The hip joint includes a ball at the top of the femur, or thigh bone and socket in the pelvis. Hip dysplasia occurs when there is a problem between the ball and socket. During a PAO, your surgeon will make several cuts in the bones of the hip joint. Screws are used to hold the bones in their new position. While you heal, new bone will grow and allow your hip joint to line up correctly. To allow the hip to heal, patients do not start physical therapy until six weeks after surgery.
Most patients go through six to nine months of physical therapy after PAO surgery. Physical therapy will help:. Your therapist and surgeon will watch your healing and will clear you for certain activities as you make progress. Return to sports often happens six to nine months after surgery depending on the level of desired competition. You will be able to take these protocols with you if you have traveled from out of town for surgery. Your therapist may contact our therapists for assistance.
After recovery from PAO surgery, patients have less or no hip pain. They are able to move and walk better than before surgery. All rights reserved. Health Library. A surgeon may suggest PAO surgery to: Treat dysplasia Increase stability of the hip Treat impingement of the hip Reduce pain Prevent or delay the need for a total hip replacement The goal of surgery is to reduce pain and restore function.
Pre-Op Consultation Once surgery is scheduled, there will be a pre-op visit. Anesthesia For pain control, you will receive a nerve block. The Procedure The hip joint includes a ball at the top of the femur, or thigh bone and socket in the pelvis. You will be on crutches for six to eight weeks.
Image 4: The red arrow points to the right hip after a PAO has been performed. The femoral head is now properly covered. Image 5: During the PAO surgery, a hip arthroscopy was performed, allowing visualization of the cartilage and labrum. The red arrow points to a labral tear. Image 6: The red arrow points to where the labral tear repaired. If femoral deformity is also contributing to the hip dysplasia, then a PAO may be performed in conjunction with a femoral osteotomy.
Usually, the femoral osteotomy is performed through a second incision over the side of the thigh. Image 7: The red arrow points to the dysplasia of the right hip.
Compared to the normal left hip, the right femoral head is not covered by the acetabulum and the femoral head is pointing excessively upwards. Image 8: The red arrow points to the right hip after a PAO combined with a femoral osteotomy has been performed.
The femoral head is now properly covered and the femoral head is pointing towards the center of the socket. The right hip appears more symmetric with the normal left hip. The recovery and expectation for patients who have a PAO performed are:. Even if the PAO is effective in adolescence or early adulthood, some patients are likely to require total hip replacement surgery later in life.
The procedure itself takes around one and a half to two hours, with an hour of observation in a recovery room thereafter to guard against complications. Complete recovery from PAO surgery can range from four to six months, but patients can return to exercises such as swimming and cycling at four weeks and jogging at three months, allowing a rapid return to their original lifestyle.
Post-surgery, patients may experience pain around the incisions. Dr Slattery will work with you to develop a treatment plan that minimises your pain which may include medication, targeted exercise and physiotherapy. Please contact our rooms to schedule an appointment either via telehealth or in person depending upon your situation. Please call or email us to arrange an appointment.
Learn More. Click on the links below to find out more. Periacetabular Osteotomy PAO. X-rays of a young female with bilateral hip dysplasia are shown top.
0コメント