Hip labral and torn hip labrum repair

Hip labral and torn hip labrum repair

Labral repair of the hip is a surgical procedure that repairs a torn labrum in the hip joint. The labrum is a ring of soft elastic tissue that follows the outside rim of the socket of your hip joint. The labrum plays a critical role in stabilizing your hip. It deepens the socket and provides a seal, or gasket, that securely holds the ball at the top of your thighbone (femur) in place. A common cause of hip pain, a torn labrum can result from congenital abnormalities of the hip bones, wear-and-tear repetitive motions, acute injury from a high-impact sports accident (such as in football or hockey) or a motor vehicle accident.

Hip labral tears can cause symptoms of severe pain and inflammation in the hip joint and may eventually lead to early degenerative arthritis. 

Surgery

When nonsurgical treatments such as activity modification, physical therapy, anti-inflammatory medications and, possibly, injections of steroid or viscosupplements (lubricating fluids) have failed to alleviate the painful symptoms of a torn labrum, your orthopaedist may recommend a state-of-the-art surgical procedure:

Hip arthroscopy surgery

This minimally invasive procedure often is performed to repair hip labral tears. Your orthopaedic surgeon uses very small incisions and fiber optic technology to see inside the hip and repair the problem areas. An arthroscope is inserted in one incision, and very thin surgical instruments are inserted into one or more of the other incisions. The arthroscope is a small tube, thinner than a pencil, containing a system of lenses, a light and a small video camera. The camera sends real-time images to a video monitor next to the operating table, thus allowing the surgeon to make precise movements with the special surgical instruments.

Thanks to the miniaturized camera, the surgeon can see more detail than could be seen with a larger incision (open surgery) and the naked eye. Your surgeon debrides (surgically removes damaged tissue) and repairs the torn hip labrum and any associated problems in the hip.

The benefits of arthroscopic hip surgery for hip labral repair versus traditional open surgery are smaller incisions, less pain, a shorter hospital stay, faster healing and returning to normal activities sooner.

The multidisciplinary team of joint replacement experts at Northwell Health Orthopaedic Institute performs labrum repair of the hip surgery as well as nonsurgical and surgical treatments for a broad range of conditions that affect the bones, joints, connective tissues, tendons and ligaments. 

Animated video: Diagnostic hip arthroscopy

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