Hip arthroscopy is a surgical technique that allows us to access the hip joint with an optical lense that displays the inside of the joint on a screen. This technique is very useful for revision, diagnosis and treatment of problems affecting the femoral head, acetabulum of the pelvis and even pathologies around the joint.
In young patients, one of the major diseases that cause pain, stiffness, limited mobility and function of the hip is femoroacetabular impingement known as FAI. This condition is a biomechanical problem described by Dr. Reinhold Ganz in the late twentieth century. This prestigious professor described how the deformity affected both the femur and the acetabulum, causing a space problem within the joint and and thus hindering mobility, especially in flexion combined with hip rotations. Sporting activities, with high demand such as dancing, football or martial arts in their different disciplines, are examples of sports where extreme movement of the hip joints lead to deformities and pain as is the case with FAI.
The major problem caused by this impingement is the development of osteoarthritis of the hip, this happens as the impingement progressively destroys the acetabular labrum and cartilage of the hip.
With hip arthroscopy we can now assess the degree of impingement, damage to soft tissue and bony parts of the hip, and also treat tears in the labrum with sutures as well as the correction of cartilage lesions and bone deformities.
Today it is well accepted by the scientific community that the correction of femoroacetabular impingement with arthroscopic techniques in patients with symptoms of pain or stiffness, not only improves the symptoms, but also avoids or at least delays the progression to osteoarthritis of the hip.