The Penn Hip Preservation Center is focused on helping adolescents, young adults and active adults who are looking for strategies to postpone or prevent hip replacement surgery. If left untreated, chronic hip pain may lead to arthritis and eventual hip replacement. The goal of our Center is to take a patient-centered approach to alleviate pain and improve function across the spectrum of hip care.
The Center is led by orthopaedic specialists who have advanced training in hip preservation techniques, including all facets of interventional, arthroscopic and open procedures. Our specialists have undergone advanced training (in both the United States and Europe) related to hip preservation techniques.
Our team consists of orthopedic surgeons, physicians, physical therapists and radiologists who use the latest evidence-based approaches to diagnose common hip conditions and offer surgical or non-surgical treatment options that are right for you.
Conditions We Treat
Hip preservation strategies are especially useful for young adults, professional athletes, performers and other people who put high demands on their hips. Our experts focus on restoring the structure and function of the hip joint, while minimizing pain that may happen with daily activities, recreational activities and athletics.
Conditions that typically respond well to hip preservation techniques include:
- Cartilage injury
- Developmental hip disorders
- Femoroacetabular impingement (FAI)
- Hip dysplasia (DDH, CDH)
- Hip instability
- Labral tears of the hip
- Legg-Calves-Perthes (LCP) disease
- Post-traumatic hip disorders
- Sequelae of slipped capital femoral epiphysis (SCFE)
- Sports-related injuries
Treatments and Services
Treatments for hip conditions include a variety of non-surgical and surgical options for patients who have healthy cartilage in the setting of underlying structural causes for their hip pain. The goal is to correct issues related to joint anatomy, including bones and soft tissues of the hip, to prevent further cartilage damage.
After a thorough review of your medical history and careful physical examination, your provider will typically suggest a variety of treatment options, depending on the underlying cause of the pain. These options can include:
- Abductor tendon (gluteus medius/minimus) tear repair: Arthroscopic and open techniques to repair and reconstruct tendon tears in the hip.
- Advanced cartilage repair and restoration: Specialized arthroscopic and open techniques to treat focal cartilage injuries in the hip.
- Autologous chondrocyte implantation
- Core decompression: A minimally invasive technique to address avascular necrosis (AVN or osteonecrosis) of the hip. This procedure involves decompressing areas of dead bone tissue, and, in the same procedure, placing stem cells harvested from patient's own body into the hip to stimulate the growth of new, healthy bone tissue.
- Femoral Osteotomy: An open surgery to change the shape of the femur to improve gait mechanics.
- Free-fibular vascularized bone grafting: Specialized open technique to address avascular necrosis.
- Fresh osteochondral allograft transplantation
- Hip arthroscopy: A minimally invasive surgery to address damage deep inside the hip joint, such as cartilage injury and areas of femoroacetabular impingement (FAI).
- Meniscal allograft transplantation
- Osteochondral autograft transfer
- Osteochondritis dissecans
- Periacetabular Osteotomy (PAO, Ganz osteotomy): An open surgery to reorient the hip socket to improve coverage of the head of the femur by the socket, particularly for dysplastic (shallow) hips.
- Surgical hip dislocation: An open surgery in which the hip joint is dislocated from the socket, without reducing the critical blood supply, to address severe deformities and cartilage damage.
Learn more about hip preservation procedures
Why Penn Hip Preservation Center Is Different
When you need to prevent or postpone hip replacement, you should seek qualified orthopaedic experts who can give you a thorough evaluation and weigh all treatment options. Who sees you and where you are treated matters.
Here's what our program offers:
- The benefits of a high-volume center combined with the dedication and specialization of a large orthopaedic team — plus the immediate access to other types of specialists
- The expertise of surgeons who focus exclusively on cartilage and meniscus repair using the latest minimally invasive procedures, including arthroscopy
- A dedicated team of orthopaedic specialists who focus solely on the female athlete and her unique anatomy
- A comprehensive group of specialists from rheumatology, neurology, orthopaedic trauma, physical therapy and the Penn Center for Human Performance who participate in patient cases when necessary
- An active and well-funded research lab, focused on developing technologies and advanced treatment options that benefit patients
- Personalized care tailored to you, so you can achieve maximum recovery