Hip Preservation Service The Hip Preservation Service and the Center for Hip Preservation are dedicated to understanding the causes and long-term effects of hip degeneration and injuries. CHIEF Robert L. Buly, MD
Clinical Highlights Service and Center members include specialists trained in orthopaedic surgery, physiatry, physical therapy, sports medicine, radiology and biomechanics. Patients benefit from their collaborative approach to diagnosing complex hip pain early and accurately. When a diagnosis is made early, there are often more treatment options. In 2015, we performed more than 700 hip arthroscopies, more than 350 hip replacements and more than 300 hip resurfacing procedures. We also performed many periacetabular and femoral osteotomies.
Research Initiatives The Service continues to partner with the Healthcare Research Institute to study the long-term impact of hip arthroscopy on femoroacetabular cartilage preservation. We are using quantitative MRI, along with clinical evaluation and patient-reported outcome measures, at two and five years postoperatively under the auspices of an R01 grant.
The Service routinely assesses preoperative and postoperative patients with patient-reported outcome measures. We ask patients to answer more than 70 questions at regular intervals to gather information. To make the process less onerous and boost compliance, we are working with the Healthcare Research Institute to create a comprehensive short-form survey. It is expected to be completed by the fall of 2017. EOS imaging, which delivers high- quality orthopaedic scans with a reduced radiation dose, is being used to assess the role of pelvic positioning — such as lumbar lordosis and pelvic sagittal balance — in patients with femoroacetabular impingement. There is evidence that patients with the condition may be able to compensate for their bony abnormality to some degree with increased flexibility of the lumbar spine. This research may help identify patients who might benefit from conservative treatment. The Service is investigating hip mechanics, including the impact of femoral torsion on patellofemoral
FROM LEFT TO RIGHT: Robert L. Buly, MD; Struan H. Coleman, MD, PhD; David L. Helfet, MD; Bryan T. Kelly, MD; Dean G. Lorich, MD; Douglas N. Mintz, MD; Peter J. Moley, MD; Danyal H. Nawabi, MD; Anil S. Ranawat, MD; Ernest L. Sink, MD; Edwin P. Su, MD; David S. Wellman, MD
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