Hip Preservation

hip preservation

Our Orthopaedic Hip Preservation program is consistently ranked among the top in the country by U.S. News & World Report. Our hip preservation specialists perform hundreds of hip preservation 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 dedicated to training the next generation of orthopaedic surgeons.

Who We Are

Led by Brian D. Lewis, MD, the Hip Preservation division at Duke Orthopaedics is nationally recognized for its expertise in diagnosing and treating complex hip conditions. Our team performs hundreds of hip preservation surgeries annually, offering advanced care to patients of all ages—especially those between 20 and 50—who seek to avoid premature arthritis and hip replacement.

We are among the few centers in the country with the experience and technology to treat the most challenging hip conditions. Our program is consistently ranked among the top in the nation by U.S. News & World Report.

Research

Our team is at the forefront of innovation in hip preservation. We have:

  • Pioneered techniques to treat labral tears from FAI and hip dysplasia
  • Developed comprehensive treatment protocols for avascular necrosis
  • Advanced care for pediatric and adolescent conditions like slipped capital femoral epiphysis

We are committed to training the next generation of orthopaedic surgeons and continuously improving outcomes through clinical and translational research.