Hip Preservation

The hips are essential for our body's movement and stability. If a hip issue is not detected and treated, it might progress to hip disease and severe deterioration. According to research, early intervention treatments such as hip arthroscopy and periacetabular osteotomy (PAO) can postpone or avoid severe arthritis, which eventually leads to hip replacement surgery.

Hip Preservation therapies address a variety of hip disorders, including femoral acetabular impingement (FAI), hip dysplasia, and labral tears, which can occur at any age, from young children to teenagers, active people, and elders.

What causes hip pain?

The hip and pelvic joints, bones, muscles, and ligaments are carefully balanced, yet they can wear out over time.Many reasons might cause hip discomfort or hip issues, prompting people to seek medical attention from an orthopedist. Various factors, such as

• Faulty bone architecture,
• Trauma,
• Age can cause gradual arthritic changes.

The improvement of diagnostic technologies such as magnetic resonance imaging (MRI), as well as novel minimally invasive procedures including hip arthroscopy, has significantly altered the diagnosis and management of hip problems.

What problems may be addressed with Hip Preservation?

Hip preservation techniques are effective for conditions such as

1. cartilage injury,
2. developmental hip disorders,
3. femoroacetabular impingement (FAI),
4. hip dysplasia (DDH, CDH),
5. hip instability,
6. labral tears,
7. Legg-Calve-Perthes (LCP) disease,
8. post-traumatic hip disorders,
9. sports-related injuries,
10. slipped capital femoral epiphysis (SCFE).

We provide treatment to alleviate hip discomfort and maintain the joint.

• Utilize cutting-edge minimally invasive surgical procedures to speed up recovery and eliminate the need for larger surgeries.
• Offer joint-preserving treatments for young, active adults with hip discomfort to restore function.
• Use advanced imaging and testing to accurately diagnose early hip disease and prescribe appropriate therapy.

Diagnosing Hip Problems

The diagnosis is critical to the establishment of your treatment strategy. When assessing hip disorders, we evaluate your age, activity level, treatment objectives, and priorities. We also assess the anatomy and structure of the hip joint, as well as your movement mechanics. The condition of your cartilage is also taken into account since this is an important factor in establishing your candidacy for hip preservation treatment.

Advanced imaging procedures, such as X-rays, MRIs, and 3D CT scans, are utilized to accurately diagnose conditions.

Once we've determined the root cause of your hip problem, we'll create a treatment plan aimed at restoring the structure and function of your hip joint, preventing additional damage, and reducing or eliminating pain.

We then take the time to properly explain this strategy to ensure that you understand your diagnosis, planned therapy, and expected recovery time. This guarantees that you have all of the information necessary to make an educated decision about your treatment.

Treatment Options:

Patients with good cartilage and underlying structural reasons for hip discomfort can get several surgical treatments. The purpose is to repair abnormalities associated with hip joint anatomy, including bones and soft tissues, to avoid future cartilage.

After reviewing your medical history and performing a complete physical examination, your physician will often recommend a choice of therapy options based on the underlying cause of the pain. These possibilities may include:

• Hip arthroscopy is a minimally invasive procedure that treats deep hip joint abnormalities, including cartilage loss, labral tears, and femoroacetabular impingement (FAI).
• Surgical hip dislocation is an open procedure that removes the hip joint from its socket without compromising blood flow to treat severe abnormalities and cartilage damage.
• Periacetabular Osteotomy (PAO; Ganz osteotomy) is an open operation that reorients the hip socket to better cover the head of the femur, especially for dysplastic (shallow) hips.
• A femoral osteotomy is an open operation that alters the form of the femur to enhance gait mechanics.
• Core decompression is a minimally invasive technique for treating avascular necrosis (AVN or osteonecrosis) in the hip, knee, shoulder, and ankle.
• Repair abductor tendon (gluteus medius/ minimus) tears using arthroscopic and open methods around the hip.
• Advanced cartilage repair and restoration using arthroscopic and open procedures to address hip problems.