At the Hip Preservation Program at Children’s National Hospital, our team of orthopaedic experts is dedicated to meeting the unique needs of children with hip disorders. We offer advanced care and treatments, some of which are not widely available, to maximize the potential of your child’s natural hip joint.
Choosing Children's National for Hip Preservation
Our program improves joint functioning and quality of life for children with hip disorders. We offer a full service program with expertise in treating a broad range of hip conditions, including congenital and developmental disorders.
Highlights of our program include:
- Surgical expertise: Children’s National is the only pediatric program in Washington, D.C., with expertise in advanced surgical hip preservation techniques, such as the Ganz periacetabular osteotomy procedure and surgical hip dislocation. In fact, our hip program performs more Ganz procedures than anyone in the Washington, DC area. We are the only program performing Ganz procedures on older children (adolescents) and young adults.
- Precision diagnosis: Our imaging capabilities include specialized magnetic resonance imaging (MRI) techniques to examine blood flow and cartilage within the hip joint. Using all the latest pediatric-specific guidelines assures the highest levels of accuracy. Learn more about diagnostic imaging and radiology.
- Non-surgical care: We help children maximize their current level of functioning with physical therapy. Our therapists have a special interest in working with children. Learn more about rehabilitation medicine.
- Comfort: We help your child stay as comfortable as possible before, during, and after surgical treatments with the help of our multi-specialty pain medicine program. Learn more about anesthesiology, sedation and perioperative medicine.
Why Hip Preservation?
Healthy hips help your child move through daily activities, such as walking and sitting, with ease. Despite the best preventive care, some orthopaedic hip conditions cause the joint to wear away. In advanced cases, hip joints can completely wear out and become non-functioning. When this happens, your child’s only option may be hip replacement surgery.
If your child does need hip replacement surgery, it is important to know more about how an artificial hip joint can affect your child’s lifestyle:
- Multiple major surgeries: Artificial hip devices wear out over time, which means your child may need multiple replacement surgeries throughout his or her lifetime.
- Quality of life concerns: With an artificial hip, your child may be limited in the activities he or she may be allowed to do and must avoid certain hip positions.
Hip preservation treatment at Children’s National can help relieve pain and restore functioning, hopefully extending the life of your child’s natural hip joint. Our sole focus is in delaying or preventing your child from needing hip replacement surgery.
Hip Preservation Surgery at Children’s National
Surgery may be needed to treat advanced hip disorders. You can breathe a little easier knowing our program ranks among the country’s top pediatric orthopaedic programs.From the pre-surgical testing, through your child’s procedure and into recovery, we provide an experience that seamlessly blends our expertise with your child’s unique medical and emotional needs.
Surgical hip preservation treatments include:
- Arthroscopic hip interventions: Arthroscopy is a minimally invasive approach. With the help of a small camera (arthroscope) and sophisticated tools, our team views the inside of the hip joint and makes minor repairs.
- Surgical hip dislocations: During a surgical hip dislocation we gently remove the hip’s ball (the top of the thigh bone) from its socket (rounded opening in the pelvis bone). This gives us the best access for examining the hip joint. We can also reshape bones and repair injuries if necessary.
- Femoral osteotomy: A femoral osteotomy is a procedure that cuts through and repositions the thighbone (femur) in order to create a better fit within the hip socket. We may use screws and metal plates to hold the new structure in place.
- Ganz procedure (Ganz periacetabular osteotomy): The Ganz procedure reshapes the hip socket using a series of controlled breaks. This creates a more natural and better functioning hip joint.
Using child-friendly language and a compassionate approach, we help your family mentally and emotionally prepare for your child’s surgery. Learn more about child life services. To help families prepare for surgery, we’ve compiled helpful resources. Learn more about Having Surgery: What to Expect.
For more information or to make an appointment with the Hip Preservation Program, please call us at 202-476-2112.