It can help you reduce your risk for premature arthritis and hip replacement surgery in your later years. Hip preservation procedures may be beneficial for patients who experience pain due to a torn hip labrum, athletes who put their hips through extreme ranges of motion, and people who are diagnosed with hip dysplasia and have pain related to undercoverage of the hip socket.
Hip preservation is rapidly evolving, and the latest techniques allow for a broad range of patients, including high-performance athletes, to maintain normal hip function.
The goal of hip preservation is to slow the damage caused by osteoarthritis and delay the need for a total hip joint replacement.
The hip joint allows your leg to move through a wide range of motions. The joint is a cup-shaped socket and a ball at the top of your thigh bone. The socket is lined with cartilage that cushions the bones and allows smooth leg movement, and the labrum sits around the acetabulum to provide a suction seal to the hip. When the labrum is torn, patients can experience pain and mechanical symptoms in the hip, most often felt at the groin. When the cartilage that lines the socket and ball begins to wear down, osteoarthritis occurs and can cause hip pain and limited motion.
Who benefits from hip preservation?
You might benefit from hip preservation if you:
Are under age 60
Have hip impingement
Have hip dysplasia
Have hip pain from a labral tear
Many younger patients, especially athletes, develop extra bone on the ball or socket of the hip joint. This creates friction during movement that tears the hip labrum and damages the cartilage in the joint. This causes pain and can lead to osteoarthritis from mechanical wear of the cartilage.
Hip dysplasia occurs when the socket of the hip joint doesn’t fully cover the ball of the hip. Hip dysplasia is more common in women, and while this can be diagnosed in childhood, it is not uncommon that the first time a patient is diagnosed is in their late teens, twenties or thirties. Hip dysplasia can lead to arthritis due to abnormal forces across the hip joint.
Is hip preservation right for you?
Your doctor may recommend hip preservation if you are active, healthy and young but struggling with hip pain. Hip preservation surgery is not recommended in the setting of advanced hip osteoarthritis.
Your doctor evaluates your hip. If extra bone or a tear in the hip joint are present, it’s best to take action with surgical treatment if all other conservative measures have failed. Treatment for hip pain at a younger age can theoretically prevent further damage to the hip joint.
Hip arthroscopy
We repair torn labrum cartilage, remove extra bone or bone chips and can trim unstable cartilage. This improves movement of the hip and reduces pain.
Periacetabular osteotomy
We reposition the hip socket to provide better coverage of the ball of the hip joint. This procedure has been shown to reduce the risk of osteoarthritis developing in the future.
After your procedure, your body needs time to recover. You can expect:
Two to three weeks on crutches for hip arthroscopy; six weeks on crutches for periacetabular osteotomy
Four to six weeks of taking it easy while your hip tissues heal
Physical therapy to recover motion, strength and athletic function
East Madison Hospital Sports Medicine Clinic
4602 Eastpark Blvd /Madison, WI 
(608) 263-8850
East Madison Hospital Sports Rehabilitation Clinic
- 4602 Eastpark Blvd /
Madison, WI - (608) 440-6444
Science Dr Medical Center Sports Medicine Clinic
- 621 Science Dr /
Madison, WI - (608) 263-8850
Science Dr Medical Center Sports Rehabilitation Clinic
- 621 Science Dr /
Madison, WI - (608) 263-4765
Hip preservationHip preservation surgery has Coach Petesch running better than ever
For more than two decades, Nathan Petesch has put on a staggering amount of mileage — not only on his cars but his body. The Orthopedic Surgery team at UW Health couldn’t do much to reverse the mileage on Nathan’s vehicles, but they did a masterful job restoring his left hip.
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Joint pain, a broken bone or other conditions that affect how your body moves can sideline you from the activities you enjoy. Our orthopedic specialists can treat your orthopedic needs.
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