Hip Osteotomy Surgery Cost and Procedure Information
1.5 to 3 hours
2 to 4 nights
Hip osteotomy also called hip preservation surgery, is a type of orthopaedic surgery that realigns the bones of the hip joint to allow easier and pain-free movement. It can be used to treat symptoms of osteoarthritis and a range of other hip joint issues as well as prevent or delay the need for a hip replacement.
Why Have Hip Osteotomy Surgery?
Hip osteotomy surgery can reduce pain and mobility limitations caused by a number of conditions linked to poorly aligned hip joints. The overall aim of hip osteotomy is to remove pressure from damaged areas of the joint by realigning the ball or socket of the hip joint.
Easing stress on the joint can treat or delay the progression of a range of conditions including:
- Hip dysplasia
Hip osteotomy can also help prevent a patient from ever developing osteoarthritis or requiring a hip replacement. This is done by relieving stress from how the joint moves and therefore preventing the damage that would otherwise lead to osteoarthritis.
Hip Osteotomy Surgery Candidates
In general, an ideal candidate for hip osteotomy is:
- Under 60 years of age
- Generally healthy
- Active in their daily life
- Has no hip inflammation or deformation
- Has healthy hip joint cartilage
Before the procedure, patients should aim to be as fit and healthy as possible. Easy ways to do this include:
- Maintaining an optimal and sustainable weight for your body
- Keep active or begin a physician-recommended exercise program before surgery
- Stop smoking or using any nicotine product at least 6 weeks before surgery
- Reduce alcohol intake
Committing to healthy practises before surgery not only has a significant positive impact on recovery in the short term. It also positively impacts the health of the hip after recovery. Hip joint replacement may be a better treatment option for patients with severe hip dysplasia or osteoarthritis.
How Much Does Hip Osteotomy Surgery Cost?
Prices for orthopaedic surgery in the UK vary widely, and this is no different for hip osteotomy. Across the UK, private hip osteotomy costs from £2,000 up to £6,000 or more. The wide range in price is dependent on a number of factors including where the hospital is located, the surgeon performing the operation, and what pre-or post-operative services are included in the price.
The Hip Osteotomy Surgery Procedure
In general, hip osteotomy takes between 1.5 to 2 hours. The surgeon will walk through their entire treatment plan well before surgery so patients are fully informed before having the procedure.
A hip osteotomy may be performed under a general anaesthetic or a spinal anaesthetic with sedation. The surgeon will decide on the type of anaesthetic to use based on the complexities of the procedure as well as the patient's general health. For general anaesthesia, patients will be given a medication that puts them into a deep dreamless sleep for the duration of the operation. Spinal anaesthesia is also called an epidural or spinal block. For this, numbing medication is carefully injected into the spine to temporarily block any feeling in the body below the injection. A sedative is also administered so you feel relaxed during the surgery.
The Hip Osteotomy Procedure
Either the ball or socket of the hip joint can be adjusted during hip osteotomy surgery. Each patient’s hip will be aligned in a way to best suit their body, but the general surgical procedure is similar for every patient.
This type of hip osteotomy surgery focuses on correcting the ball of the hip joint at the top of the thigh bone called the femur.
- The top of the femur is cut to release the ball of the hip joint
- The ball is repositioned with temporary screws
- X-rays are used to help the surgeon decide if the new placement is correct
- When they are happy with the alignment, they secure it into the new position with a metal plate and screws
The image below is an x-ray of a patient’s hip 1 year after femoral osteotomy and shows the permanent screws and metal plate used to position the bone.
This technique is most commonly used to treat hip dysplasia where the socket of the hip joint is too shallow to fit the ball of the joint.
- The bones of the pelvis are cut to release the acetabulum
- The socket is repositioned with temporary screws
- X-rays are used to check the alignment of the acetabulum with the femur
- When they are happy with the position, they secure the acetabulum into its new position with screws and metal plates
Sometimes bone grafts are used to fill in large gaps between the acetabulum and pelvic bones and encourage the bone to heal into place.
Patients will be encouraged to try and stand on the first day after surgery and they will likely attempt this with the support and oversight of a physiotherapist. Providing all else is well, patients will be able to go home when they are able to move around independently. Most patients stay anywhere between 2 to 4 nights in the hospital before going home. Patients will be advised not to put their full weight on their hip for several weeks after surgery. Patients will be given a mobility aid such as crutches to help them move around as they recover. As recovery progresses, they will be able to use the aid less and less.
Physiotherapy After Surgery
A physiotherapy programme will be personally designed for the patient by the surgeon and physiotherapist. Patients may have physiotherapy or hydrotherapy appointments for several months after surgery.
It is crucial to follow the exercise and stretching plans given by the physiotherapist and surgeon exactly. These exercises and stretches are intended to help restore strength, stamina and range of motion to the hip and can help ensure the hip recovers well. Exercises and stretches also help ensure the future health of the hip as well.
Potential Hip Osteotomy Surgery Risks & Complications
Hip osteotomy is associated with potential risks and complications like any other surgical procedure. It is important patients are aware of these risks and understand them before agreeing to have surgery. If patients have any questions about any of the topics listed here, the surgeon will be happy to discuss them in more detail.
Risks and complications associated with hip osteotomy surgery include:
- Bruising & bleeding
- Blood clots
- Screw displacement
- Nerve damage
- Failure of the bone to heal
- General surgical complications