Welcome to HipPreservation.com
Although total hip replacement is very successful in pain relief, it cannot come close to the native hip function in active people. Hip arthroscopy and open surgical dislocation of the hip joint have provided opportunities for better understanding of hip disorders and for the development of biologic reconstruction options to decrease pain and prevent arthritis.
Hip impingement (1,2) and dysplasia (3) are better recognized as common causes of hip arthritis and early results of surgical correction of these conditions have been shown to prevent arthritis.(4) Femoral head contour can be restored and maintained with medical management in the early stages of avasular necrosis of the femoral head.
Hip Preservation focuses on biologic reconstruction of hip joint with arthroscopic and open procedures to restore optimal acetabular and femoral articular surfaces and their interaction. We have experience with acetabular labral repair, periacetabular and femoral osteotomies, bone contouring, chondroplasty, femoral head bone grafting, femoral head injections with bisphosphonates, neck lengthening, and biologic resurfacing techniques.
1. Ito C. et al. Femoroacetabular impingement and the cam effect. JBJS 83B:171-6.
2. Siebenrock KA.et al. Anterior femoro-acetabular impingement due to acetabular retroversion. JBJS 85A:278-86.
3. Murphy S, Deshmukh R. Periacetabular osteotomy- preoperative radiographic predictors of outcome. Clin Orthop. 405: 168-74
4. Millis MB, Kim YJ. Rationale of osteotomy and related procedures for hip preservation: a review. Clin Orthop 2002 Dec;(405):108