Surgical Technique
"Hip Distractor Positioning System" and "Leg holder"
"Hip Distractor Positioning System" and "Leg holder"
Hip Repair Surgical Instruments and Dissolvable Implants
Hip Repair Surgical Instruments and Dissolvable Implants
Patient draped in the O.R.
Patient draped in the O.R.
The surgical setup and technique for advanced hip arthroscopy are complex. Special equipment is required for this procedure and most facilities do not have this expensive and complex equipment available. Routine arthroscopy (eg. for knee or shoulder or elbow surgery) requires the use of a 30 degree camera lens on the periscope tools, but in hip arthroscopy, as special 70 degree lens is required. Very few surgeons learn to perform surgery with this special lens and since it requires different spatial and technical skills, most surgeons won't.
Unlike arthroscopy for other joints, arthroscopic hip surgery requires the patient to be put into a special position and table so the hip joint can be distracted (opened) to insert the camera. This is not an easily learned skill because the hip joint is very tight and deep. There are a lot of nerves and arteries in/around the hip joint that require a unique understanding of the anatomy very important. This is one reason why Dr. Hyman continually re-familiarizes himself with hip anatomy by dissecting cadaver hips and teaching surgical anatomy courses.
The surgery generally takes 1-2 hours to complete, depending upon the complexity of the procedure. As you'll see in the animations, the procedure generally involves 2-3 small punctures placed at the lateral aspect of the hip. A camera is inserted and the joint damage is assessed. Injured tissue is treated and repaired and before and after photos are taken. Dissolvable sutures are placed in the skin and bandages are applied. Patients are taken to the recovery room and TED hose stockings are applied for protection against extremely rare blood clots. An ice pack is applied and when the patient is recovered (usually in 1-2 hours) family or friends take them home after this outpatient surgery.
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I would like to thank you sincerely for the great care that you have provided me. I am deeply grateful to both of you and all your wonderful clinic and hospital team.
Dr. Hyman diagnosed my problem right away. I had surgery a couple of months later and now after 2 years I feel like a new person.
Since Dr. Hyman operated on my left hip I’ve been able to walk better, longer, and with better ease than I could ever imagine.
I thank God every day that I had that surgery since I have finally gotten rid of the pain that has kept me awake at night for years.
I appreciate you taking the time to educate me about my injury. I also appreciate the kindness and professionalism of the entire staff at Atlanta Sports Medicine.
Thank you so much from the bottom of my heart. For the first time in approximately a year and a half I am pain free.
I appreciate the attentive, professional care and could not envision a better experience. I truly am thankful to be under your care.
People who care. Expertise that matters.