Hip Preservation Surgery

Preserving Your
Natural Hip
For Life

Advanced biologic reconstruction and arthroscopic techniques to restore hip function and prevent arthritis in children and young adults.

Our Approach

Hip Preservation Surgery

Although total hip replacement is very successful in pain relief, it cannot come close to the native hip function in active people. Hip arthroscopy and open surgical dislocation of the hip joint have provided opportunities for better understanding of hip disorders and for the development of biologic reconstruction options to decrease pain and prevent arthritis.

Hip impingement and dysplasia are better recognized as common causes of hip arthritis and early results of surgical correction of these conditions have been shown to prevent arthritis. Femoral head contour can be restored and maintained with medical management in the early stages of avascular necrosis of the femoral head.

Hip Preservation focuses on biologic reconstruction of the hip joint with arthroscopic and open procedures to restore optimal acetabular and femoral articular surfaces and their interaction. We have experience with acetabular labral repair, periacetabular and femoral osteotomies, bone contouring, chondroplasty, femoral head bone grafting, femoral head injections with bisphosphonates, neck lengthening, and biologic resurfacing techniques.

Expertise

Conditions & Procedures

Comprehensive hip preservation care for children and young adults

PG

Dr. Prasad Gourineni, MD

Hip Preservation Specialist

Full Biography
  • Head of Pediatric Orthopaedics, Advocate Hope & Christ Hospitals, Oak Lawn
  • Assistant Professor, University of Illinois, Chicago
  • Attending Surgeon, Children's Memorial Hospital, Chicago

References

  1. Ito C. et al. Femoroacetabular impingement and the cam effect. JBJS 83B:171-6.
  2. Siebenrock KA. et al. Anterior femoro-acetabular impingement due to acetabular retroversion. JBJS 85A:278-86.
  3. Murphy S, Deshmukh R. Periacetabular osteotomy — preoperative radiographic predictors of outcome. Clin Orthop. 405: 168-74.
  4. Millis MB, Kim YJ. Rationale of osteotomy and related procedures for hip preservation: a review. Clin Orthop 2002 Dec;(405):108.