Hip Preservation

Brian D. Lewis, MD, leads the Hip Preservation Section. Duke hip preservation surgeons perform hundreds of hip preservation surgeries annually to reduce hip pain and restore normal hip function. When painful hip conditions such as hip dysplasia and hip impingement are diagnosed early, we are among the few orthopaedic specialists in the country to use complex hip preservation techniques to help you reduce your risk for premature arthritis and hip replacement surgery in your later years.

Activity-related hip pain should not be ignored, especially if you experience it when walking or moving. Feeling sharp, intense groin pain when pivoting unexpectedly can be a red flag to see an orthopaedic specialist as it may signal a tear in the labrum and the cartilage lining around the hip socket. A labral tear may be caused by a deteriorating hip condition such as hip dysplasia or hip impingement (doctors call it FemoroAcetabular Impingement or FAI). Left untreated, either condition can lead to arthritis and, eventually, hip replacement surgery. Hip preservation could be your best option if hip dysplasia or hip impingement is identified as the cause of your pain.

Hip preservation surgery is not for everyone, but it is a relatively new option for people aged 20 to 50 in general, (Occasionally, it may be an option for younger or older people.) Hip preservation procedures may benefit athletes who put their hips through extreme ranges of motion and people who were diagnosed with hip dysplasia as a child and now experiencing pain as an adult.  Hip preservation surgery may also be an option for people who experience avascular necrosis, a disease that results from temporary or permanent loss of blood supply to the bone. It is typically not an option if moderate arthritis is already present.

Our orthopaedic program is consistently ranked as one of the top in the country by U.S. News & World Report. Our hip preservations specialists perform hundreds of hip preservations surgeries each year. They are among the few surgeons in the country to perform complicated hip surgeries such as periacetabular osteotomy (PAO) for hip dysplasia. Our vast experience means you recover faster and experience less pain.

  • Our unparalleled experience enables our surgeons to treat some of the most complex cases.
  • We are among the few centers in the country offering 3-T MRI, a powerful diagnostic tool that requires no painful injections into the hip joint or CT scans. This reduces anxiety often associated with traditional imaging tests and requires less radiation exposure.
  • Our doctors pioneered game-changing techniques to relieve hip pain and dysfunction caused by labral tears that result from hip impingement (FAI), and hip dysplasia. We’re nationally recognized for our comprehensive treatment approach to avascular necrosis and conditions typically seen in children and adolescents, including slipped capital femoral epiphysis. (This occurs when the upper part of the thighbone shifts and weakens the hip joint).
  • We are committed to training future generations of orthopedic surgeons.

Our patients benefit from our experience treating the most complex cases, including:

  • Hip arthroscopy
  • Surgical dislocation
  • Periacetabular osteotomy (PAO)
  • Free vascularized fibular grafting (FVFG)

When you come to us to treat your hip pain, you receive care from nationally recognized medical professionals committed to your complete recovery.

We invite you to learn more about our program.

Ready for an appointment? Call today at 855-855-6484.