Thursday, April 11, 2024

Torn Labrum Hip Surgery Recovery

Why Should I Have A Labral Repair

What to Expect from Hip Arthroscopy Labral Tear Repair Surgery / FAI

Labral repair is only indicated where a definite labral tear has been confirmed on imaging and there are symptoms of pain, restricted movement and limitation in activity. Labral repair is usually found in association with femoro-acetabular impingement. Repair of such tears is a complex procedure as it involves repair of damaged soft tissue of the labrum as well as addressing the underlying impingement. This may involve removal of bone from the head / neck of the femur to prevent further impingement

Hip Scope Labral Repair

The acetabular labrum is a ring of strong fibrocartilaginous tissue lining around the socket of the hip joint. The labrum serves many functions where it acts as shock absorber, lubricates the joint, and distributes pressure equally along the weight-bearing surface. It also deepens the acetabular cavity and offers stability against femoral head translation.

A labral tear may be caused by trauma, femoroacetabular impingement , hip hypermobility, dysplasia, and degeneration. It is often associated with athletes playing sports as diverse as ice hockey, soccer, golf and ballet. Patients may have hip pain, clicking and locking of the joint and restricted range of motion. Patients may also experience dull pain on movement of the hip joint that may not subside on rest. Hip labral tear is often diagnosed with a comibination of clinical assessment and imaging studies .

First-line treatment for a hip labral tear typically consists of nonsurgical treatment including non-steroidal anti-inflammatory medication , imaging-guided hip intraarticular injection, and physical therapy. In Dr. Rices practice population, success with nonsurgical treatment approaches 40-50%, although ranges in research studies vary broadly, as low as 20% and as high as 80+%. Because there is a chance of success with nonoperative treatment, it is attempted in most patients before considering surgery.

Labral Tear Repair Surgery

Last year, my physical therapist had given me the names of two hip specialists that did great work with labral repair/reconstruction. I ended up researching both of them, and decided to go with the doctor that specialized in reconstruction, but I ended up seeing the doctor nearer to me that does both.

My new hip doctor was very conservative in his treatments, so he wasnt going to worry about releasing my IT band with the diamond incision if he didnt feel I needed it and if I didnt have trochanteric bursitis on my hip.

He double checked my MRI and there was no bursitis, so he wanted to do more conservative treatments for my left IT band, which always happened to be way better than my right IT band. My right IT band has always been a troublemaker.

One thing he also planned on doing was releasing my left psoas during the surgery if I needed it, but as it turns out, once he was in surgery, my psoas didnt need released.

Read Also: What Are The Best Vitamins To Take After Bariatric Surgery

What Risks Are Associated With Labral Repair And Reconstruction

Hip arthroscopy carries risks including:

Infection this is rare but potentially very serious, less than 1 in 1000 patients develop infection. Further surgical procedures are likely following infection of the joint and an increased risk of arthritis.

There are specific risks including residual discomfort. The outcomes from hip arthroscopy and labral repair, including that 85% of patients have improvement in symptoms, 10% can see little change in symptoms an 5% of patients can have deterioration in symptoms following surgery, usually related to underlying wear and tear arthritic change. Occasionally, the repair of the larbrum can fail requiring further surgery.

There are other risks including retained instruments which can break in the joint during surgery and there are rare reports of damage to nerves, blood vessels or fracture of the bone at the time of surgery. Traction can cause transient numbness in the groin perineum or foot, this usually resolves within a few weeks.

In addition your leg may be swollen and this is completely normal, however if your calf were to become particularly swollen with associated pain, redness and hardness however, this could be a sign of a clot and you would need to contact your GP or Stafford Suite urgently.

You may also experience spasms in the muscles around the hip in the weeks following surgery. These are perfectly normal and your physio would be able to show you how to manage them.

What Is The Difference Between A Labral Tear In A Younger Person Versus An Adult

Pin on Labral Tear Hip

When people are older, they can get labral tears just from the wear and tear of aging. But if you are talking about someone in their teens or early 20s, the injury is often the result of activity. In many cases, its also due to certain issues of anatomy, such as hip dysplasia or impingement. The majority of the patients I see have some sort of underlying issue with the shape of their hip joints.

Recommended Reading: Types Of Inner Ear Surgery

What Happens Before Hip Arthroscopy

Before your hip arthroscopy, you might need to:

  • Stop taking certain medications: Make sure you tell your provider and surgeon everything youre taking including over-the-counter medicines or herbal supplements. This is especially important if you take any drugs to prevent blood clots. Your surgeon will tell you which medications to stop or how to alter your daily routine.
  • Stop smoking: If you smoke or use other kinds of tobacco products, you should try to quit. In addition to the everyday health risks, smoking makes it harder for your body to heal after a surgery.
  • Reduce how much alcohol you drink: Alcohol thins your blood, which can make it dangerous to have in your system before and after surgery.
  • Fast: Your surgeon will tell you if you need to avoid eating and drinking anything before your hip arthroscopy. You might need to plan ahead and not eat or drink anything except water up to 12 hours before surgery.

Hip Labral Tear Recovery Timeline

Physical therapy plays a crucial role in your recovery and rehabilitation after a hip labral tear surgery. In most cases, sessions begin within the first few days after your procedure and last for 12 weeks. Throughout this time, your physical therapist will guide you through exercises that will not only speed up your recovery time but also help you regain your strength and mobility healthily.

Recommended Reading: Hooded Eye Surgery Before And After

Hip Labral Tear Surgery

If your hip labral tear is severe, or if you are still in pain after trying nonsurgical options, your doctor may recommend surgery. The most common surgery to repair hip labral tears is arthroscopic surgery. During this procedure, an orthopaedic surgeon makes several small incisions to access the hip. With the help of a special camera device called an arthroscope, the surgeon locates the labral tear and uses surgical tools to repair it.

Repairing a hip labral tear may involve removing frayed pieces of labrum, stitching the tear back together or using tissues from other parts of the body to replace a missing piece of labrum.

If your labral tear was caused by a hip impingement, the surgeon will address it by reshaping the bones of your hip joint so they glide smoothly.

Get A Raised Toilet Seat

RECOVERING AT HOME | Hip Arthroscopy Labral Repair & PAO | Post Surgery Week 2

I read something about maybe needing a raised toilet seat before my surgery. I was told I wouldnt need it but I got it anyway. I figured that I could just send it back if I didnt need it.

Well, I needed it and Im so happy I got it. Imagine going to the bathroom squatting on one leg. Thats what I had to do for 6 weeks.

Now, there are different kinds of raised toilet seats. The one I got had handlebars on the side. The handlebars were removable but I ended up needing them.

I needed something to hold on to when I sat down. Having one leg out of commission causes some major balance issues.

Read Also: How Much Does Sinus Surgery Cost

When Should I Call The Doctor About A Hip Labral Tear

While hip and joint pain usually isnt life-threatening, it can significantly affect how you live your life. Any hip or groin pain that doesnt go away after a few days should be evaluated by a medical specialist. If you have sudden or severe pain in the hip or groin, call your doctor right away.

Last reviewed by a Cleveland Clinic medical professional on 03/08/2018.

References

  • American Physical Therapy Association. Physical Therapist’s Guide to Hip Labral Tears. Accessed 5/7/2018.
  • Groh MM and Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med. 2009 Jun 2: 105117. Published online 2009 Apr 7. doi: 10.1007/s12178-009-9052-9
  • American Academy of Orthopaedic Surgeons. Hip Arthroscopy. Accessed 5/7/2018.
  • Harris JD. Hip labral repair: options and outcomes. Curr Rev Musculoskelet Med. 2016 Dec 9: 361367. Published online 2016 Aug 31. doi: 10.1007/s12178-016-9360-9

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.Policy

Get A Walker And Padded Gloves

Like I mentioned above, my Dr. only ordered me crutches. He didnt see a need for a walker. I personally didnt see a need for it until I realized how hard it was to get around on one leg.

One other thing I needed for the walker was padded gloves. My hands hurt really bad from putting so much weight on the walker. My husband actually put foam around the handles to help my wrists .

Thankfully, I was able to borrow my moms walker. I was really convinced I didnt need one so I didnt get one ahead of time. Make sure to check with your insurance about a walker, they may cover it.

  • Wheeled Walker: Designed for safety and convenience, this rolling walker features push-button mechanisms that may be operated by fingers, palms, or even the side of the hand
  • Quality Construction: Constructed from sturdy aluminum, this adult walker offers maximum strength while remaining lightweight
  • Premium Features: Our bariatric walker features 5″ wheels, a vinyl contoured hand grip, and newly designed rear glide caps that allow the wheeled walker to slide smoothly over most surfaces
  • Safe & Easy Operation: Each side of our medical walker operates independently to allow easy movement through narrow spaces and offer greater stability while standing

Don’t Miss: Lasik Eye Surgery Columbus Ohio

Find Things To Occupy Yourself

One thing you will be doing is getting rest. I thought I would be tired during my recovery so I envisioned myself sleeping all the time. I was wrong. I had a lot of energy mentally and I didnt know what to do with it.

I ended up watching a lot of TV and reading books. Youll want to be sure you have some stuff to do from a sitting or lying down position.

Thankfully, my mom came over every day during the week to help me with the kids. My husband took off 2 weeks and then went back to work. I needed my mom to occupy the kids and keep up with the house while my husband was at work.

What Type Of Pain Do Post

Pin on Pain In The Rear

Oftentimes, the pain felt after hip labral tear arthroscopy is a direct result of the surgery itself.

Even though the surgery is not an invasive one, the damage caused to skin, muscles, and tissues during surgery will need time and rehabilitation to heal properly.

Unhealed tissues can be a source of ongoing pain, so its important to follow your doctors rehabilitation protocol post-surgery and to seek the help of a doctor of physical therapy.

The experts at PRO~PT have been treating patients who have undergone hip labral tear surgery for many years, and we can help you too.

For more information about the physical therapy services we offer, .

Don’t Miss: Scratchy Eye After Cataract Surgery

How Long Will My Recovery From Surgery Take

Hip arthroscopy and labral repair recovery takes quite a long time. It is not unusual for it to be impossible to return to normal sports including football and running for between 3 and 4 months following surgery. Full recovery can take between 6 and 9 months following surgery and sometimes up to 1 year.

Labral reconstruction is a well established technique but only available at a few centers in the UK.

In a small number of cases the acetabular labrum shows more extensive damage than anticipated at the time of hip arthroscopy. Following labral resection, some patients may require a further specific procedure in order to reconstruct the labrum. This is also performed using an arthroscopic technique requiring general anaesthetic and an overnight stay. Donated tissue or the patients own tendon may be used in order to reconstruct the damaged labrum.

A complex rehabilitation program with intensive physiotherapy follows the surgery and crutches are required for approximately six weeks.

For more information, please call the office or email us at secretary@hrorthopaedics.co.uk

Hip Problems

How Long Does It Take To Recover From A Hip Labral Tear Surgery

Every patient is unique in their specific injury and recovery.

While most patients can expect to spend four months in one-on-one treatment with a physical therapist, it could take up to nine months to fully recover. Most patients should be able to return to normal activities by four to five months post-surgery.

Also Check: Hip Replacement For Labral Tear

You May Like: Knee Surgery To Get Taller

Hip Labral Tear Causes

Hip labral tears can happen to anyone. Hip labrum can tear suddenly, as a result of an impact, or gradually. Causes typically include:

  • Repetitive hip motions and hip overuse
  • Traumatic hip injuries
  • Regular wear and tear of the hip
  • Deformities of the hip joint, such as hip dysplasia and abnormal bone shape that leads to hip impingement, can increase stress on the labrum.
  • Degenerative conditions such as osteoarthritis. The relationship between osteoarthritis and hip labral tears goes both ways: The erosion of cartilage caused by arthritis can contribute to a labral tear, and a labral tear can make you more likely to develop arthritis years later.

Causes of hip labral tears may vary depending on the location of the tear. Anterior hip labral tears are usually caused by repetitive movements common in sports such as ballet, golf, football or hockey. Posterior hip labral tears are usually caused by traumatic injuries such as falls, accidents or high-impact sports injuries.

Results Of Surgical Treatment

Hip Labral Tear Repair Surgery FAI – six weeks in recovery

A number of studies have reported good short-term results following arthroscopic hip surgery. Most of these studies find that people who undergo hip arthroscopy have good pain relief in the months and years to follow surgical treatment.

Especially in patients who do not have any signs of arthritis, these results tend to hold up well over time, and people are satisfied with their treatment. This evidence certainly supports the consideration of surgical treatment, but only a few studies have actually compared if surgical treatment is better than nonsurgical treatment.

One study of about 100 military recruits who had hip labral tears randomly assigned them to either get surgery or nonsurgical treatment. Two years after treatment was completed, there was no significant difference between the groups of individuals treated surgically versus those treated nonsurgically.

That is not to say that everyone got better, it just means that an approximately equal number of patients got better with nonsurgical treatment as with surgical treatment. However, 70% of the patients who didn’t have surgery ended up undergoing surgery later.

You May Like: Central Florida Oral Maxillofacial Surgery

Physical Therapy After Hip Labral Tear Surgery: How Can It Help

Physical therapy after hip labral tear surgery is critical in a patients recovery and rehabilitation. You can expect physical therapy to begin in the first few days following your surgery and last up to 12 weeks.

A physical therapist will not only speed the recovery process, but theyll also ensure that youre healing properly and regaining your strength and mobility.

What Are The Advantages Of Hip Arthroscopy

Hip arthroscopy is much less invasive than other types of surgery. Your surgeon will likely only need a few small incisions to fix the underlying issue in your hip. This means you should experience:

  • A faster recovery time.
  • Less pain after the surgery.
  • Minimal blood loss and scarring.
  • Lower risk for complications compared to more invasive surgery techniques.

Recommended Reading: How Does Penis Enlargement Surgery Work

Hip Labral Tear Symptoms

Hip labral tears cause similar symptoms regardless of the type of tear. But where you feel the symptoms may change depending on whether the tear is in the front or the back of the hip labrum.

Hip labral tear symptoms include:

  • Pain in the hip, groin or buttocks, especially as you walk or run, and sometimes at night when you sleep.
  • Hip stiffness or limited range of motion
  • A clicking or locking sensation in the hip joint when you move

Some labral tears of the hip may cause no symptoms, and can go unnoticed for years.

Hip Labral Tear Surgery Minimally Invasive Arthroscopy

Arthroscopic Hip Surgery Labral Tear Recovery

If a patient has not experienced relief with the aforementioned nonsurgical options, the overseeing medical professional may recommend torn labrum hip surgery. In the past, open surgeries were often used to treat hip labral tears. Today, minimally invasive arthroscopic procedures are used, offering patients faster recovery times as well as less post-operative pain and swelling compared to open techniques. During arthroscopic hip labrum surgery, a series of small incisions are made around the hip joint. A small camera is inserted through one of these incisions to give the surgeon visual access to the joint. Next, a series of surgical instruments are inserted to remove frayed or damaged portions of the labrum. Excess bone growths and loose fragments may also be shaved or removed from the area to allow the hip joint to operate smoothly during activity. For patients who are suffering from labral tears resulting from osteoarthritis of the hip, treatment will focus on restoring function to the arthritic joint. In instances of severe hip osteoarthritis, your doctor may recommend hip labrum surgery, or partial or total joint replacement.

Also Check: Are You Awake During Cataract Surgery

Latest news
Related news