Hip preservation surgery vs. Total hip replacement


Hip preservation surgery has been a remarkable advance for young adults with early stages of arthritis from hip dysplasia. The surgical techniques for periacetabular osteotomy (PAO) [https://hipdysplasia.org/news/scientific-literature-reviews/periacetabular-osteotomy-what-determines-success-or-failure/] continue to improve, and a recent report shows that even the first patients were highly successful. In that report the first seventy-five PAO procedures ever performed were reviewed after at least thirty years. While many had eventually required total hip replacement, almost one in three was still going strong without any additional surgery. [https://www.ncbi.nlm.nih.gov/pubmed/27905061] The long-term results of PAO surgery should be even better today because of improved techniques and because doctors are better able to identify the patients who are most likely to benefit.


When hip arthritis is too severe for hip preservation surgery, then total hip replacement is usually the best choice. Hip dysplasia is the most common cause of hip arthritis in women younger than fifty, and hip dysplasia is the cause of 5% to10% of all total hip replacements. Approximately one in four older adults will develop hip arthritis and one in ten will need a total hip replacement. The good news is that total hip replacement is highly successful even though it’s better to have your natural hip joint instead of an artificial hip joint. A recent report of 63,000 older total hip replacements concluded that lifetime risk of repeat surgery is slightly higher than previously reported, especially for patients younger than fifty years. [https://www.ncbi.nlm.nih.gov/pubmed/28209371].However, the risk of more surgery is still fairly low. Women undergoing hip replacement between ages 50 and 55 have a lifetime risk of revision surgery of approximately 20%. In the same age group men have a 35% lifetime risk of hip joint revision surgery. The lifetime risk for those younger than 50 years isn’t known exactly, but it’s probably greater than the 50-55-year age group. Joint replacement techniques in younger patients continue to improve, so that’s a good choice when hip preservation surgery is not possible, but there is definitely a place to preserve the natural hip when that’s possible.



« Back
  • Call to Action Buttons

  • Email Sign Up

    Email Sign Up
  • Social Media Links

  • Translate Link

    Para ver en Español Click Aquí

  • SubNav Menu

  • Hippo CTA

  • Child CTA

  • Latest News

    Latest News

    view all

    NYU Langone Health - Hip Symposium

    Jun 06

    This symposium will highlight the major challenges facing providers wh...

    PAO vs THR - What to do and when to do it?

    Apr 09

    A staggering number of adults are suffering with chronic hip pain due ...

    Can I play sports after my PAO?

    Feb 21

    Hip dysplasia in young adults is becoming increasingly recognized. Man...

  • Latest Stories

    Latest Stories

    view all


    Jun 29

    Hello my name is Phil, I am a 32 year old male who lives in Oregon, US...


    Jun 25

    As a parent the last thing you want to hear after your child is born i...


    Jun 14

    Malia was diagnosed with hip dysplasia and placed in a Pavlic harness ...