Osteoarthritis is a very common joint disease which affects the joint as an “organ”. In other words, it affects not only the cartilage and subchondral bone, but also the synovium, capsule, ligaments, menisci and other periarticular tissues.
In approximately 95% of cases, the causes of osteoarthritis of the hip are now known:
-Biological (20%): Osteoporosis;
-Sequelae of necrosis;
-Systemic or rheumatic diseases;
-Peripheral and central neuropathies.
-Mechanical (75%): Femoroacetabular impingement (FAI);Residual hip dysplasia.
Osteoarthritis of the hip and demography
From a demographic point of view, there are two distinct groups of patients with FAI: the first one consists of middle-aged people with a mean age of 43 and a 2:1 male-female ratio, who present with early onset osteoarthritis, while the second population is younger, with a mean age of 20 and a 3:1 male-female ratio, and 70% play some kind of sport.
Patients who develop clinical symptoms of groin pain or “C-sign” pain in the hip (pain between thumb and index finger) when moving or in the sitting position (FAI) should be treated as early as possible, because there is a direct relationship between these symptoms and the onset of osteoarthritis of the hip.
At present, several advanced techniques exist to correct this condition, thus avoiding the need for a complete hip replacement at a young age and in most cases achieving a better quality of life. One such technique is arthroscopic hip surgery. Thanks to this procedure, young, active patients no longer need to endure functional limitation and pain while they wait to grow older before their problem can be resolved with the implantation of a prosthesis.
Although complex, arthroscopic hip surgery provides excellent clinical results with minimal complications and involves lower hospital and labour costs; patients are able to return to work sooner and the intervention does not preclude any other hip surgery that may be needed in the future.
Dr. Jose Ignacio Giménez
Cirugía Ortopédica y Traumatología. Cirugía Artroscópica. Traumatología Deportiva
Hospital Vithas Internacional Medimar