Total Hip Replacement has become a successful option for those who have significant degeneration or arthritis of the hip.   Advancements in surgical approach, technology, and implant design have now allowed patients to return to an active and healthy lifestyle after Hip Replacement Surgery. During this procedure, the damaged femoral head is removed and replaced with a metal stem that is placed into the femur. It is pressed into the bone to allow for the bone to grow into it and in some cases is cemented into place.

Next, a ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed. The damaged cartilage surface of the socket is then removed and replaced with a metal socket. Screws or cement are sometimes used to hold the socket in place.   Last, a plastic liner is inserted between the new ball and the socket to allow for a smooth gliding surface.

The removal of the degenerated bone and the implantation of the artificial ball and socket joint allows for the natural anatomical motion of the hip to be restored. The durable implants serve exactly as the degenerated bones once did.

Total Orthopedics and Sports Medicine surgeons utilize a minimally invasive approach for this procedure to ensure accuracy and efficacy.  This less invasive approach allows patients to return to activities and daily routines much more quickly than with traditional surgery.

Injections of the Hip are an effective non-surgical treatment for those experiencing chronic hip pain as a result of arthritis or injury to the hip.  This injection is a needle-based procedure and requires no incision.  In most instances, only a local anesthetic is needed.

To begin this procedure, the physician will anesthetize the area and administer a local anesthetic.  Next, a contrast dye is injected into affected area.  This contrast dye allows the physician to ensure proper placement of the needle as the dye is visible using fluoroscopic (real time x-ray) guidance.

Next, a mixture of anesthetic, saline and anti-inflammatory medicine is injected around the painful joint under fluoroscopic guidance.  This mixture helps reduce the inflammation of the joint that is causing the pain.  The needle is removed and a small bandage is placed over the injection site.

Hip Injections are often an effective alternative for those looking to avoid surgery.  This procedure is performed under fluoroscopic and X-ray guidance to ensure accuracy and efficacy.

There are several different types of injections including iliopsoas tendon injections, greater trochanteric bursae injections and piriformis injections.

Hip Arthroscopy is one of the more common procedures for a variety of hip conditions.  This procedure uses one or more small incisions and small endoscopic cameras to allow surgeons to view damage to the hip joints, bones or cartilage in high definition.  Once the camera has been inserted, the surgeon uses microsurgical tools to remove damaged tissue or debris that is causing hip pain.

To begin this procedure, the surgeon will make one or more small incision around the damaged area where the pencil sized cameras and surgical instruments will be inserted.  Next, a clear sterile fluid is injected that allows the surgeon to visualize the area in greater detail.

Once the surgeon has visualized and evaluated the area, the surgeon may decide tissue or ligaments need to be trimmed or partially removed.  Small surgical instruments are inserted to remove the painful tissue or ligaments.  The incisions are closed with small stitch or sterile strips.

Total Orthopedics and Sports Medicine surgeons utilize an arthroscopic approach for this procedure to ensure accuracy and efficacy.  This less invasive approach allows patients to return to activities and daily routines much more quickly than with traditional surgery.

Hip Labral Repair is an effective arthroscopic surgical treatment for those experiencing chronic pain in the hip as a result of a torn labrum of the hip.  This procedure uses one or more small incisions and small endoscopic cameras to allow surgeons to view damage to the hip joints in high definition.  Once the camera has been inserted, the surgeon uses microsurgical tools to remove damaged tissue or debris that is causing hip pain.

To begin this procedure, the surgeon will make one or more small incision around the labrum where the pencil sized cameras and surgical instruments will be inserted.  Next, a clear sterile fluid is injected that allows the surgeon to visualize the area in greater detail.

Once the surgeon has visualized and evaluated the area, the surgeon may decide the tissue surrounding the labrum may need to be trimmed or partially removed.  Small surgical instruments are inserted to remove the painful tissue allowing the hip joints to slide back into their normal position along the labrum.  The incisions are closed with small stitch or sterile strips.

Total Orthopedics and Sports Medicine surgeons utilize an arthroscopic approach for this procedure to ensure accuracy and efficacy.  This less invasive approach allows patients to return to activities and daily routines much more quickly than with traditional surgery.

Extra bone that can cause pain and limited motion. The extra bone is simply minimized through an arthroscopic procedure. With this procedure, patients can achieve a decrease in hip pain and an improvement in function.

The specialists at Total Orthopedics and Sports Medicine utilize a variety of procedures intended to preserve the integrity and function of the hip as well as mitigate arthritic symptoms. These procedures can include:

Arthroscopic Microfracture Hip Surgery:

Hip Microfracture Surgery is often utilized in an effort to restore blood flow to a degenerative bone. The procedure involves the surgeon making 2-4 perforations into the bone in an effort to have the body trigger its natural healing response. This healing response includes the increase of blood flow as well as the body’s natural restorative cells and plasma. Research has shown that this new flood of blood and healing cells can form new healthy cartilage in the affected area.

Debridement and Removal of Loose Bodies:

This arthroscopic procedure is utilized to remove loose fragments of cartilage or bone spurs that may be causing pain or irritation of the hip. During the procedure, the surgeon will use a small camera, known as an arthroscope, to visualize the affected area of the hip. Once the loose bodies have been identified they can be removed and loose cartilage can be trimmed, if needed.

Total Orthopedics and Sports Medicine surgeons utilize an arthroscopic approach for this procedure to ensure accuracy and efficacy.  This less invasive approach allows patients to return to activities and daily routines much more quickly than with traditional surgery.

Arthroscopy is a procedure that orthopedic surgeons use to inspect, diagnose, and repair problems inside a joint. During elbow arthroscopy, the surgeon will insert a small camera called an arthroscope, into the elbow joint. The camera displays pictures on a screen which the surgeon will use to complete the procedure.

The arthroscope and surgical instruments are small and thin, allowing the surgeon to complete the procedure using very small cuts, rather than an open surgery. This results in less pain for patients, less joint stiffness, and shortens the recovery time for the patient.

Arthroscopic surgery is often the ideal choice for treating certain elbow conditions such as loose bodies, stiffness, osteoarthritis and osteochondritis dessicans. These injuries can damage the ends of the bones and cause bone spurs to develop. These can be painful and make it hard to move the elbow, to the point where this procedure is needed to regain full range of movement in the elbow.

Through a small incision in the gluteal crease, the torn hamstring can be repaired back to the bone from which it tore. Patient’s experience improvement in function and decrease in pain after this procedure.

This procedure involves the surgeon locating the site of the tear in the gluteus medius using a small camera, known as an arthroscope. Once both ends of the muscle are located, the surgeon will align them back into their natural position. Once realigned, small sutures and achors will be used to reattach both ends of the tendon in its proper location on the outside of the hip. These sutures allow for the proper functioning of the muscle as well as reduction in pain.

Over time, the fibers of the muscle will “knit” back to form one continuous muscle that is both strong and flexible.