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This video demonstrates treatment of recurrent hip instability in the setting of femoral head bone loss and deficient ligamentum teres (LT). This is an extremely unique and difficult case as there is a lack of bony support in front of the hip to keep the joint stable. Left untreated, the hip is at risk for recurrent dislocations and cartilage injury. 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, a tissue graft is used to reconstruct the ligamentum teres (LT) to restore stability. Preoperative x-rays and CT scans demonstrate the degree of bony deficiency:
Often, the underlying bony abnormality must also be addressed to restore hip stability. This involves more complex realignment procedures including 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.