The hip star throat, also known as a hip reflection, has established itself as a minimally invasive procedure for certain hip problems in recent years. It makes it possible to look into the joint through small cuts and treat tissue damage at the same time. Especially in active, sporty patients or young adults who suffer from hip pain, this intervention appears at first glance as an ideal solution: less tissue dreams, shorter rehabilitation times and the joint are preserved. But these hopes are not always fulfilling - especially not in hip dysplasia.

Hip dysplasia is one of the most common innate malpositions of the hip joint and affects many people, often without noticing it for years. Over time, pain, movement problems and even osteoarthritis can occur. Many affected people then look for treatment methods that are as gentle as possible to save their hips. The hip starthroscopy (hip reflection) seems to be a promising option here - but the reality is often sobering with hip dysplasia. This post illuminates why this is the case and what alternatives are.

What is hip dysplasia?

Hip dysplasia is a malformation of the hip joint, in which the hip pan does not sufficiently covered the thigh head. This leads to incorrect pressure distribution in the joint, which favors cartilage damage, labrum damage and finally osteoarthritis in the long term.

Causes and origin

The hip dysplasia is usually innate. Common causes are genetic factors, location in the womb and certain risk factors such as a pelvic position at birth. If it is not recognized and treated early, this can lead to persistent symptoms and early joint wear.

Symptoms

Typical symptoms are:

• Groin pain, especially when moving
• First of all over mobility, then restrictions on mobility
• Crunching noises in the joint
• Feeling of instability

Individual risk factors of hip dysplasia

Not every hip dysplasia is the same. The degree of malformation, the age of the patient, the level of activity and existing companions play a crucial role. Particularly young, sporty, active patients with low dysplasia tend to consider arthroscopy - but the results are often disappointing here. Precise diagnostics, including imaging and clinical examination, is therefore essential to make the right therapy decision.

Biomechanical long -term consequences of hip dysplasia

Untreated hip dysplasia leads to excessive stress on certain joint structures in the long term. The Labrum, the cartilage and the bones themselves are exposed to increased stress. Even if arthroscopy brings relief at short notice, the basic cause remains. The risk of early osteoarthritis and ultimately a necessary hip prosthesis increases. Studies show that patients with dysplasia and arthroscopy carried out need a prosthesis on average on average than patients without dysplasia.

Conservative alternatives in the treatment of hip dysplasia

Not every patient with hip dysplasia needs an operation immediately. In early stages, targeted conservative measures can help:

• Physiotherapy to strengthen the stabilizing muscles
• Pain therapy for symptomatic relief
• Hip -centered exercises to improve biomechanics
• Weight reduction to reduce the joint load

However, the basic problem remains here too: a malposition cannot be remedied conservatively. Therefore, these measures are more suitable for delaying the operation.

Hip starthroscopy (hip reflection) - what is that?

The hip starthroscopy (hip reflection) is a minimally invasive procedure in which a camera is inserted into the joint via small cuts. So the doctor can inspect the joint and treat damage at the same time. Typical indications for hip starthroscopy are:

• Labrum damage
• Cartilage defects
• Free joint body
• Impingement (cam or pincer impingement)

Exception of the hip starthroscopy (hip reflection)

The procedure takes place in general anesthesia or spinal anesthesia. The leg is stretched slightly to enable access to the hip joint. The surgeon introduces a camera and special instruments via small cuts. He can inspect the structures in the joint and carry out treatments such as cartilage smoothing, labrum refixation or the removal of bone growths.

Advantages of hip starthroscopy (hip reflection)

• Minimal cuts: lower scarring
• Faster recovery: less tissue damage than with open operations
• Targeted treatment: direct access to joint structures

Good indications for hip starthroscopy (hip reflection)

While the hip starthroscopy in hip dysplasia often does not make sense, there are numerous other indications in which it represents an effective treatment option. This includes in particular:

• Femoroacetabulary impingement (FAI) : With this bony deformity there is a clamping between the thigh head and the hip pan. The arthroscopy can remove excess bone material and improve mobility.
• Labrum cracks without structural dysplasia : In the case of traumatic tears of the labrum, a repair can be made that restores the function of the labrum.
• Cartilage damage : Isolated, non -degenerative cartilage defects can be smoothed or treated with modern cartilage therapies.
• Free joint body : detached cartilage or bone parts can cause blocking pain and can be removed arthroscopically.
• Inner joint inflammation (synovitis) : inflamed mucous membrane can be removed, which reduces pain and inflammatory processes.

The exact indication should always be provided by an experienced specialist after a thorough clinical examination and imaging.

Why the hip star throat in hip dysplasia is often unsuccessful

Hip starthroscopy cannot fix the real problem with hip dysplasia - the inadequate bony roofing of the thigh head. Here are the central reasons:

1. Biomechanical problems remain

The lack of roofing leads to an increased load on the labrum and cartilage. Arthroscopy can smooth or remove damaged structures, but the actual cause of the incorrect burden remains. This often means that the symptoms return after a short time.

2. Degenerative Labrum damage

In the case of hip dysplasia, Labrum damage is usually not traumatic, but degenerative. The Labrum tries to compensate for the lack of roofing, making it overloaded. A removal of the Labrum can further deteriorate the stability, since the labrum fulfills an important function as a sealing ring and shock absorbers in the joint.

3. Risk of further instability

Dysplasia is an unstable joint per se. The removal of damaged tissue can increase this instability, which leads to even more pain and faster wear.

4. Inadequate long -term results

Studies show that hip artificial throats often provide worse long-term results in hip dysplasia patients. Pain and restricted movement often return because the underlying malposition remains. This often leads to further operations.

5. Stress by repeated interventions

Many patients go through further operation after an unsuccessful hip throat throscopy - often a larger, such as periazetabular osteotomy or even a hip prosthesis. This not only extends the overall treatment period, but also the physical and psychological stress.

When can hip star throats in hip dysplasia be useful?

A hip starthroscopy (hip reflection) can be useful for hip dysplasia if there are accompanying pathologies that must be treated regardless of dysplasia. Examples are:

• Impingement : If there is a cam or pincer impingement in addition to the dysplasia, excess bone material can be removed to improve mobility and relieve pain.
• Free joint body : These can cause mechanical blockages in the joint and should be removed.
• Synovitis (joint mucosal inflammation) : Inflammation of the joint inner skin can be treated by arthroscopy.

Alternative treatment options for hip dysplasia

Since the hip starthroscopy cannot fix the structural problems with dysplasia, other procedures are often more promising in the long term.

Periacetabular osteotomy (PAO)

Periazetabular osteotomy can be carried out in early stages of dysplasia. The hip pan is surgically aligned to improve the roofing of the thigh head. This stabilizes the joint and reduces the load on the LABRUM.

Short stem prosthesis

If there is already advanced osteoarthritis, a hip prosthesis is often the best option. A short -sided prosthesis is particularly useful for young patients. This receives more bone substance than conventional prostheses and enables an easier later revision if necessary.

Conclusion: hip -throat throat in hip dysplasia often not suitable

The hip starthroscopy (hip reflection) may be an effective solution in many hip problems - however, it rarely shows sustainable success in hip dysplasia. The insufficient roof of the thigh head remains and ensures that pain and instability continue to exist or even worsen. While accompanying pathologies such as impingement or free joint body can be treated arthroscopically, the actual structural problems of dysplasia can only be solved sustainably through conversion osteotomies such as the PAO or - with advanced wear - through a hip prosthesis.

Anyone who suffers from hip dysplasia should therefore get comprehensive advice from a specialist in order to obtain the best possible therapy plan.