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Information by Dr Chuck Cakic
Edited for the website by Lorraine Melvill


Patient Information Sheet

Many hip disorders that are now manageable using an arthroscopical technique, previously went undetected and therefore untreated. Arthroscopy is now an option for many patients who would have been forced to live with their symptoms and modify their lifestyles accordingly. Hip arthroscopy became an essential tool in the treatment of many hip disorders.

However, evaluation of each patient is the most important factor. The condition of each patient has to be assessed individually, in order to ascertain whether the source of pain and symptoms is intraarticular and thus potentially manageable by arthroscopical surgery.

Indications for hip arthroscopy are numerous: loose bodies, labral tears, degenerative conditions, chondral injuries, femoroacetabular impingement, osteochondritis dissecans, synovial diseases, rheumatoid arthritis and similar conditions, ligamentum teres ruptures, impinging osteophytes, medial joint OA, adhesive capsulitis, joint sepsis and unresolved hip pain.

Arthroscopy is also described as a method of treatment of some extraarticular conditions such as: iliopsoas release, iliopsoas bursectomy, trochanteric bursitis treatment and priformis release.
Correct patient selection is the key to a successful outcome. Selection criteria include pathology, clinical circumstance as well as proper patient preoperative education, and informative consultation in order that the patient will have reasonable expectations of the postoperative outcome.

The purpose of this study is to present the results of arthroscopical hip surgery performed by a single surgeon between 2001 and 2006.

During this period of time, arthroscopical surgery of the hip was performed on 145 patients.

I order to perform the functional analysis of the procedure, the UCLA functional scale was used. On the functional score from 1 to 10, preoperative score in average was 3, at 6 weeks patients assessed themselves in average at level 7. At 3 months assessment as well as on 6 months follow up was at the level 8.

Hip arthroscopy is successful surgical tool for treatment of many previously undiagnosed conditions, with high percentage of subjective feel of improvement in symptoms compared with the preoperative status.


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