Periacetabular Osteotomy (PAO): Hip Surgery | Dr Niraj Vora

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Reinhold Ganz popularized Periacetabular
osteotomy (PAO) for the treatment of hip
dysplasia. Hip dysplasia is a condition where the
femur or thigh bone is not connected with the
pelvis causing the hip joint to be slightly
dislocated. This can result in different leg
lengths or limping. This condition can be genetic
or a person can be born with it. Though, if
detected at birth it can be easily cured as
infants have soft bones. Dr. Niraj Vora, a total
hip replacement surgeon, in Mumbai says that it
is concerning that the need for POA surgeries is
increasing. It is seen that 60 of the patients
need to undergo hip replacement surgery within 3
years of hip arthritis showing up.
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What is a periacetabular osteotomy? A periacetabu
lar osteotomy or POA is a surgery performed
usually on adults or adolescents suffering from
hip dysplasia. It is a hip preservation surgery
performed by a hip preservation orthopedic
surgeon by making cuts on the bone around the hip
socket in order to rotate the socket to the right
position. Once fixed, metal screws are used to
ensure that the bone remains unmoved. This
provides better coverage to the hip socket and
thus reduces the stress on the hip socket rim
(the cause of cartilage damage). In case of a
labral tear i.e., a tear in the cartilage
encasing the hip joint, hip arthroscopy is
performed along with the POA to repair the tear.
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Dr. Niraj Vora, one of the specialists in hip
arthroscopy in Mumbai, believes that combining
arthroscopy and POA helps inspect the hip joint
and can even be used before osteotomy for the
treatment of hip pathology. How do I ensure a
speedy recovery? Physical therapy helps a
patient recover proper movement in their bones
after the surgery. It begins with basic motion
exercises that help improve rotation and
stretches the muscles around the hip bone. The
therapist assists the patients to walk through
parallel bars, followed by crutches which help in
restoring previous activity levels and develop
confidence in the patient.
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The patient can start outpatient physical therapy
one month after the surgery. Crutches play a
crucial role in the first weeks of recovery as
they are important to maintain balance and reduce
too much pressure on the operated area. Once
completely healed, patients are able to return to
their previous level of activity. Approaching a
POABefore approaching a POA the patients need
to go through a physical examination and need to
submit their medical history to avoid any
complications. For the confirmation of hip
dysplasia, orthopedists use X-rays, MRI, and in
some cases 3 D CT scans. These scans provide a
clear image of the hip joint and help pinpoint
any damages present.
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POA is an important surgery that requires a
professional surgeon and the utmost aftercare. Dr
Niraj Vora performs hip replacement surgery in
Mumbai. He specializes in both hip arthroscopy
and POA. He has helped thousands of patients
suffering from hip dysplasia and continues to do
so. Visit Dr Niraj Vora, one of the safest hip
replacement surgeons in Mumbai for primary hip
and knee replacement surgeries.
Dr Niraj VoraSpecialist in Hip Knee Surgeon
Consultant Orthopaedic Surgeon from Mumbai,
India
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