The Hip Preservation Center at Texas Orthopedic Hospital includes a team of orthopedic specialists with a specific interest in hip preservation. For cases in which conservative measures have failed to treat the problem, our fellowship-trained hip preservation surgeons can address your problem with the latest techniques of hip arthroscopy.

Arthroscopy, also referred to as keyhole or minimally invasive surgery, is a procedure in which an arthroscope is inserted into a joint to check for any damage and repair it simultaneously. Hip arthroscopic surgery can be used to treat a hip labral tear, femoroacetabular impingement (FAI), or routine and complex cases.

Hip arthroscopy labral repair

A hip labral tear is an injury to the soft elastic tissue around the hip joint called the labrum, which helps to hold the ball of your femur in place.

The arthroscopic procedure is performed using a narrow tube with a camera, called an arthroscope. Small incisions are made over your hip to reach the damaged labrum. The arthroscope is inserted through one of the incisions to provide your doctor with a clear view of the damage. Miniature instruments are then inserted through the other incisions to repair the tear.

Depending on the extent and position of the tear, the labrum may be repaired with sutures (refixation) or the torn portion removed (debridement). In some cases, a labrum reconstruction is performed to build a new labrum with a graft.

FAI hip arthroscopy

Femoroacetabular impingement (FAI) is a condition where there is too much friction in the hip joint from bony irregularities causing pain and decreased range of hip motion. The femoral head and acetabulum rub against each other creating damage and pain to the hip joint.

Conservative treatment options refer to management of the problem without surgery. Nonsurgical management of FAI will probably not change the underlying abnormal biomechanics of the hip causing the FAI but may offer pain relief and improved mobility.

Conservative treatment measures include:

  • Rest
  • Activity Modification and Limitations
  • Anti-inflammatory Medications
  • Physical Therapy
  • Injection of Steroid and Analgesic into the Hip Joint

When conservative treatment measures fail to provide relief to the patient, surgical treatment such as hip arthroscopy to repair Femoroacetabular impingement is indicated.

Awards & Recognition

U.S. News & World Report

  • High Performing in Hip Replacement (2020-2024)
  • High Performing in Knee Replacement (2020-2024)
  • High Performing in Hip Fracture (2021-2024)
  • High Performing in Spinal Fusion (2021-2024)


  • Ranked #1 in Texas for joint replacement 3 Years in Row (2022-2024)
  • Outstanding Patient Experience Award™ for 4 Years in a Row (2021-2024)
  • Patient Safety Excellence Award™ for 12 Years in a Row (2013-2024)
  • Five-Star Recipient for Spinal Fusion Surgery for 4 Years in a Row (2021-2024)
  • Five-Star Recipient for Outpatient Back and Neck Surgery in 2024

Blue Cross Blue Shield

  • Blue Distinction Center+ for Knee and Hip Replacement
  • Blue Distinction Center+ for Spine Surgery

The Joint Commission

  • Gold Seal of Approval for Advanced Total Hip and Knee Replacement Certification (2019-2026)