Hip Preservation Surgery

What is Hip Preservation Surgery?

Hip preservation surgery refers to a group of procedures that aim to treat hip problems while preserving the patient’s own joint, rather than replacing it. The goal is to correct underlying structural problems, relieve symptoms, and, where possible, reduce the risk of developing early arthritis — delaying or avoiding the need for hip replacement.

These approaches are particularly relevant for younger and active patients, in whom preserving the natural hip is especially valuable given the longer time they would otherwise live with an implant. Hip preservation is most effective when the joint is still well preserved, before significant arthritis has developed.

Conditions Treated

Hip preservation surgery may be considered for structural problems and joint conditions such as:

• Hip dysplasia — a shallow or poorly oriented socket
• Femoroacetabular impingement (FAI) — abnormal bony contact in the joint
• Labral tears — damage to the cartilage rim of the socket
• Cartilage injuries — in selected cases

Many of these conditions are interrelated, and a thorough assessment of the underlying joint mechanics is central to choosing the right treatment.

Types of Hip Preservation Procedures

Hip preservation encompasses several procedures, chosen according to the underlying problem:

• Hip arthroscopy: keyhole surgery to treat labral tears, impingement (FAI), and cartilage problems.
• Periacetabular osteotomy (PAO): repositioning the socket to improve coverage in hip dysplasia.
• Femoral osteotomy: repositioning the femur bone
• Other corrective procedures: addressing specific structural abnormalities where appropriate.

In some cases, more than one approach may be relevant. The most appropriate procedure depends on the specific diagnosis, the condition of the joint, and your individual circumstances. (See the Hip Arthroscopy and Periacetabular Osteotomy pages for more detail on these procedures.)

Who is Suitable?

Hip preservation is generally most suitable for:

• Younger and active patients
• Those with an identifiable, correctable structural problem
• Hips that are still well preserved, with healthy or minimally affected cartilage

Once significant arthritis has developed, joint preservation is generally less effective, and other options such as hip replacement may be more appropriate. Careful assessment, including detailed imaging, determines the right approach for each patient.

Recovery

Recovery varies considerably depending on the specific procedure performed — from the staged rehabilitation following hip arthroscopy to the more prolonged, protected recovery after a periacetabular osteotomy. In all cases, a structured rehabilitation programme is important, and your specific plan will be explained in detail and tailored to the procedure and your progress.

Frequently Asked Questions

What is the aim of hip preservation surgery?

The aim is to treat hip problems while keeping the patient’s own joint — correcting underlying structural issues, relieving symptoms, and where possible reducing the risk of early arthritis, so that hip replacement may be delayed or avoided.

Who is a candidate for hip preservation?

It is generally most suitable for younger, active patients with a correctable structural problem and a well-preserved joint. Once significant arthritis has developed, preservation is usually less effective and other options may be considered.

Will hip preservation surgery mean I never need a hip replacement?

Hip preservation aims to delay or avoid the need for replacement by addressing the underlying problem, but it cannot guarantee this. Outcomes vary between individuals depending on the condition, the joint, and other factors. Your surgeon will discuss what is realistic in your situation.

Medical Disclaimer
The information on this page is intended as general patient education and does not constitute medical advice. Every patient is different, and treatment decisions should always be made in consultation with a qualified medical professional based on your individual circumstances, health history, and imaging. Outcomes from surgery vary between patients and cannot be guaranteed. If you have concerns about your hip health or are considering surgery, please contact Dr Slattery’s rooms to arrange a consultation.