Pelvic Osteotomy
Hip dysplasia
The hip joint is a “ball and socket” joint. The head of the femur (thighbone) is the ball that fits into the acetabulum (socket) in the pelvis. Hip dysplasia deformity is an underdeveloped shallow socket that does not accommodate the head of the femur, which leads to an improperly aligned hip joint. This imbalance creates abnormal joint forces that adds excessive pressure on the joint surfaces causing it to wear out more quickly. This rapid wear and tear leads to pain, instability and eventual arthritis. Abnormal function also leads to soft tissue injuries like hip labral tears, pinched nerves, and an increased risk of joint dislocation.
Hip dysplasia is a developmental deformity of the hip that is often found in young babies and children, though sometimes it is not discovered until adolescence or young adulthood. In adolescents and young adults, hip dysplasia can cause significant pain and dysfunction and is a leading cause of early onset hip arthritis.
Hip dysplasia is diagnosed with plain x-rays as well as an MRI and CT scan to detect joint damage and reveal the true shape of the hip ball and socket.
A periacetabular osteotomy (PAO) surgery is a realignment surgery designed to add depth to the hip socket thereby improving joint mechanics and reducing wear and tear. This decrease in wear can enhances stability and postpones the development of osteoarthritis and subsequent need for hip replacement.
Given that near 100% of hips with dysplasia have concomitant intraarticular injuries, like hip labral tears, specialized centers around the world have developed techniques to perform same-day combined hip arthroscopy + PAO procedures. The expert team at LALL Orthopedics+ has helped pioneer this combination procedure to allow for treatment of all hip injuries in one surgical procedure. This same-day combination technique has been shown to be safe and effective with the added benefit of a significantly decreased total recovery time. Most patients will return to their pre-symptomatic level of activity.
Dr. Ajay C. Lall is a former dual sport NCAA collegiate athlete (football and track & field), American board certified, triple fellowship-trained expert orthopedic surgeon who specializes in hip arthroscopy and robotic hip replacement. He treats non-athletes and athletes at all levels of play from collegiate to professional to the Olympic level. Dr. Lall is a world-renowned orthopedic surgeon who cares for all patients like family. Contact LALL Orthopedics + to schedule a consultation, receive the correct diagnosis, and undergo state-of-the-art treatment options.
At a Glance
Ajay C. Lall, MD, MS, FAAOS
- Board Certified – Orthopedic Surgery
- Triple Fellowship Trained
- Performs over 750 Surgeries Per Year
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