Specialized Hip Care in Colorado Springs

Hip Preservation Surgery

Colorado Springs Orthopaedic Group

Your hips support your body and help you walk, move, exercise, and perform everyday activities. Hip pain can develop from an injury, overuse, arthritis, or other conditions and may gradually limit your mobility and quality of life.

CSOG provides comprehensive care for a wide range of hip conditions, from sports injuries and tendon problems to arthritis, fractures, and degenerative joint conditions. Treatment may include physical therapy, medications, injections, activity modification, minimally invasive procedures, or hip replacement when appropriate.

Our specialists focus on finding the underlying cause of your symptoms and determining the most appropriate treatment for your needs. Whether you require nonsurgical care or advanced surgical treatment, our goal is to relieve pain, improve mobility, and help you return to the activities you enjoy.

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What is Hip Preservation Surgery?

The hip is a ball and socket joint comprising of the femur (thigh bone) and the pelvic bone. The head of the femur (ball) articulates with a cavity (socket) called the acetabulum in the pelvic bone. To facilitate the smooth and frictionless movement of the hip joint, the articulating surfaces of the femur head and acetabulum are covered by spongy articular cartilage. Injury, wear-and-tear and certain diseases can result in the wearing away of the cartilage tissue, causing painful rubbing of bones. Hip replacement surgeries have long been the choice of treatment, where the damaged parts of the joint are removed and replaced with a prosthesis. However, in young active patients, the prostheses are highly prone to wear-and-tear, and the need for repeat surgery. Hip preservation is a surgery that overcomes the limitations of joint replacement.

What are the Indications for Hip Preservation Surgery?

Some of the conditions indicated for hip preservation surgery include:

• Femoroacetabular impingement (FAI): friction in the hip joint from abnormal bony irregularities
• Hip dislocation: head of the femur moves out of the socket
• Hip dysplasia: A congenital hip condition characterized by a shallow acetabulum
• Labral tear: tear or separation of the labrum, a cartilaginous ring that surrounds the socket and seals the hip joint
• Avascular necrosis: disrupted blood flow to the hip joint, causing the death of bone tissue

What is the Procedure for Hip Preservation Surgery?

Hip preservation surgery includes various techniques:

Periacetabular Osteotomy

Periacetabular osteotomy is a surgical procedure to treat hip dysplasia. This involves cutting the acetabulum from the pelvic bone and repositioning it with screws to allow for a better fit of the femoral head. The procedure reduces pain, restores function and prevents further deterioration of the hip joint, thereby increasing the life of the hip joint and postponing total hip replacement.

Surgical Hip Dislocation

Surgical hip dislocation is a surgical technique that involves the dislocation of the hip joint during surgery to facilitate easy access to the inside tissues of the hip joint. It helps your surgeon to clearly view and treat abnormalities present deep into the hip joint.

Femoral Osteotomy

An osteotomy is a surgical procedure that involves cutting and reshaping of a bone. The femur is cut at the end close to the hip joint and realigned so that it forms a normal angle. This improves the distribution of force placed on the joint and prevents wear-and-tear of the cartilage.

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 arthroscopy is a surgical procedure performed through very small incisions to diagnose and treat various hip conditions.

The various hip preservation surgeries for severe hip pain and dysfunction in young and active patients have been found to be beneficial, and also avoid or delay the need for hip replacement surgery.