Protecting the natural hip joint for as long as possible
Younger patients with hip dysplasia, impingement, or early joint damage often benefit from joint-preserving treatment rather than replacement. Mr Wilson assesses these cases carefully, aiming to protect the natural hip for as long as possible while managing symptoms and activity goals.
Rather than moving straight to replacement, Mr Wilson focuses on treatments that protect the patient's own joint. These may include activity and load management, physiotherapy, arthroscopic surgery, or, in some cases of dysplasia or abnormal femoral rotation, more involved reconstructive procedures such as femoral osteotomy to correct excessive anteversion or retroversion. The right approach depends on the patient's specific diagnosis, age, and activity goals.
Preserving the natural joint where possible can delay or avoid the eventual need for hip replacement, which matters particularly for younger, active patients with many decades of hip use ahead of them. Mr Wilson maintains an active interest in the long-term outcomes of this type of surgery.
Young adult hip surgery and hip preservation — frequently asked questions
Hip dysplasia means the hip socket doesn't fully cover the ball of the joint, which can lead to instability and early wear if untreated. Mr Wilson will assess the severity of your hip dysplasia, and discuss options ranging from monitoring to reconstructive surgery, depending on your individual case.
Not necessarily. The goal of joint-preserving treatment is to protect your own hip for as long as possible. Many patients manage well for many years, or indefinitely, with the right treatment and activity management.
Many patients continue with sport, sometimes with some modification. Mr Wilson will advise on what's appropriate for your specific diagnosis and goals.
This varies by diagnosis — it may involve arthroscopic (keyhole) treatment of impingement or labral damage, or, for more significant dysplasia, an open procedure to reposition the socket. Mr Wilson will explain the specific procedure relevant to you.
