Treatment

Hip Arthroscopy: Repairing Femoroacetabular Impingement

Choose a preferred language

When excess bone has formed on the edge of the ball (femoral head) or the socket (acetabulum) of the hip, it's called femoroacetabular impingement (FAI). FAI can cause pain and limit movement. Arthroscopy can fix FAI with only small incisions and special tools.

Cross section of hip joint showing abnormal bump of excess bone on ball of thighbone and on lip of socket.


In the operating room

Just before surgery, you may be asked several times which hip is to be treated. This is a standard safety measure. In the operating room, you will likely receive general anesthesia to make you sleep.


During the procedure

After you receive anesthesia, your leg is gently pulled to distract, or widen, the hip joint. Next, the surgeon makes a few small incisions. These are called portals. The surgeon puts surgical tools, including the arthroscope, through these portals. The arthroscope sends images of the joint to a video screen. These images let the surgeon see inside the joint. The joint is filled with sterile fluid to help the surgeon see more clearly.


Treating FAI

To treat FAI, the area is reshaped by taking out excess bone. Excess bone can be taken from the socket side or ball side of the hip joint, or both. FAI can lead to cartilage problems, such as labral tears or chondral damage. If present, these problems are also treated. Once the surgeon is done, they close and bandage the portals. Then you are taken to the recovery room.

Closeup of arthroscope tip in hip joint and burr removing excess bone.Cross section of hip joint showing excess bone reshaped from femoral head and lip of socket.

Online Medical Reviewer: Rahul Banerjee MD

Online Medical Reviewer: Stacey Wojcik MBA BSN RN

Date Last Reviewed: 03/01/2025

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Suitcase Icon

Learn More About Health Services at PIH Health

Expert care for every stage of life. Explore the comprehensive services offered at PIH Health.

Explore Services
Newspaper Icon

Get Health Tips & Updates

Sign up for helpful health information, wellness tips and news from PIH Health, delivered straight to your inbox.

Subscribe
Related Articles
Read article
Orthopedics
Hip Arthroscopy: Labral Tears

Arthroscopy can be used to repair tears in the strong, flexible ring of cartilage attached to the edge of the hip socket, called the labrum.

Read article
Orthopedics
Splints and Casts

Splints and casts are used to help support and protect a variety of bone and soft tissue injuries. They keep an injured area from moving.

Read article
Orthopedics
Achilles Tendon Repair Surgery

Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon. Learn more about the surgery, including why you might need it, what the risks are, how to get ready for it, and what happens during and after the surgery.

Read article
Orthopedics
Femur Fracture Open Reduction and Internal Fixation

Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken femur. Read on to learn what to expect before, during, and after this surgery. 

Stethoscope Icon

Personalized Care Starts with the Right Provider

Search by specialty, location, and more.

Find A Doctor
Appointments Icon

Make an Appointment

Your health can't always wait. Schedule an appointment with a PIH Health provider.

Schedule an Appointment
Cross Icon

Find a PIH Health Urgent Care Location

Need care today?. Find the nearest PIH Health Urgent Care location.

Find Urgent Care