Dr. Peatman's Hip Scope Patient Information
The hip joint is formed by the round head of the femur and the cup (or acetabulum) of the pelvis. The labrum is analogous to a gasket around the hip joint which helps stabilize the hip. A tear in the labrum may result when the hip joint tries to dislocate forcefully, or may develop from repeated stress to the hip joint over time. A boney anomaly known as a "pistol grip deformity" or osteophyte formation of the neck of the femur may predispose the labrum to early degenerative-type tearing. When the labrum is torn the hip joint may be quite painful.
Surgery to repair a torn labrum is performed arthroscopically to debride away torn labral tissue and boney malformation, predisposing the labrum to further tearing. Rehabilitation following labral debridement surgery is minimally restrictive with an anticipated return to full activity 12 weeks after surgery.
Before Your Surgery
You will be seen in the office 1-2 weeks before surgery. At this pre-op visit you will examined one final time before surgery. Any lab work or tests necessary before surgery will be ordered and you may be instructed to obtain medical clearance from your primary doctor. We will obtain consent for surgery and take the time to answer any questions you may have. We will also give you your post operative pain medications and a prescription for post-op physical therapy if indicated at this visit.
Day of Surgery
- Report as instructed to the surgery center
- The anesthesiologist will meet with you to discuss management of your pain during surgery and immediately after surgery
- You will have sutures placed and a dressing applied to your hip at the end of surgery
- When you are stable in the recovery room you will be released to go home
Post-Op: Day of Surgery / Back At Home
- Cold therapy and rest
- Take pain medication as instructed
- Do not remove dressings for 48 hours – keep wounds clean and dry
- Weight bearing with crutches
Post-Op: Day 1
- Continue ice
- Begin CPM machine 0-90 degrees as tolerated
- Begin “circle exercises” of the hip in full extension and with the knee bent
- Begin ROM exercises of the hip and knee 3-5 times per day
- Begin quad sets and straight leg raises
Post-Op: Days 2–7
- Remove dressings after 2 days and replace with clean dry dressing – leave steri strips in place
- You may shower, but do not soak in water
- Continue crutches
- Continue CPM machine, ice, and ROM exercises
- Make a follow up appointment with Dr. Peatman for 7-10 days following your surgery date
Post-Op: Weeks 1–3
- You will be seen in the office for a post operative visit post op day 7-10. At this time your wound will be checked as will your ROM. Any external sutures will be removed.
- Continue pain medicine as prescribed. You should require less and less pain medication transitioning to over the counter pain relievers.
- Continue ROM exercises and early strengthening exercises
- You may discontinue CPM when you have reached 90-100 degrees of flexion
- You may begin driving when you no longer require pain medication and when your quadricep's function returns
Post-Op: Weeks 4–12
- You will be seen in the office approximately one month after surgery
- You may be referred to physical therapy if needed
- You may begin progressive lower extremity strengthening exercises
- You may begin flat surface jogging by 10–12 weeks post-op.
- You may begin sport-specific training by 10–12 weeks post-op.
- You may return to high impact activity after 12 weeks when cleared by your doctor.
Webster Orthopedics | 80 Grand Avenue #400 | Oakland, CA 94610
Clinic Phone: 510-238-1200 | Appointments: 800-943-8099