Hip arthroscopy and the surgical drapes applied. The next step is to insert a fine needle under x-ray guidance into the hip joint. This breaks the 'suction seal' of the joint and allows further distraction if necessary (see fig 4). The surgeon wishes to see the ball move out the socket by approximately 1 cm, so that access to the hip joint can be achieved with minimal risk of damage to the joint surfaces. Most surgeons will inject fluid into the joint at this stage, again to ensure that there is enough space between the ball and socket for safe instrument access.
Hip replacement or to erode the acetabulum. Hip resurfacing is an alternative to hip replacement surgery. It has been used in Europe for over seventeen years and become a common procedure. Health-related quality of life measures are markedly improved and patient satisfaction is favorable after hip resurfacing arthroplasty. The minimally invasive hip resurfacing procedure is a further refinement to hip resurfacing. Current alternatives also include viscosupplementation, or the injection of artificial lubricants into the joint. Use of these medications in the hip is off label. The cost of treatment is typically not covered by health insurance organizations. Some believe that the future