We employ an integrated approach to help fulfill patients’ needs and meet their goals. Our team includes Campbell Clinic pediatric and total joint replacement surgeons, non-operative sports medicine physicians and physical therapists. The Hip Preservation Program takes advantage of ongoing research and advancements in the latest techniques to treat hip pathology, including hip arthroscopy, safe surgical dislocation and pelvic osteotomies.
The following pediatric and total joint physicians at Campbell Clinic specialize in diagnosing hip disease in children and young adults:
- Dr. James Guyton
- Dr. Derek Kelly
- Dr. Marc Mihalko
- Dr. Jeffrey Sawyer
- Dr. Benjamin Sheffer
- Dr. David Spence
- Dr. William Warner
The Campbell Clinic Hip Preservation Program aims to lessen the severity of future hip problems while enabling children and young adults to pursue normal physical activities free of pain. According to the Centers for Disease Control and Prevention (CDC), one in four people will develop painful hip arthritis in their lifetime, and more than 250,000 total hip replacements are performed each year in the United States.
Although the cause of end-stage arthritis is often based on a number of factors, up to 85 percent of hip arthritis cases can be attributed to an underlying hip condition that may be present as early as childhood or adolescence. Even subtle hip abnormalities, if left untreated, can have significant effects on mobility, function and quality of life for patients down the road. Unfortunately, many of these hip conditions go unrecognized until the arthritis is advanced.
This program employs a combination of non-operative management, less-invasive techniques and larger restorative or corrective procedures that aim to slow or eliminate degeneration of the hip joint associated with conditions such as:
- Hip dysplasia (a shallow or mal-positioned hip socket)
- FAI – Femoroacetabular impingement (abnormal contact between the femoral head and socket)
- Perthes disease or avascular necrosis (degeneration of the femoral head due to inadequate blood supply)
- SCFE – Slipped capital femoral epiphysis (slipping of the growth plate below the femoral head)
- Neuromuscular conditions
Degenerative hip conditions often lead to pain, limitations in physical activity and, ultimately, osteoarthritis that (if left untreated) may require replacement of the joint at a relatively early age.
For some patients who already have end-stage arthritis, our surgeons are performing total hip replacement using a variety of techniques tailored for each individual patient, including a muscle-sparing, anterior method. For some candidates, this method promotes shorter recovery times, maintains positive outcomes and, in some patients, can be done at one of our outpatient surgery centers.
The decision to have joint replacement surgery is a serious one for any patient. Our goal is to use the variety of treatment options at our disposal to decrease pain, increase mobility and enhance quality of life while delaying major surgery as long as possible.