Hip Preservation Case Examples – Children's Orthopaedic and Scoliosis Surgery Associates, LLP

Hip Preservation Case Examples

Actual Cases Performed by Our Surgeons

Pre-Operative & Post-Operative Photos

Re-Contouring

Pre Op

The red line demonstrates a large residual CAM deformity after in situ screw fixation of Slipped Capital Femoral Epiphysis (SCFE). This deformity limits range of motion and impinges against the hip socket causing damage to the joint.

Post Op

The red line demonstrates re-contouring of the femoral neck after arthroscopic treatment. This treatment increases range of motion and prevents further damage to the hip.

Pre Op

This x-ray demonstrates a large CAM deformity on the femoral neck that can impinge and damage the hip socket.

Post Op

This x-ray demonstrates re-contouring of the femoral neck after arthroscopic treatment to eliminate impingement and preserve the hip joint.

Pre Op

This x-ray demonstrates Legg Calve Perthes disease with an abnormally shaped femoral head causing impingement. This can limit range of motion and damage the hip joint.

Post Op

This x-ray demonstrates arthroscopic re-contouring of the Legg Calve Perthes deformity. The ball of the hip now lies within the circle. This treatment can increase range of motion and preserve the hip joint.

Periacetabular Osteotomy

Pre Op

This x-ray demonstrates right hip dysplasia and a right hip dislocation. Notice the upward sloping hip socket and position of the right hip outside of edge of the socket as demonstrated by the vertical red line.

Post Op

This x-ray demonstrates improved position of the hip after periacetabular osteotomy. Notice that the hip slope is improved and the ball of the hip joint is now inside the vertical line.

Realignment

Pre Op

This x-ray demonstrates a severe unstable Slipped Capital Femoral Epiphysis (SCFE) of the left hip.

Post Op

This x-ray demonstrates realignment and stabilization of the hip after surgical hip dislocation and repositioning of the severe unstable Slipped Capital Femoral Epiphysis (SCFE).

Arthroscopic Excision of a Subspine Impingement Lesion

Pre Op

This x-ray demonstrates a subspine impingement lesion from a anterior inferior iliac spine avulsion fracture that is causing pain and decreased flexion of the hip.

Post Op

This x-ray demonstrates arthroscopic excision of a subspine impingement lesion to improve range of motion and decrease pain.

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