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  2. 2. Femur Also called the thigh bone, the femur is the bone for the upper portion of the leg. It is the longest, largest and heaviest bone of the body. Femoral head The femoral head is the top ball-like end of the femur. The femoral head fits into the socket of pelvic bone to form the hip joint. Cartilage on the head cushions the joint in the socket, allowing smooth rotation. Femoral neck The femoral neck supports the femoral head. Its length allows for maximum leverage and rotation. Pelvis Two hip bones come together to form a griddle at the bottom of the body called the pelvis. It carries and transmits weight from the upper body to lower limbs in standing or sitting positions. Each hip bone is divided into three sections. The illium, the ischium and the pubis Acetabulum This cavity in the pelvis forms the socket that holds the femoral head. Acetabular labrum Also called the acetabular lip , this soft tissue extends and forms the socket Femoral head ligament The ligament connects the femoral head to the acetabulum. Femoral Ligaments These three strong ligaments attach the femur bone to the pelvis. They stretch over the joint to strengthen and support it. SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM
  3. 3. Overview This minimally-invasive surgical procedure is used to identify and correct problems in the hip joint. Such as a torn labrum or damaged articular cartilage, that commonly result from femoral-acetabular impingement Preparation The patient is positioned so that front of the hip is clearly visible to the physician, and the area is cleaned and sterilized. Local anesthesia is administered to numb the injection site, and a sedative is provided to relax the patient. General anesthesia may sometimes be used. Accessing the Joint Two to five small incisions are made along the sides and front of the hip joint. An arthroscopic camera and other tools are inserted through these incisions . The camera allows the surgeon to view the procedure on a monitor. Examining the joint The surgeon injects fluid into the space around hip joint to expand he joint and provide a clear view. The surgeon carefully examines the joint to look for signs of damage. Repairing the joint Once the hip has been examined the physician may use one or more of the arthroscopic tools to correct any problems. Bony growth may be filled down to allow for proper joint movement. A torn labarum can be repaired with sutures or shaved down . Loose or damaged cartilage may be removed. End of Procedure and Aftercare The incisions are closed with sutures and surgical staples. The hip is bandaged. The patient will be given pain relievers and should be able to leave hospital within a day SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM
  4. 4. Overview The surgery replaces diseased and damaged portions of the hip with implants designed to restore function to the hip joint. 1.Damaged Bone Removed After the femur (thigh bone) is separated from the hip socket , the damaged ball is removed. 2.Hip Socket Cleaned Damaged cartilage and bone are removed from the hip socket. 3.Metal Shell Inserted A metal shell is pressed into the hip socket. The shell may be held in place wth bone cement and screws. 4.Liner Inserted A plastic liner is locked into the metal shell, and the artificial socket is complete. 5.Femur Prepared The surgeon now focuses on the femur implant. First , the end of the femur is hollowed out. 6.Implant Inserted The metal implant is placed into the top of thigh bone . Bone cement may be used. 7. Ball Attached A metal or ceramic ball component is attached to the stem 8.End of Procedure The new ball and sockets components are joined to form the new hip joint SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM