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Hips HNA: What is hip dysplasia? How is it related to arthritis? Keith Berend, MD: Hip dysplasia is a congenital or developmental condition in which the ball of the hip joint is not completely covered by the socket of the joint. Today, when severe, it is almost always diagnosed and treated at birth. However, very mild forms of dysplasia can go undetected and eventually cause damage to the hip joint resulting in arthritis. Hip pain, particularly in the groin or crotch, with weight-bearing, impact-loading or extremes of motion can be early symptoms of damage caused by undiagnosed dysplasia.
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HNA: How severe does hip arthritis need to be for a patient to get replacement surgery? KB: For arthritis, there is no such thing as partial hip replacement. There is partial knee, which we favor, and occasionally, a partial hip will be performed in elderly patients with hip fractures. Total hip replacement is warranted when the pain and dysfunction of arthritis impact quality of life. If X-rays demonstrate significant disease, and the signs and symptoms are not controlled with medications, activity modifications, injections or regenerative medicines, then surgery may be indicated.
KB: Conservative treatments involve activity modification, medications and possibly injections with steroid or a biologic treatment such as stem cells (or stem cell-like materials). Arthritis, or the degeneration of the joint, is actually not curable, so management of symptoms is the choice prior to surgical intervention. www.healthynewalbanymagazine.com
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HNA: What other options does a person with hip arthritis have?
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