Hip Joint Arthroscopy

  • Arthroscopy is an examination of hip joint using arthroscope.
  • Arthroscope is a tubular telescope which captures live image
  • Arthroscope is a Pencil sized optical device
  • Images are displayed on television screen
  • Arthroscope images are large in size
  • Details are magnified and easy to observe.

Arthroscopy Is Divided Into Two Sections:

  • Diagnostic and therapeutic hip joint arthroscopy
  • Diagnostic hip joint arthroscopy assist in evaluation of cause of pain
  • Therapeutic Hip joint arthroscopy is performed to treat the cause of pain

Anesthesia Used For Procedure Are As Follows-

  • General Anesthesia
  • Regional anesthesia
  • Regional epidural anesthesia
  • Regional spinal anesthesia
  • Sedation with local anesthesia

General Anesthesia-

  • Patient is completely asleep
  • Anesthesia is provided through mask placed on face or
  • Tube is placed in trachea

Regional Epidural Anesthesia

  • Epidural catheter is placed in epidural space
  • Local anesthetics is injected through catheter into epidural space
  • Local anesthetics used are: lidocaine (short acting) and bupivacaine (long acting).
  • Epidural block is also used after surgery for post op pain relief.

Regional Spinal Anesthesia-

  • Local anesthesia injected in cerebrospinal fluid (CSF)
  • Local anesthetics used are lidocaine (short acting) and bupivacaine (long acting).
  • Spinal anesthesia is used only for surgery.

Local Anesthesia with Sedation

  • Patients receives intravenous sedation
  • Local nerve block is performed while patient is sedated.
  • Skin and deeper soft tissue are injected with local anesthesia
  • 1% lidocaine or 0.5% bupivacaine between 5 to 15 ccs are injected
  • Needle used for injection is tiny and thin of 25 gauge
  • After anesthesia, skin is Prepped and covered with sterile drape
  • Marking pen is used to mark the entry point of scope

Local Anesthesia with Sedation

  • Following sedation skin and soft tissue under the marking point is anesthetized
  • Local anesthesia Lidocaine or Marcaine is used
  • Skin incision is made with sharp knife over marking area
  • Arthroscope is passed through skin into hip joint.
  • Joint is irrigated with normal saline for clear view of the joint

Following Diseases Are Diagnosed Using Arthroscope

  • Acetabular Impingement
  • Loose bodies in hip joint
  • Synovitis
  • Labrum Tear
  • Intra-capsular fracture
  • Hip Joint Dislocation
  Note: Information provided is not a substitute for physician, hospital or any form of medical care. Examination and Investigation is necessary for correct diagnosis.

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