Ortho Hips and Knees- Part 3

Surgical options for hip arthritis

With people living longer than ever, arthritis of the hip and knee is more common. The American Association of Hip and Knee Surgeons estimates there may be a need for 500,000 hip replacements and 3,000,000 knee replacements each year by the year 2030.

But joint replacement is the last option.  There are treatments and surgical procedures that may relieve the problem without restoring to knee or hip replacement. In this and succeeding blogs, we’ll discuss your options as recommended by the AAHKS.

First, let’s look at hip arthritis. When non-surgical treatments for hip arthritis fail, you and your doctor may consider surgery. There are several surgical options that are useful for treating osteoarthritis in your hip:

Hip arthroscopy is usually an outpatient procedure to repair torn cartilage and to remove extra bone that occurs in the very earliest stages of osteoarthritis. The surgeon uses small incisions around the hip to allow for insertion of a tiny camera called an arthroscope. Arthroscopy is rare in patients over 40 years of age.

Femoral and acetabular osteotomy surgery involves cutting the bone to reorient your hip joint when your hip has structural abnormalities. This is extensive surgery that involves the insertion of plates and screws to hold the bone in place while it heals. It requires several days of inpatient hospitalization, and recovery usually takes six to twelve weeks.

Hip resurfacing is the use of a metal-on-metal device where the hip ball is capped. It usually requires inpatient hospitalization for several days, and recovery usually takes six to twelve weeks. There are few circumstances where it would be required.

Total hip replacement (THR) is considered the “gold standard” for treating your disabling hip pain. Circumstances that may indicate the necessity of THR occur in people of all ages, sexes, and activity levels.

In our next blog, we’ll discuss Total Hip Replacement in detail.

We at Blue Sky Therapy are ready to assist you!

Blue Sky Therapy has a continued commitment to patient-driven quality, excellence, integrity and innovation in everything that we do. That’s why we are scrupulous about planning the treatment of each and every client, and carefully documenting the outcome!


American Association of Hip and Knee Surgeons. Developed by the AAHKS Patient Education Committee. Authors: Craig J. Della Valle, MD, Frank R. DiMaio, MD, Marc W. Hungerford, MD.