Hip Preservation

Hip Preserving Surgeries

Hip preservation focuses on protecting the natural hip in selected early-stage AVN, impingement or structural hip problems.

Hip Preserving Surgeries
AVN

Stage-based decisions

Early AVN may be considered for preservation before collapse.

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Arthroscopy

Keyhole hip care

Labral tears and FAI may be assessed for hip arthroscopy.

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Backup

Replacement when needed

Advanced collapse may need hip replacement instead of preservation.

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Selection

Who may be suitable?

Preservation is useful only when the joint is still salvageable.

Possible candidates

  • Early AVN without major collapse.
  • Selected FAI/labral problems.
  • Younger active patients where natural hip protection is realistic.

Not ideal when

  • Advanced arthritis is present.
  • Femoral head collapse is severe.
  • Pain and stiffness are better addressed by replacement.
Options

Procedures discussed

Exact treatment depends on diagnosis and imaging.

AVN options

  • Core decompression.
  • Biological adjunct discussion in selected cases.
  • Protected weight-bearing and monitoring.

Hip mechanics

  • Hip arthroscopy for selected labral/FAI cases.
  • Physiotherapy and activity modification.
  • Follow-up imaging.

Next Step

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