip arthroscopy is usually performed for non-arthritic hip pain and sports hip injuries in younger patients: the ideal age range is 15 to 55 years old. However, the science is rapidly advancing; arthroscopy is arguably the most rapidly growing field in orthopaedic surgery. According to the American Academy of Orthopaedic Surgeons, the number of hip arthroscopies performed will double by 2013.
.According to a study led by researchers at Rush University Medical Center in Chicago, the results of which were presented at last years annual meeting of the American Orthopaedic Society for Sports Medicine, the procedure may give athletes another opportunity to resume their sport back at their pre-injury level of competition. The studys 47 patients were diagnosed with femoroacetabular impingement (FAI), a condition that occurs when the femoral head of the thigh bone rubs abnormally against the acetabulum, or cup-like socket of the hip joint. This rubbing results in damage to the rim of the hip socket as well as the cartilage that covers the hip bones. In examining high-level college and professional as well as high school varsity athletes, researchers determined that 78 percent of athletes suffering from FAI were able to return to their sport within an average of a little more than nine months following a hip arthroscopy. Also, 90 percent of the athletes were capable of competing at the same level as they had prior to their impairment.
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