Hip Preservation Institute

Hip preservation is a field of orthopedics focusing on treating hip pain in adolescents and active young adults to prevent the development of early arthritis. Hip preservationists use special X-ray views, advanced MRI, low-dose CT and 3D reconstructions to identify abnormal hip mechanics that can cause pain, cartilage damage and labral tears. A combination of arthroscopic and open hip procedures are used to address the abnormal anatomy and damaged cartilage.

Rediscover pain-free movement

Hip Preservation Institute uses a comprehensive, multi-disciplinary approach to provide personalized, non-surgical and minimally-invasive surgical care to relieve hip pain, restore function and prevent long-term deterioration.

Located within Monument Health Orthopedic & Specialty Hospital, our physical therapists, non-operative sports medicine physicians and fellowship-trained hip preservation surgeons are a dedicated team of experts that specialize in hip preservation and treatment.

Hip Dysplasia

Adolescent hip dysplasia is a condition where the hip socket incompletely develops, resulting in a shallow hip socket. Since the socket does not adequately cover the femoral head, extra force is put on the cartilage and labrum. Acetabular is one of the common causes of the development of early arthritis in females.

TREATMENTS
A Periacetabular Osteotomy (PAO) is used to reorient the hip socket to improve hip joint biomechanics. Improvement in the orientation of the hip socket reduces stress on the cartilage and labrum. The goal of a PAO is to prevent hip arthritis and decrease activity related hip pain.

Femoral Acetabular Impingement

Femoral acetabular impingement (FAI) is where abnormal bone growth on either the femoral head or the acetabular rim causes the bones to impinge during hip movement. This impingement results in hip stiffness, labral tears and damage to the hip’s cartilage, which can lead to early arthritis.

Common impingement symptoms include groin pain, hip stiffness and pain with hip flexion.

Treatments

Treatments usually include arthroscopic hip surgery to shave down the extra bone and repair the damaged tissue. In severe or complex cases open hip procedures may be needed.

Hip Arthroscopy is a minimally invasive procedure where a surgeon will make two to three small incisions to insert a camera and specialized tools into the joint to repair abnormal anatomy and damaged cartilage.

Hip Arthroscopy is used when there is a tear to the hip labrum or extra bone must be shaved down to improve hip joint mechanics. Most patients go home the same day.