Hip Labral Repair
Arthroscopy is a minimally invasive surgery technique. A few small incisions are made around the joint to allow a camera and various instruments to pass through. These instruments are used to visualize anatomic structures and insert anchors in the bone with sutures that are used to secure the labrum back to the bone. The bone at the site of the labral reattachment is abraded to release stem cells from the bone, which promote healing.
A hip arthroscopy is a minimally invasive procedure that includes creating 2-3 small incisions (roughly 0.5 inch each) around the hip joint. These small portals allow a camera to enter the joint for visualization of anatomic structures as well as tools to repair any injured structures. The capsule that surrounds the hip joint is cut between the two portals to allow the instruments to move around the joint without causing cartilage damage. The areas of extra bone are debrided to eliminate the bony impingement. A diamond-tipped bur is used to create some bleeding bone at the site of the labral tear. The labrum is repaired by passing a nonabsorbable suture around the labrum and loading it into an anchor that is inserted into the rim of the acetabulum (socket). This securs and stabilizes the labrum against the rim of the bone, promoting an environment for the labrum to heal back to the bone. The capsule is closed back together with nonabsorbable sutures. The incisions are closed and sterile dressings applied.
- This surgery is most often performed under general anesthesia with a spinal block, but can be performed with a spinal and sedation. Local anesthetic is also injected to help with pain control after surgery.
- This surgery can be done outpatient or inpatient, depending on the patient’s comfort level and assistance at home.
- Surgery typically lasts 2-2.5 hours.
- Patients will be provided crutches at a preop appointment before surgery and will need to bring these to surgery
- The incisions will be closed with a layer of absorbable suture and a layer of non-absorbable suture with dressings that can usually be removed 2-3 days after surgery.
- Patients who have persistent pain and activity limitations despite more conservative treatment with physical therapy and anti-inflammatory pain medication
- Patients with minimal to no arthritis
- Patients are usually less than 60 years of age
- Patients who want to improve their quality of life and get back to sport or activities
Regaining full hip function typically takes 6 months after surgery. Patients are to be non-weightbearing for 2 weeks, which requires use of an assistive device such as crutches or a walker. At 2 weeks, patients can usually transition to full weightbearing, but it is recommended that they still use the crutches or walker for another 2 weeks to remind them not to twist or pivot on the operative leg. Twisting or pivoting while bearing weight with the foot on the ground is not recommended until 4 months after surgery. Physical therapy will start 2 weeks after surgery and will continue for 3-4 months. Physical therapists follow a protocol outlined by Dr. Faulkner to help regain range of motion and strength. Physical therapy and home exercises are a critical part of a patient’s outcome and quality of life after surgery. The patient should plan on being seen in clinic about every 6 weeks for 4-6 months after the surgery for close monitoring and to ensure any questions are answered.
Hello! My name is Jodaun Dotson and I had the honor of being named Team
Captain of the Aurora Rangeview Basketball team that won 2019
Colorado State Championship. After the season, I went to Colorado Orthopedic Consultants to see what was causing some pain in my hip. After consultation with Dr. Faulkner, it was clear that surgery was needed. Dr. Faulkner and his staff were fantastic throughout the entire procedure and my family couldn't have been more pleased with the results of the surgery and the care we received. As a young athlete, it's scary to go under the knife, but their attention to detail and clear explanations of what I could expect made me confident that they'd have me back on track to resume competing in the sport I love in no time. The surgery (hip arthroscopy and labral repair) went well. Dr. Faulkner was able to clean up the area and repair the damage, and at this point, I have no pain and am back to running, jumping, and cutting like before. I highly recommend Dr. Faulkner and his staff at Colorado Orthopedic Consultants!
Hip arthroscopy and labral repair
After nearly a year of trying to figure out what was going on with my body, I was finally referred to see Dr. Faulkner and Cara... and they had all the answers! I underwent a hip arthroscopy to fix my FAI and labrum. I'm only 4 months out of surgery, but am already enjoying being pain-free and more mobile!
hip arthroscopy, CAM and subspine decompression, labral repair
You should avoid placing weight on your operative leg by using crutches or a walker to maintain your restrictions for 2 weeks after surgery. At that time, you will most likely be allowed to start placing full weight on the operative leg, but should still use crutches or a walker for another 2 weeks.
You should not drive for 6 weeks if the operative leg was your right leg. If the operative leg was your left leg, we recommend not driving for at least a few days after surgery and as long as you are no longer taking any narcotics.
A prescription for a narcotic will be given to you at your preoperative appointment. Dr. Faulkner or his PA, Cara, will review instructions for this medication and what other over the counter medications can be taken to control pain. Risks and side effects will also be discussed.
You will typically start physical therapy 2 weeks after surgery.
TED hose are worn to prevent blood clots in the legs. These should be worn for several hours a day for two weeks after surgery.
You should take a daily Aspirin for two weeks after surgery to prevent the risk of blood clots. If you have a personal history of blood clots or other risk factors, Dr. Faulkner or his PA, Cara, may prescribe a stronger blood thinner.
You may shower 48 hours after surgery. The dressings placed over the incision may be removed. You may get the incisions wet at that point, but should not soak them in water until the wounds have completely healed.