Osteoarthritis may be the cause of hip pain in many adults. However, hip pain in younger patients is usually due to a range of conditions, including birth deformities. Patients who need surgical treatment of hip dislocation have various surgical approaches available to them.
These approaches include hip arthroscopy, which is a minimally invasive surgical procedure (through tiny incisions) that uses miniaturized instruments and a tiny camera to view the treatment area.
Some patients (aged between 10 and 45 years) with more serious underlying conditions may be suitable candidates for surgical hip dislocation.
This open surgery enables the surgeon to view the joint and correct complex anatomical problems more easily. Surgical hip dislocation involves separating out the head or ball of the femur from its normal position in the acetabulum.
In comparison to hip dislocation occurring due to severe trauma or worsening of congenital deformity in the joint (where the dislocation is usually associated with injury to the surrounding blood vessels and muscles), surgical hip dislocation involves no harm to the surrounding muscles and preservation of the blood supply to the hip joint.
Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding locations.
Undergoing Surgical Hip Dislocation
Surgical hip dislocation can help address femoroacetabular impingement (FAI). In this condition, the femoral head meets the acetabulum in such a manner that the range of motion of the joint is restricted.
This condition may occur due to an underlying reason such as excess bone tissue on either the acetabulum or the femoral head and neck, or when the femur and/or acetabulum are positioned at an abnormal angle.
Other Types of Impingement with Complex Deformities
- Slipped capital femoral epiphysis (SCFE): This is a common hip condition among early teens. It occurs when the epiphysis (cartilage growth plate) at the top of the femoral head slips out of place.
The growth plate controls the way the top of the thighbone grows in children who have not yet attained skeletal maturity. In general, SCFE develops over a period of accelerated growth, shortly after the onset of adolescence.
- Perthes Disease: This condition is also known as Legg-Calvé-Perthes disease. It occurs due to idiopathic avascular necrosis of the femoral head. Perthes disease involves damage to the femoral head due to lack of blood supply. It is typically detected in children in the age range of four to 12 years.
- Traumatic injuries with an osteochondral defect: This refers to a damaged region of bone and/or joint surface cartilage.
- The doctor may recommend surgical dislocation of the hip for patients who have unsuccessfully undergone hip arthroscopy or other surgical procedures previously.
In this procedure, the surgeon separates and retracts a bone fragment from the upper part of the femur (greater trochanter) to gain access to the hip joint. This is a site of attachment for important muscles that surround the hip and enable it to move. This technique is known as a greater trochanteric osteotomy.
Through this approach, the surgeon is able to dislocate the hip safely. This procedure enables the preservation of the blood vessels surrounding the joint and leaves vital blood circulation and the surrounding muscles unaffected.
Prior to sealing the incision, the surgeon will use screws to hold the separated bone piece firmly in place to maintain stability during the healing process.
Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.
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 or call:
Century City / Los Angeles: 310.595.1030
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, California area.
Also visit http://www.drgorthopedics.com/