The author wishes to acknowledge the contribution of John G. Birch for his work in the previous edition version of this chapter. The comprehensive pediatric orthopaedic history includes questions that are not normally asked as part of routine history taking…
Introduction Total hip arthroplasty (THA) is a proven successful operative procedure that has demonstrated relief of pain and enhanced function for over 4 decades. Long-term results vary based on method of fixation, quality of prosthetic materials, presence of modularity, and…
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Key Points Indications for arthrodesis of the hip include young active patients with arthritis in whom other forms of reconstruction will likely fail at an unacceptably high rate. Surgical technique greatly influences outcome; sparing the abductor mechanism is key for…
Key Points Early diagnosis is critical to maximize success with femoral head–sparing surgical procedures for osteonecrosis. One should select the least invasive procedure possible for a given stage of osteonecrosis. Use of core decompression or percutaneous drilling procedures is appropriate…
Key Points Intertrochanteric femoral osteotomy has lost popularity today. Interest in addressing torsional deformities of the femur has recently come back to the fore. Proximal femoral osteotomies are often used in the context of femoroacetabular impingement (FAI) surgery and/or treatment…
Key Points The Bernese periacetabular osteotomy (PAO) can improve pain and function in adolescent and young adult patients with symptomatic acetabular dysplasia and minimal degenerative changes. PAO allows medialization of the hip center, improved lateral and anterior coverage, and correction…
Key Points Surgical hip dislocation (SHD) combined with a sliding osteotomy of the greater trochanter provides a 360-degree overview for correction of structural hip problems and is a safe approach with a low complication rate. SHD can be used for…
Key Points Structural abnormalities are the main causes of labral pathology in the hip. Femoroacetabular impingement (FAI) and developmental hip dysplasia are causes of osteoarthritis in the hip. Arthroscopy is an effective, reproducible, and less invasive method of treating intraarticular…
Key Points Numerous nonstructural hip disorders may be amenable to arthroscopic intervention. Successful operative hip arthroscopy is first dependent on proper patient selection, careful patient positioning, and accurate portal placement. Routine hip arthroscopy should include both central and peripheral compartments.…