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Treatment Options for Hip Disorders

Non-surgical treatment is always considered first when treating hip pain, and our physical therapists work closely with our team to rehabilitate injured hips. However, if surgical intervention is necessary for your child, hip preservation surgery offers revolutionary approaches to correct the underlying mechanical problem of the hip. The five surgical approaches listed below are the most common we perform on children.

Periacetabular osteotomy (PAO)
A “PAO” is a surgery used to correct a condition called hip dysplasia. Hip dysplasia is when there is insufficient coverage of the femoral head (ball) by a shallow acetabulum (hip socket). The acetabulum is repositioned to cover more of the femoral head in order to improve the stability of the hip joint. The PAO surgery improves hip function and stops the damage occurring inside of the joint.

Hip arthroscopy
A minimally invasive surgery used to treat damage to the interior of the hip joint. Repair of labral tears, cartilage damage, and bony recontouring is performed using small instruments with an arthroscopic camera. Hip arthroscopy is the most common treatment approach for femoroacetabular impingement (FAI).

Surgical dislocation of the hip

A procedure in which the ball-and-socket hip joint is dislocated to enable surgeons to examine and access 360 degrees around the hip joint. It is an effective way to correct complex hip disorders that are not receptive to arthroscopic treatment.

Labral and cartilage repair

Repair of hip damage, such as a labral tear, and stimulating new cartilage growth are possible through both minimally invasive arthroscopic surgery and surgical dislocation of the hip.

Pelvic and femoral osteotomies
An osteotomy is a surgical cut into bone, to lengthen, shorten or change the alignment of the bone. Osteotomies of the pelvis and upper femur (thigh bone) are used to improve the mechanical alignment and function of the hip.

Contact us at (650) 497-8263 for appointments and more information.