Hip Specialist Dr Mark Adickes in Houston, TX

Hip Preservation Surgery

The hip is a ball and socket joint comprising of the femur (thigh bone) and the pelvic bone. The head of the femur (ball) articulates with a cavity (socket) called the acetabulum in the pelvic bone. To facilitate the smooth and frictionless movement of the hip joint, the articulating surfaces of the femur head and acetabulum are covered by spongy articular cartilage. Injury, wear-and-tear and certain diseases can result in the wearing away of the cartilage tissue, causing painful rubbing of bones. Hip replacement surgeries have long been the choice of treatment, where the damaged parts of the joint are removed and replaced with a prosthesis. However, in young active patients, the prostheses are highly prone to wear-and-tear, and the need for repeat surgery. Hip preservation is a surgery that overcomes the limitations of joint replacement.

Indications for Hip Preservation Surgery

Some of the conditions indicated for hip preservation surgery include: 

• Femoroacetabular impingement (FAI): friction in the hip joint from abnormal bony irregularities 
• Hip dislocation: head of the femur moves out of the socket
• Hip dysplasia: A congenital hip condition characterized by a shallow acetabulum 
• Labral tear: tear or separation of the labrum, a cartilaginous ring that surrounds the socket and seals the hip joint
• Avascular necrosis: disrupted blood flow to the hip joint, causing the death of bone tissue

Procedure

Hip preservation surgery includes various techniques:

Periacetabular Osteotomy

Periacetabular osteotomy is a surgical procedure to treat hip dysplasia. This involves cutting the acetabulum from the pelvic bone and repositioning it with screws to allow for a better fit of the femoral head. The procedure reduces pain, restores function and prevents further deterioration of the hip joint, thereby increasing the life of the hip joint and postponing total hip replacement. 

Surgical Hip Dislocation

Surgical hip dislocation is a surgical technique that involves the dislocation of the hip joint during surgery to facilitate easy access to the inside tissues of the hip joint. It helps your surgeon to clearly view and treat abnormalities present deep into the hip joint. 

Femoral Osteotomy

An osteotomy is a surgical procedure that involves cutting and reshaping of a bone. The femur is cut at the end close to the hip joint and realigned so that it forms a normal angle. This improves the distribution of force placed on the joint and prevents wear-and-tear of the cartilage. 

Hip Arthroscopy

Arthroscopy, also referred to as keyhole or minimally invasive surgery, is a procedure in which an arthroscope is inserted into a joint to check for any damage and repair it simultaneously. Hip arthroscopy is a surgical procedure performed through very small incisions to diagnose and treat various hip conditions.

The various hip preservation surgeries for severe hip pain and dysfunction in young and active patients have been found to be beneficial, and also avoid or delay the need for hip replacement surgery.

Hip Preservation Surgery Recovery Timeline

Recovery varies depending on the procedure, but most patients can expect:

• First 1–2 weeks: limited weight-bearing and activity modification
• 2–6 weeks: gradual return of motion and light activity
• 6–12 weeks: strengthening and improved mobility
• 3–6 months: return to sports and full activity

Rehabilitation plays a critical role in achieving optimal outcomes and long-term joint health.

Benefits of Hip Preservation Surgery

• Preserves the natural hip joint
• Minimally invasive options with faster recovery
• Reduces pain and improves mobility
• Helps prevent or delay arthritis
• May delay or avoid the need for hip replacement

Hip preservation is especially beneficial for active individuals who want to maintain long-term joint function.

Why Choose Mark S. Adickes, MD for Hip Preservation?

Patients choose Dr. Adickes for his expertise in sports medicine and hip preservation techniques. As a fellowship-trained orthopedic surgeon and former professional athlete, he understands the importance of maintaining performance, mobility, and long-term joint health. His approach focuses on precise diagnosis, minimally invasive solutions, and individualized treatment plans.

Serving Houston and Surrounding Communities

Conveniently located in Houston, TX, this practice serves patients throughout the region, including Katy, Sugar Land, The Woodlands, Memorial, and surrounding communities.

Frequently Asked Questions About Hip Preservation Surgery

What is the goal of hip preservation surgery?

The goal is to repair and restore the natural hip joint while preventing further damage and delaying or avoiding joint replacement.

Is hip preservation surgery minimally invasive?

Many procedures are performed arthroscopically using small incisions, allowing for faster recovery and less tissue disruption.

How long does hip preservation surgery take?

Most procedures take about 1–2 hours, depending on the condition being treated.

Can hip preservation surgery prevent hip replacement?

In many cases, early treatment of structural problems can delay or reduce the need for hip replacement surgery.

Who benefits most from hip preservation surgery?

Younger, active patients with early-stage hip problems and minimal arthritis typically benefit the most.

What happens if hip problems are left untreated?

Untreated structural issues can lead to worsening pain, cartilage damage, and early arthritis over time.

If you are experiencing hip pain, stiffness, or limited mobility, schedule a consultation with Dr. Mark Adickes to learn whether hip preservation surgery is the right treatment option for you.