Current Concepts in Hip Preservation Surgery: Part I.
BACKGROUND
An evolution in conceptual understanding, coupled with technical innovations, has enabled hip preservation surgeons to address complex pathomorphologies about the hip joint to reduce pain, optimize function, and potentially increase the longevity of the native hip joint. Technical aspects of hip preservation surgeries are diverse and range from isolated arthroscopic or open procedures to hybrid procedures that combine the advantages of arthroscopy with open surgical dislocation, pelvic and/or proximal femoral osteotomy, and biologic treatments for cartilage restoration.


METHODS
PubMed and CINAHL databases were searched to identify relevant scientific and review articles from January 1920 to January 2015 using the search terms hip preservation, labrum, surgical dislocation, femoroacetabular impingement, peri-acetabular osteotomy, and rotational osteotomy. Reference lists of included articles were reviewed to locate additional references of interest.


METHODS
Clinical review.


METHODS
Level 4.


RESULTS
Thoughtful individualized surgical procedures are available to optimize the femoroacetabular joint in the presence of hip dysfunction.


CONCLUSIONS
A comprehensive understanding of the relationship between femoral and pelvic orientation, morphology, and the development of intra-articular abnormalities is necessary to formulate a patient-specific approach to treatment with potential for a successful long-term result.
Division of Sports Medicine, Hip Preservation Program, Division of Sports Medicine, University of Rochester Medical Center, Rochester, New York.
Kelly L
KL
Adler
Division of Sports Medicine, Hip Preservation Program, Division of Sports Medicine, University of Rochester Medical Center, Rochester, New York.
P Christopher
PC
Cook
Department of Orthopaedic Surgery, Division of Sports Medicine, Children's Hospital Boston, The Adolescent and Young Hip Unit, Boston, Massachusetts.
Yi-Meng
YM
Yen
Division of Sports Medicine, Hip Preservation Program, Division of Sports Medicine, University of Rochester Medical Center, Rochester, New York brian_giordano@urmc.rochester.edu.
Brian D
BD
Giordano
D001182:Arthroscopy; D001696:Biomechanical Phenomena; D002358:Cartilage, Articular / Q000601:surgery; D006621:Hip Joint / Q000033:anatomy & histology / Q000502:physiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D019637:Orthopedic Procedures; D010027:Osteotomy
arthroscopy; hip preservation; labrum; peri-acetabular osteotomy; surgical dislocation