Periacetabular Osteotomy Surgery for Hip Dysplasia Performed in Arlington, VA
A periacetabular osteotomy (PAO) is a type of hip preservation surgery that may be considered to address painful hip dysplasia in an adolescent or young adult. The goal is to reduce stress on the hip joint by changing the position of its socket (acetabulum). PAO can help prevent early-onset hip arthritis as well as delay or eliminate the need for a total hip replacement. Also known as a Bernese osteotomy, this procedure is generally not appropriate for addressing severe hip arthritis or hip joint dislocation.
Farshad Adib, MD, is a board-certified, fellowship-trained orthopedic surgeon who specializes in hip preservation surgery and takes a special interest in treating hip pain in young adults. Dr. Adib performs periacetabular osteotomy and other complex surgical procedures at Nirschl Orthopaedic Center in Arlington, Virginia.
What Does PAO Surgery Involve?
When performing a periacetabular osteotomy, Dr. Adib makes an incision across the front of the hip to access the joint. Guided by real-time images, he determines the optimal orientation of the hip socket, then makes cuts in the bone (osteotomies) to move the acetabulum into a better position. This technique helps to restore some of the normal hip anatomy but does not change the shape of the joint. Once the acetabulum is properly positioned, Dr. Adib will secure the bone in place with surgical screws. He may also place a bone graft to promote healing.
Recovering from PAO Surgery
Recovering from a periacetabular osteotomy takes time and patience (like any surgery). Most patients find that the effort is worth it, though—PAO surgery can significantly reduce hip pain and improve joint function for many years. During the first six weeks after surgery, it is important to use crutches or a wheelchair to keep weight off the hip joint as it heals. The next phase of recovery involves an outpatient physical therapy program. A full recovery from PAO surgery can take six months or longer. If necessary to address dysplasia in the other hip, a second procedure can be performed approximately six months after the first.
If you have questions about periacetabular osteotomy surgery, you may benefit from meeting with Dr. Adib in person. To request an appointment in Arlington, VA, contact Nirschl Orthopaedic Center at (703) 525-2200.