Team Approach: Hip Preservation Surgery

Area of Science:

• Orthopedics
• Sports Medicine
• Adolescent Health

Background:

• Hip pain in adolescents and young adults is increasingly recognized.
• Labral tears are common, often linked to underlying bony abnormalities such as femoroacetabular impingement (FAI) and acetabular dysplasia.
• These conditions can lead to early hip osteoarthritis if not managed.

Purpose of the Study:

• To review the essential "team-based approach" for managing hip disorders in adolescents and young adults.
• To highlight the complexity and evolving nature of care for this patient population.
• To emphasize the importance of a comprehensive, multidisciplinary strategy.

Main Methods:

• Review of a 20-year institutional experience.
• Discussion of conservative management, including physical therapy.
• Analysis of preoperative, surgical, and postoperative decision-making.

Main Results:

• A multidisciplinary approach has demonstrated success over 20 years.
• Conservative management and physical therapy are valuable components.
• Comprehensive care addresses a spectrum of complex hip conditions.

Conclusions:

• Successful management of adolescent and young adult hip disorders requires a comprehensive, multidisciplinary "team-based approach".
• This approach optimizes symptom improvement and prolongs native hip longevity.
• Expertise in conservative and surgical care is crucial for this evolving field.