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Experts with the Hip Preservation Program, part of �����о��� Langone’s Hip Center, offer advanced, evidence-based diagnostic and therapeutic options for active people with hip disorders. Our goal is to identify and treat conditions that can lead to hip osteoarthritis and to manage injuries to muscles and tendons that support the hip.

By intervening early with both surgical and non-surgical methods, we correct biomechanical issues and minimize joint damage, improving long-term outcomes.

Benefits of Hip Preservation Surgery

Hip preservation procedures aim to maintain the natural hip joint, prevent or delay osteoarthritis, and improve long-term function and quality of life, especially in younger, active adults. Unlike total hip replacements, preservation techniques correct structural issues while keeping your joint intact.

Sometimes, the structure of the hip joint can lead to injuries and hip damage. Correcting the anatomy can solve underlying hip problems.

The tendons and muscles around the hip are crucial for hip health. Injuries to these structures can lead to significant disability. Repairing and reconstructing hip muscles and tendons can restore function and quality of life.

Hip Conditions We Treat

Our doctors help determine whether you are a candidate for hip preservation surgery, which we typically use to treat these conditions:

• hip impingement syndrome, also called femoroacetabular impingement
• hip labral tears
• muscle and tendon injuries around the hip, including those affecting the hamstrings, abductors, and hip flexors
• adductor tendon injuries
• developmental hip dysplasia
• hip cartilage injuries
• snapping hip syndrome
• hip instability
• osteoarthritis
• compression of the sciatic nerve
• sports hernia, also known as athletic pubalgia

Hip Preservation Surgeries We Perform

Our surgeons perform highly precise hip joint surgery using minimally invasive treatments. We may recommend one of the following surgeries as part of your hip care plan:

• hip arthroscopy
• labral repair or reconstruction
• periacetabular osteotomy
• femoral osteotomy
• cartilage restoration
• abductor repair and reconstruction
• hamstring repair and reconstruction
• hip flexor repair and reconstruction
• sciatic nerve exploration

Our Surgical Expertise

Our surgical team’s extensive experience in the latest hip preservation treatments includes the following:

• repairing labrum tissue—the soft, elastic tissue surrounding the hip joint—or, when the tissue is not heathy enough to fix, reconstructing the labrum using donor tissue
• performing osteotomies—bony realignment procedures—such as a periacetabular osteotomy (PAO) of the hip socket and femoral osteotomy of the thigh bone to optimize hip joint biomechanics
• conducting endoscopic hamstring repairs by making two to four small cuts, avoiding larger, more painful incisions
• reconstructing chronic or massive tendon injuries, including those of the hip flexor, abductor and hamstring tendons—the tendons that support the hip joint—even if these injuries occurred years ago

Our Hip Preservation Program is a leader in developing treatment guidelines for the safe and effective use of new hip preservation techniques. This work ensures the highest quality of care and best possible outcomes for our patients.

Our Supportive, Team-Based Approach to Care

Our team of specialists, including orthopedic surgeons, sports medicine doctors, advanced practice providers, exercise physiologists, and physical therapists, works together to provide personalized care. We listen to your concerns and support you in making important treatment decisions about your hip health. Patients may contact one of our physicians to make an appointment.