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Hip Osteoarthritis

This is a common disorder, daily bread of GPs and finishing on the operating table of the orthopedic surgeon.

Most common cause is chondrocalcinosis, called also pseudo-gout.

This one is at the origin of recurring articular effusion.

In the knee, for instance, this is not a problem, as this articulation unfolds rapidly with a so-called Baker’s cyst, where the liquid gathers.

Such an outlet does not exist in the hp joint, where increasing bouts of overpressure induce femoral head necrosis.

Thus, if I consider this topic from the side of a retired practitioner, I am amazed that orthopedic surgeons do not resort to an early fenestration of the hip joint.

This is a tiny intervention where the surgeon removes simply a flap of the articular capsula.

This way the synovia will form an outlet like the Baker’s cyst in the knee.

This fenestration should be made between main ligaments, without encroaching on those as far as possible.

The contrary causes a huge inflammation with a lot of scar tissue, and outlet closes.