Hip treatment at Boston West Hospital


Your hip is a major weight bearing joint and as such it is one of the largest joints in your body. It’s made up of a hip bone and a socket, cartilage, muscles and ligaments.

Hip surgery is regularly carried out if you have hip arthritis or a hip fracture. It aims to relieve the pain that these conditions can bring.

Our well renowned and experienced hip surgeons perform day-case surgery including hip arthroscopy at Boston West Hospital, and hip resurfacing, replacement or revision surgery at our nearby sister hospital, Fitzwilliam Hospital, that provides comfortable overnight accommodation as required.

Our patients have access to modern diagnostic services at Fitzwilliam Hospital. There are dedicated and professional physiotherapy facilities at Boston West Hospital.

Hip arthroscopy

Hip arthroscopy is keyhole surgery that is used to diagnose and treat many hip conditions including:

  • Loose bodies – these will be removed during hip arthroscopy.
  • A labrum tear – this can be trimmed or repaired.
  • Hip impingement syndrome – otherwise known as femoroacetabular impingement (FAI). It happens when the bone or cartilage rub and pinch each other and cause premature wear. The bony bumps can be trimmed.
  • Torn or damaged cartilage due to an injury – the cartilage may be re-attached or new cartilage growth stimulated.
  • Synovitis – joint lining has thickened and can be trimmed.
  • Snapping hip syndrome – bony spurs that cause tendons to flick across them can be removed.
  • Hip joint infection – the infection can be drained away.

It involves inserting a tiny telescope with a camera and light on the end inside your hip joint. Your hip surgeon can then see inside your hip through a monitor or eyepiece and diagnose your condition and often treat it at the same time.

Hip replacement surgery

Hip replacement surgery is performed on patients with a damaged or worn out hip joint that is caused by osteoporosis, rheumatoid arthritis or an injury, for example a hip fracture. It may be recommended if your pain is severe and relentless and is impeding your daily life.

The procedure is performed under general anaesthetic or epidural anaesthesia. It involves removing your thighbone head and socket and replacing them with a prosthetic hip joint. The artificial joint can be made of metal, ceramic or plastic. Your hip surgeon will discuss the procedure in depth with you as well as your prosthetic options.

Your new joint should relieve your hip pain and offer you better joint functionality so that you can walk around easier.

Hip revision

Occasionally following a hip replacement your hip pain returns. This may be because your hip replacement is worn out or you’ve injured it. Typically, a hip replacement lasts ten to twenty years.

Hip revision surgery involves your hip surgeon repairing or replacing part, or all, of your artificial hip. After surgery your pain will be relieved and you should be able to move around easier again.

Pre- Operative Joint School

All patients undergoing knee or hip replacement are encouraged to watch this short video before their operation. It summarises some key points from the joint replacement booklet you will receive at your pre-assessment appointment.

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