Periacetabular Osteotomy (PAO) is a hip preservation surgery, and the reconstruction preserves the patient’s native hip joint.
- 4 Cuts are made in the pelvis around the hip joint.
- The cut segment is repositioned, then secured with screws.
- The first PAO was performed in 1984 by Dr. Reinhold Ganz. Learn more about the first group of patients to undergo PAO and their outcomes here https://miles4hips.org/history-of-the-pao-the-original-patients-and-their-30-year-outcomes
Femoral Osteotomy treats abnormalities of rotation or angle of the femur.
- The femur is cut, realigned, then secured with either a rod or plates and screws.
Pelvic and femoral osteotomies may also include hip arthroscopy for labrum repair.
Hip Arthroplasty (also referred to as Hip Replacement) the native hip joint is replaced with a prosthetic hip joint.
- The head of the femur is removed and replaced with a stem and a ball.
- The acetabulum or socket is smoothed down and replaced with a cup and a liner.
- Watch an animated video of a hip replacement here https://orthoinfo.aaos.org/en/treatment/total-hip-replacement-animation/
- The parts for a hip replacement can be made from different types of materials including metals, ceramic and plastic.
- There are a variety of approaches for this surgery (including anterior, posterior, lateral and more), and the surgeon will help to determine the best approach for the individual patient.
- Listen to this podcast to learn more about the different approaches https://open.spotify.com/episode/45tBl9GBAvDIYnVztCImeX?si=sXb1oh4YQ_ykAuyvxUYQ7Q
References
- https://orthoinfo.aaos.org/en/diseases–conditions/adolescent-hip-dysplasia/
- https://www.ishasoc.net/patient-information-dysplasia/
- https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/
- https://hipkneeinfo.org/hip-care/total-hip-replacement/
This document includes some of the more common surgical options for adolescents and adults with hip dysplasia, but this list is not all inclusive. Each person is unique and what may be the best option for one person may not be for another.
This is meant for informational purposes only. While our goals are to promote understanding and knowledge of hip dysplasia and to empower patients and their families in healthcare decision making, we cannot guarantee accuracy or appropriateness of the information for your specific condition or circumstances. The information on this site is not meant to take the place of the professional judgment of your medical providers. Individuals should always seek the advice of your physician/surgeon, physical therapists, and other qualified health care provider with any questions you may have regarding a medical condition or treatment. Individuals should never disregard the advice of your medical providers or delay in seeking it because of something you have read on this website.