Click here to open Acetabular Bone Grafting video.
This video demonstrates treatment of painful bone cysts in the hip, which often occur in the setting of hip impingement, hip instability, or osteoarthritis. Left untreated, these cysts can enlarge and erode into the bone that supports the cartilage of the hip joint, causing progressive degeneration. The treatment is a minimally invasive outpatient procedure called hip arthroscopy, which is done through two small incisions allowing for an accelerated recovery. As seen in the video, the cyst is accessed and decompressed using a fiber-optic camera and specialized instruments. The cyst cavity is then filled with bone graft material to promote healing, as shown through the pre- and post-op MRI scans below:
In order to prevent recurrence, the underlying bony abnormality must also be addressed. While hip impingement can be treated arthroscopically during the same bone grafting procedure, hip instability often necessitates more complex realignment procedures such as periacetabular osteotomy (PAO) and/or derotational femoral osteotomy (DFO). Through this holistic approach combining open and arthroscopic treatments, patients can enjoy an active and pain-free lifestyle for many years to come!
Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us. Serving patients in Encino, Sherman Oaks, Van Nuys, North Hollywood, Burbank, Glendale, West Hollywood, Century City, Beverly Hills, Santa Monica, Los Angeles, and other neighboring cities in the greater Los Angeles area.
