Advertisement

Conservative Hip Surgery

  • Eustathios Kenanidis
  • Eleftherios TsiridisEmail author
  • Michael Leunig
  • Reinhold Ganz
  • Aprato Alessandro
  • Massè Alessandro
  • Andrea M. Spiker
  • Ben-zion Rotter
  • Lazaros Poultsides
  • Bryan T. Kelly
  • Nicholas M. Desy
  • Rafael J. Sierra
  • Stig Storgaard Jakobsen
  • Kjeld Søballe
Chapter
First Online:

Abstract

Joint preservation is an emerging field in orthopedics that evolved primarily due to the limitations in joint replacement technology. Hip preservation techniques aim to restore an optimal relationship between structure and joint kinematics, prevent or delay the onset of degenerative pathologic conditions, and provide a durable solution for pain and dysfunction [1]. The latter techniques avoid the limitations and disadvantages inherent to joint arthroplasty; however, they demand clear indications [2].

This is a preview of subscription content, log in to check access.

References

  1. 1.
    Adler KL, Cook PC, Yen YM, Giordano BD. Current concepts in hip preservation surgery: part I. Sports Health. 2015;7(6):518–26.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Steppacher SD, Tannast M, Ganz R, Siebenrock KA. Mean 20-year follow-up of Bernese periacetabular osteotomy. Clin Orthop Relat Res. 2008;466:1633–44.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Goldstein RY, Kaye ID, Slover J, Feldman D. Hip dysplasia in the skeletally mature patient. Bull Hosp Joint Dis. 2014;72:28–42.Google Scholar
  4. 4.
    Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res. 2008;466:264–27.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.Google Scholar
  6. 6.
    Ganz R, Klaue K, Vinh TS, Mast JW. A new periacetabular osteotomy for the treatment of hip dysplasias technique and preliminary results. Clin Orthop Relat Res. 1988;232:26–36.Google Scholar
  7. 7.
    Siebenrock KA, Steppacher SD, Tannast M, Büchler L. Anteverting periacetabular osteotomy for acetabular retroversion. JBJS Essent Surg Tech. 2015;5(1):e1.CrossRefGoogle Scholar
  8. 8.
    Zweifel J, Hönle W, Schuh A. Long-term results of intertrochanteric varus osteotomy for dysplastic osteoarthritis of the hip. Int Orthop. 2011;35:9–12.CrossRefPubMedGoogle Scholar
  9. 9.
    Leunig M, Ganz R. The evolution and concepts of joint-preserving surgery of the hip. Bone Joint J. 2014;96:5–18.CrossRefPubMedGoogle Scholar
  10. 10.
    Botser IB, Smith TW Jr, Nasser R, Domb BG. Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes. Arthroscopy. 2011;27:270–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Domb BG, Philippon MJ, Giordano BD. Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: relation to atraumatic instability. Arthroscopy. 2013;29:162–17.CrossRefPubMedGoogle Scholar
  12. 12.
    Parvizi J, Bican O, Bender B, et al. Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplast. 2009;24:110–3.CrossRefGoogle Scholar
  13. 13.
    Peterson L, Vasiliadis HS, Brittberg M, Lindahl A. Autologous chondrocyte implantation: a long-term follow-up. Am J Sports Med. 2010;38:1117–24.CrossRefPubMedGoogle Scholar
  14. 14.
    Clohisy JC, Barrett SE, Gordon JE, Delgado ED, Schoenecker PL. Periacetabular osteotomy in the treatment of severe acetabular dysplasia. Surgical technique. J Bone Joint Surg Am. 2006;88(suppl 1 p+1):65–83.CrossRefPubMedGoogle Scholar
  15. 15.
    Kalhor M, Gharehdaghi J, Schöniger R, Ganz R. Reducing the risk of nerve injury during Bernese periacetabular osteotomy: a cadaveric study. Bone Joint J. 2015;97:636–41.CrossRefPubMedGoogle Scholar
  16. 16.
    Ganz R, Huff TW, Leunig M. Extended retinacular soft-tissue flap for intra-articular hip surgery: surgical technique, indications, and results of application. Instr Course Lect. 2009;58:241–55.PubMedGoogle Scholar
  17. 17.
    Leunig M, Ganz R. Relative neck lengthening and intracapital osteotomy for severe Perthes and Perthes-like deformities. Bull NYU Hosp Jt Dis. 2011;69(Suppl 1):S62–7.PubMedGoogle Scholar
  18. 18.
    Ganz R, Horowitz K, Leunig M. Algorithm for femoral and periacetabular osteotomies in complex hip deformities. Clin Orthop Relat Res. 2010;468:3168–80.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Paley D. The treatment of femoral head deformity and coxa magna by the Ganz femoral head reduction osteotomy. Orthop Clin North Am. 2011;42:389–99. viiiCrossRefPubMedGoogle Scholar
  20. 20.
    Siebenrock KA, Anwander H, Zurmühle CA, Tannast M, Slongo T, Steppacher SD. Head reduction osteotomy with additional containment surgery improves sphericity and containment and reduces pain in Legg-Calvé-Perthes disease. Clin Orthop Relat Res. 2015;473:1274–83.CrossRefPubMedGoogle Scholar
  21. 21.
    Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip. A technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83-B:1119–24.CrossRefGoogle Scholar
  22. 22.
    Kamath AF, Ganz R, Zhang H, Grappiolo G, Leunig M. Subtrochanteric osteotomy for femoral mal-torsion through a surgical dislocation approach. J Hip Preserv Surg. 2015;2:65–79.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Sink EL, Beaulé PE, Sucato D, Kim YJ, Millis MB, Dayton M, Trousdale RT, Sierra RJ, Zaltz I, Schoenecker P, Monreal A, Clohisy J. Multicenter study of complications following surgical dislocation of the hip. J Bone Joint Surg Am. 2011;93:1132–6.CrossRefPubMedGoogle Scholar
  24. 24.
    Ross JR, Schoenecker PL, Clohisy JC. Surgical dislocation of the hip: evolving indications. HSS J. 2013;9:60–9.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Masse A, Aprato A, Rollero L, Bersano A, Ganz R. Surgical dislocation technique for the treatment of acetabular fractures. Clin Orthop Relat Res. 2013;471:4056–64. CORR Multimedia Award 2013CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Ziebarth K, Leunig M, Slongo T, Kim YJ, Ganz R. Slipped capital femoral epiphysis: relevant pathophysiological findings with open surgery. Clin Orthop Relat Res. 2013;471:2156–62.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Schöniger R, Kain MSH, Ziebarth K, Ganz R. Epiphyseal reperfusion after subcapital realignment of an unstable SCFE. Hip Int. 2010;20:273–9.CrossRefGoogle Scholar
  28. 28.
    Ganz R, Aprato A, Mazziotta G, Pignatti G. Joint instability after anatomic reconstruction of severe chronic SCFE. Report of three cases with high femoral anteversion (1) and adaptive acetabular roof deformation (3). J Bone Joint Surg Am. Case Connector. Accepted for publication.Google Scholar
  29. 29.
    Novais EN, Hill MK, Carry PM, Heare TC, Sink EL. Modified Dunn procedure is superior to in situ pinning for short term clinical and radiographic improvement in severe stable SCFE. Clin Orthop Relat Res. 2015;473:2108–17.CrossRefPubMedGoogle Scholar
  30. 30.
    Nwachukwu BU, Rebolledo BJ, McCormick F, Rosas S, Harris JD, Kelly BT. Arthroscopic versus open treatment of femoroacetabular impingement: a systematic review of medium- to long-term outcomes. Am J Sports Med. 2016;44(4):1062–8.CrossRefPubMedGoogle Scholar
  31. 31.
    Sussmann PS, Ranawat AS, Lipman J, Lorich DG, Padgett DE, Kelly BT. Arthroscopic versus open osteoplasty of the head-neck junction: a cadaveric investigation. J Arthrosc Relat Surg. 2007;23(12):1257–64.CrossRefGoogle Scholar
  32. 32.
    Marwan YA, Abatzoglou S, Esmaeel AA, et al. Hip arthroscopy for the management of osteoid osteoma of the acetabulum: a systematic review of the literature and case report. BMC Musculoskelet Disord. 2015;16:318.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Nehme AH, Bou Ghannam AG, Imad JP, Jabbour FC, Moucharafieh R, Wehbe J. Arthroscopic excision of intra-articular hip osteoid osteoma: a report of 2 cases. Case Rep Orthop. 2012;2012:820501.PubMedPubMedCentralGoogle Scholar
  34. 34.
    Said HG, Abdulla Babaqi A, AbdelSalam E-AM. Hip arthroscopy for excision of osteoid osteoma of femoral neck. Arthrosc Tech. 2014;3(1):e145–8.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Papagelopoulos PJ, Mavrogenis AF, Kyriakopoulos CK, et al. Radiofrequency ablation of intra-articular osteoid osteoma of the hip. J Int Med Res. 2006;34(5):537–44.CrossRefPubMedGoogle Scholar
  36. 36.
    Leunig M, Ganz R. Evolution of technique and indications for the Bernese periacetabular osteotomy. Bull NYU Hosp Jt Dis. 2011;69(Suppl 1):S42–6.PubMedGoogle Scholar
  37. 37.
    Zaltz I, Baca G, Kim YJ, Schoenecker P, Trousdale R, Sierra R, Sucato D, Sink E, Beaule P, Millis MB, Podeszwa D, Clohisy JC. Complications associated with the periacetabular osteotomy. J Bone Joint Surg Am. 2014;96:1967–74.CrossRefPubMedGoogle Scholar
  38. 38.
    Novais EN, Potter GD, Clohisy JC, Millis MB, Kim YJ, Trousdale RT, Carry PM, Sierra RJ. Obesity is a major risk factor for the development of complications after peri-acetabular osteotomy. Bone Joint J. 2015;97B(1):29–34.CrossRefGoogle Scholar
  39. 39.
    Clohisy JC, Schutz AL, St. John L, Schoenecker PL, Wright RW. Periacetabular osteotomy: a systematic literature review. Clin Orthop Relat Res. 2009;467:2041–52.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Tibor LM, Sink EL. Pros and cons of surgical hip dislocation for the treatment of femoroacetabular impingement. J Pediatr Orthop. 2013;33:S131–6.CrossRefPubMedGoogle Scholar
  41. 41.
    Boone GR, Pagnotto MR, Walker JA, Trousdale RT, Sierra RJ. Caution should be taken in performing hip dislocation for the treatment of femoroacetabular impingement in patients over the age of 40. HSS J. 2012;8:230–4.CrossRefPubMedPubMedCentralGoogle Scholar
  42. 42.
    Steppacher SD, Anwander H, Zurmuhle CA, Tannast M, Siebenrock KA. Eighty percent of patients with surgical hip dislocation for femoroacetabular impingement have a good clinical result without osteoarthritis progression at 10 years. Clin Orthop Relat Res. 2015;473:1333–41.CrossRefPubMedGoogle Scholar
  43. 43.
    Søballe K, Troelsen A. Approaches and perioperative management in periacetabular osteotomy surgery: the minimally invasive transartorial approach. Instr Course Lect. 2013;62:297–303. Review. PMID: 23395035PubMedGoogle Scholar
  44. 44.
    Troelsen A, Elmengaard B, Søballe K. A new minimally invasive transsartorial approach for periacetabular osteotomy. J Bone Joint Surg Am. 2008;90(3):493–8. doi: 10.2106/JBJS.F.01399.CrossRefPubMedGoogle Scholar
  45. 45.
    Klit J, Hartig-Andreasen C, Jacobsen S, Søballe K, Troelsen A. Periacetabular osteotomy: sporting, social and sexual activity 9–12 years post surgery. Hip Int. 2014;24(1):27–31. doi: 10.5301/hipint.5000077. Epub 2013 Sep 20CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
  • Eleftherios Tsiridis
    • 2
    Email author
  • Michael Leunig
    • 3
  • Reinhold Ganz
    • 4
  • Aprato Alessandro
    • 5
  • Massè Alessandro
    • 5
  • Andrea M. Spiker
    • 6
  • Ben-zion Rotter
    • 7
  • Lazaros Poultsides
    • 8
    • 9
  • Bryan T. Kelly
    • 7
  • Nicholas M. Desy
    • 10
  • Rafael J. Sierra
    • 11
  • Stig Storgaard Jakobsen
    • 12
  • Kjeld Søballe
    • 12
  1. 1.Academic Orthopaedic Unit, Aristotle University Medical SchoolThessalonikiGreece
  2. 2.Academic Orthopaedic UnitPapageorgiou General Hospital, Aristotle University Medical SchoolThessalonikiGreece
  3. 3.Schulthess Clinic and ETH ZürichZürichSwitzerland
  4. 4.University of BerneBerneSwitzerland
  5. 5.University of TurinTurinItaly
  6. 6.Department of Orthopaedic SurgeryUniversity of Wisconsin—Madison, UW Health at The American CenterMadisonUSA
  7. 7.Department of Orthopaedic Surgery, Center for Hip Preservation, Hospital for Special SurgeryNew YorkUSA
  8. 8.New York University School of MedicineNew YorkUSA
  9. 9.Division of Adult Reconstruction, Department of Orthopaedic SurgeryNew York Langone Orthopaedic Hospital, New York Langone Medical CenterNew YorkUSA
  10. 10.Section of Orthopaedic SurgeryUniversity of CalgaryCalgaryCanada
  11. 11.Mayo Clinic, College of MedicineRochesterUSA
  12. 12.Department of Orthopaedic SurgeryAarhus University HospitalAarhusDenmark

Personalised recommendations

Cite chapter