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Techniques and Results for Open Hip Preservation.

David M Levy1, Michael D Hellman1, Bryan Haughom1

  • 1Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center , Chicago, IL , USA.

Frontiers in Surgery
|December 10, 2015
PubMed
Summary

Open hip preservation surgery offers effective solutions for hip conditions like impingement and dysplasia when arthroscopy isn't ideal. Procedures include surgical hip dislocation and osteotomies for complex deformities.

Keywords:
PerthesSCFEdysplasiafemoroacetabular impingementhip preservationopen hipperiacetabular osteotomy

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Area of Science:

  • Orthopedic Surgery
  • Hip Preservation

Background:

  • Hip arthroscopy is increasingly popular, but open hip preservation remains crucial for specific conditions.
  • Open surgical techniques provide alternatives for complex hip pathologies.

Purpose of the Study:

  • To review open hip preservation procedures for various hip conditions.
  • To highlight indications for open surgery over arthroscopy.

Main Methods:

  • Review of open surgical hip preservation techniques.
  • Discussion of surgical hip dislocation, periacetabular osteotomy, and femoral osteotomies.

Main Results:

  • Open surgical hip dislocation is indicated for femoral acetabular impingement and acetabular protrusio.
  • Periacetabular osteotomy addresses acetabular dysplasia.
  • Osteotomies are beneficial for Legg-Calve-Perthes disease and chronic slipped capital femoral epiphysis.

Conclusions:

  • Open hip preservation surgery is essential for managing diverse hip conditions.
  • Specific open procedures are tailored to distinct hip pathologies for optimal outcomes.