This excellent research paper demonstrates poorer outcomes, following keyhole surgery of the hip if there is also underlying cartilage damage. The MRI scans can give us some indication, but the only way off truly determining the extent off synovial cartilage damage is during keyhole surgery(arthroscopy) itself. This is graded using the Outerbridge scoring system (from 0 to 4), with grade 4 changes representing areas of exposed bone. This paper highlights the importance of addressing cartilage damage, as well as hip impingement and torn labrum when performing hip arthroscopy. The rehabilitation is different and may take longer if cartilage regeneration surgery is also performed.

“My mother required a total hip…

My mother required a total hip replacement due to advanced osteoarthritis. She was understandably anxious regarding the procedure and wanted to ensure she was seen by an excellent Surgeon. Working as a musculoskeletal physiotherapist myself I have worked closely with numerous Orthopaedic Consultants and for me Parag was the outstanding clinician I recommended to carry out the procedure. My mother is now 12 weeks post op and is back walking 7,000 steps + daily and now has her life back. My mother cannot speak highly enough of Parag and wanted to highlight his kind and reassuring bed side manner, clear explanations of the whole process from start to finish and compassionate nature throughout. My mother was taking daily pain medication and struggling walking. She is now is now back walking across Hampstead Heath and getting back to activities she previously loved. I have worked with Parag rehabilitating many of his patients. I know the incredible results his patients have post surgery as I have seen them first hand hence why he was the first person I suggested my mother go to see. I continue to see many of Parag’s patients for Physiotherapy and would highly recommend any patient seeking an orthopaedic opinion on any knee / hip pathology to see Parag Jaiswal. He is an outstanding Surgeon!”