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Complex Hip

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Complex hip conditions encompass a range of pathologies and treatments, including hip arthroscopy, labral repair, correction of femoroacetabular impingement (such as CAM resection or Pincer), core decompression for avascular necrosis (AVN) of the hip, release of the iliopsoas tendon, abductor tendon (gluteus medius) repair, and cartilage preservation. Additionally, proximal hamstring repair and correction of snapping hip are among the procedures that may be involved in addressing complex hip issues, requiring a comprehensive approach for diagnosis, treatment, and rehabilitation to optimize functional outcomes.

Hip Arthroscopy:

• Labral Repair
• Femoroactebular impingement correction (CAM resection/Pincer) 
• Core decompression for AVN of hip 
• Release of iliopsoas tendon 
• Abductor tendon (gluteus medius) repair 
• Cartilage preservation of the hip

Hip arthroscopy is a type of surgery that uses a tiny camera and small surgical instruments to look inside your hip joint and treat certain hip problems. It's a minimally invasive procedure, which means that it uses small incisions instead of a large one.  During the surgery, the surgeon will make a few small incisions around your hip joint. They will then insert a thin, flexible tube called an arthroscope into one of the incisions. The arthroscope contains a camera that allows the surgeon to see inside your hip joint on a video screen.  Dr. Jildeh will then use other small surgical instruments to repair or remove any damaged tissues, such as torn cartilage or bone spurs. They may also reshape the bones in your hip joint to help improve the way it moves. Hip arthroscopy is typically used to treat a variety of hip problems, including hip impingement, hip abductor tears, labral tears, and hip dysplasia. 

Proximal Hamstring Repair:

• Proximal hamstring repair is a surgical procedure that is used to repair a tear or injury to the hamstring muscles at the top of the thigh. The hamstring muscles are located on the back of your thigh and help you bend your knee and move your leg backward and can result in significant pain, functional limitation, and impaired athletic performance.

Snapping Hip Correction:

• Snapping hip correction is a surgical procedure that is used to treat a condition known as "coxa saltans," which is characterized by a snapping sensation or sound in the hip joint when the hip is moved. The snapping is caused by the iliotibial band (ITB) or the iliopsoas tendon rubbing against the greater trochanter of the femur.  The surgical technique involves making one or more small incisions around the hip joint, through which a camera and specialized surgical instruments are inserted. The surgeon then identifies the cause of the snapping, which may be the ITB or the iliopsoas tendon, and carefully releases it from the greater trochanter.

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