Not many (the young adults and children ) are aware that pain in thigh or knee may sometimes indicate hip problems and any delay in diagnosing and treating the problem will lead to irreversible damage and arthritis of the hip joint.
If hip preservation surgery is performed in young patients, it will delay or arrest arthritis and also helps in avoiding or delaying total hip joint replacement surgery in future.
To focus on these and other related issues, SIS A Hospital (Sai Institute of Sports Injury and Arthroscopy)is conducting 12th SISA 2019 advanced Hip Preservation Course.
The workshop was held on Sunday, April 14, 2019, at Taj Deccan Hyderabad, to familiarize orthopaedic surgeons with these advanced techniques. Over 350 surgeons from different parts of the country will participate in the workshop to learn these techniques focused on preservation of Hip joint.
The hip joint is a major ball and socket designed to give the ability to sit, squat, stand, run, and jump without popping out or wearing down during our life time.
However, hip pain is becoming common even in young people. Hip pain is usually not severe in early stages and the diagnosis is not made readily without advanced training to doctors. Most hip arthritis is secondary to shape alterations of the bones. Several of these alterations start at a young age while a few conditions start in adulthood. We now have the knowledge and information to identify these alterations early, treat them, and prevent arthritis. The goal of this meeting is to disseminate this knowledge to more Orthopaedic surgeons so that more people can be helped.
Well known childhood diseases such as congenital dislocation (being bom with a dislocated hip), septic arthritis (infection of the joint), Perthes disease (problem with circulation of the ball), Slipped epiphysis (ball slipping on the thigh bone) and newer problems like femoroacetabular impingement (jamming of the hip bones) of unknown cause are well known to cause these shape alterations. Appropriate early treatment can decrease the chance of these alterations. Activity modification and going back to our older habits like sitting on the floor and squatting seem to have a preventive role in the development of femoroacetabular impingement. Carrying the baby with their hips spread apart is well known to promote healthy hip development.
Once the alterations occur, correcting them in the hips that are at risk is now a well-established approach. With newer knowledge of the blood supply to the hip, we have the ability to safely deepen, rotate, or reduce the socket size, change the shape of the socket, make the ball smaller and rounder, lengthen the neck, and strengthen the muscles. We can also place new cushion on the ball and socket in selected patients.
The standard surgical procedures with larger incisions and longer recovery are safer now, but most of them can be accomplished with smaller incisions and day care surgery. Arthroscopy of the hip, a technically difficult procedure not so popular in India, but has tremendous potential to perform the treatment with tiny incisions, less pain, faster recovery and very good results.
Dr. Gourineni Prasad, bom and raised in India, practicing in Chicago, and committed to spreading hip knowledge in India had the unique opportunity to learn modern hip preservation from its beginning from the original Swiss surgeons and accumulated unmatched experience with both open and arthroscopic techniques since 20 years. He simplified the approach greatly while maintaining its accuracy and his results are on a par with any international expert in the field.
He collaborated with Dr. K. Raghuveer Reddy and dedicated himself to treat children and young adults with hip problems at SISA centre, Hyderabad and his soon to be launched world class center at Tirupati known as Amara Hospital.