The treatment approach depends on the symptoms experienced, the age and activity level of the patient, the pattern and extend of arthritic lesions, among other factors. Conservative options are the mainstay of treatment and include rest, activity modification, anti-inflammatory medication and steroid injections which have a diagnostic and therapeutic value. For patients with persistent pain and/or functional limitations, co-existing pathology like impingement or labral tears, and no extensive arthritis, minimally invasive arthroscopic surgery of the hip can be considered. Surgery involves carefully trimming down cartilage lesions, also known as chondroplasty. On some occasions a micro-fracture procedure may be considered to stimulate some cartilage regeneration in the defect, by making tiny holes in the bone and allowing bone marrow healing elements to access the cartilage defect. Associated procedures for labral tears or impinging lesions are often necessary to ensure surgical success. In the setting of extensive cartilage damage, hip replacement is the procedure of choice.
At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka will thoroughly evaluate your hip condition and discuss your options. If surgery is indicated, Dr. Aboka specializes in minimally invasive, Hip Arthroscopy for the treatment of localized cartilage damage in the hip joint.
This procedure is outpatient/same-day surgery, and leads to improvement or resolution of pain, and minimal scarring and quicker recovery.