Hip Preservation

By Tristyn Kinser, MS, ATC, LAT

Hip Preservation and Reconstruction vs Hip Replacement 

What is hip preservation and reconstruction vs hip replacement?  The most common injury at the hip joint is femoral acetabular impingement (FAI) which is caused by the head and neck of the femur being miss-shaped. The deformity causes the hip to not move smoothly in the socket which creates damage to the cartilage and labrum and leaves patients in severe pain.

Over time, this injury can lead to osteoarthrosis which leads to hip replacement. Luckily, there is a procedure that repairs this damage and prevents the need for future joint replacements. JOI’s own, Dr. Freeman is one of few Hip Preservation Surgeons in the United States.


image of hip in pain

Hip Preservation and Reconstruction vs Hip Replacement

What is Hip Preservation and Reconstruction?

Hip preservation is surgery that focuses on the prevention of the onset of arthritis. This eliminates the need for a future hip replacement. There are multiple techniques involved in hip preservation and reconstruction.

Some surgical techniques include; cartilage reconstruction surgery (bone and tissue grafts), bone spur removal (removing protrusions from the bone), debridement (removal of loose bodies or cartilage), hip labral repair (repairing tears in cartilage lining of the hip socket), and pelvic osteotomy (removing bone to allow for better position of the femur and pelvis).

What Are Your Options?

If you suffer from chronic pain in your hip, you may think your only option for relief is a total hip replacement.  Joint preservation is a great way to prevent injury, preserve cartilage, and decrease inflammation. Successful surgery outcomes:

  1. Age is important to successful preservation surgeries.
  2. Patients under 50 have better outcomes
  3. Weight is a factor that can cause damage to your hip
  4. Strength and flexibility can reduce joint stress on the hip
  5. The severity of your hip joint damage
  6. Some patients with severe cartilage damage may not be eligible for hip preservation surgery.

Hip Doctors in Jacksonville

You may be a candidate for this procedure if you have a history of:

  • hip dysplasia
  • impingement,
  • avascular necrosis
  • sports injury

For individuals between 20-50 years old, hip preservation surgery can help to prevent the need for a hip replacement in the future. If you have hip pain come to JOI and see Dr. Freeman for an evaluation to determine what options may be best for you!

JOI Fracture and Injury Care

JOI Physicians are currently offering ASAP fracture and injury care. This is a new option for patients who would like to avoid the emergency room. To learn more about this service, read this article about fracture and injury care. Make an appointment by calling (904)JOI-2000.


image of Dr. Freeman

Dr. Carl Freeman

By: Carl Freeman, MD

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