Hip Osteotomy

  • Introduction

  • Surgical Treatment

The hip consists of a ball-and-socket joint. The ball of the femur (femoral head), fits into the socket of the pelvis (acetabulum), and is kept in place by structures of cartilage. If bones of the hip become misshapen (hip dysplasia), as a result of a traumatic injury or due to different types of arthritis and other diseases and do not fit together correctly, hip osteotomy surgery may be necessary to reshape and reposition the bones. During hip osteotomy, a surgeon cuts the misshapen bones and reshapes them, then repositions them to fit together correctly.

A number of imaging tests, such as X-rays, CT scans, or MRIs, are ordered by the surgeon to better observe the position and condition of the hip and to determine if surgery is needed.


Hip osteotomy is performed instead of total hip replacement surgery for those with osteoarthritis in only one hip or who are too young for a total joint replacement. Children and young adults are not typically seen as candidates for hip replacement surgery and so hip osteotomy is the best option.

Recovery from hip osteotomy typically takes longer than that of hip replacement. During recovery, it is important to follow the instructions of your orthopedic surgeon and physical therapist. Patients can expect recovery time to last anywhere from three to six months.

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