Hip Osteotomy Surgery

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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:

  • Osteoarthritis
  • 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.

Is hip osteotomy surgery right for me?

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, you 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 your health before surgery not only has a significant positive impact on recovery in the short term. It also positively impacts the health of your hip after recovery.

Hip joint replacement may be a better treatment option for patients with severe hip dysplasia or osteoarthritis. Learn more about hip replacement surgery here.

The best way to find out if you are a good candidate for hip osteotomy is to make a consultation with a Medbelle orthopaedic surgeon today.

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.

How is hip osteotomy surgery performed?

In general, hip osteotomy takes between 1.5 to 2 hours.

Your surgeon will walk you through their entire treatment plan for you well before surgery so you are fully informed before your procedure.


A hip osteotomy may be performed under a general anaesthetic or a spinal anaesthetic with sedation. Your surgeon will decide on the type of anaesthetic to use based on the complexities of your procedure as well as your general health.

For general anaesthesia, you will be given a medication that puts you 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.

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.

Femoral Osteotomy

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.

  1. The top of the femur is cut to release the ball of the hip joint
  2. The ball is repositioned with temporary screws
  3. X-rays are used to help the surgeon decide if the new placement is correct
  4. 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.

hip osteotomy after 1 year

Periacetabular Osteotomy

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.

  1. The bones of the pelvis are cut to release the acetabulum
  2. The socket is repositioned with temporary screws
  3. X-rays are used to check the alignment of the acetabulum with the femur
  4. 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.

periacetabular osteotomy hip surgery.png

You will be encouraged to try and stand on the first day after surgery. You will likely attempt this with the support and oversight of a physiotherapist.

Providing all else is well, you will be able to go home when you are able to move around independently. Most patients stay anywhere between 2 to 4 nights in the hospital before going home.

You will be advised not to put your full weight on your hip for several weeks after surgery.

You will be given a mobility aid such as crutches to help you move around as you recover. As your recovery progresses, you will be able to use the aid less and less.

Physiotherapy After Surgery

A physiotherapy programme will be personally designed for you by your surgeon and physiotherapist.

You may have physiotherapy or hydrotherapy appointments for several months after surgery.

It is crucial to follow the exercise and stretching plans given to you by your physiotherapist and surgeon exactly. These exercises and stretches are intended to help restore strength, stamina and range of motion to your hip and can help ensure your hip recovers well. Exercises and stretches also help ensure the future health of your hip as well.

What are the potential risks & complications associated with hip osteotomy surgery?

Hip osteotomy is associated with potential risks and complications like any other surgical procedure. It is important you are aware of these risks and understand them before agreeing to have surgery. If you have any questions about any of the topics listed here, your surgeon will be happy to discuss them with you in more detail.

Risks and complications associated with hip osteotomy surgery include:

  • Bruising & bleeding
  • Infection
  • Blood clots
  • Screw displacement
  • Nerve damage
  • Failure of the bone to heal
  • General surgical complications

Why choose a private provider like Medbelle for hip osteotomy surgery?

When you choose Medbelle for your private hip osteotomy surgery, the cost of surgery is created to fit your needs. Prices are always quoted after you meet with your surgeon so they have an opportunity to ensure you are getting a treatment that is right for you.

Your price for hip osteotomy with Medbelle will include the following:

General Medbelle benefits

  • One-to-one support from a Medbelle Patient Care Adviser
  • Flexible appointment scheduling and rescheduling
  • Wait times as short as a few weeks
  • All fees related to your hospital stay after surgery
    • Hospital accommodation
    • Nursing staff
    • Surgery theatre cost
    • Physiotherapy
    • Imaging costs
    • Medication
    • Pathology
  • Aftercare
    • 7 days worth of any medication prescribed by your surgeon
    • A standard mobility aid such as crutches or a cane, if prescribed
    • 8 post-operative physiotherapy sessions
    • 1 post-operative X-ray
    • Post-operative appointments with your surgeon

With Medbelle, you'll never face any hidden costs. You are walked through your price breakdown during your consultation and told what this price includes and what it does not.

Hip osteotomy surgery with Medbelle does not include:

  • Diagnostic consultations
    • £250 for initial consultations
    • £150 for additional diagnostic consultations
  • Diagnostic imaging scans
    • Estimated £150 per x-ray
    • From £240 for MRI scans

We are passionate about transparency when it comes to every element of your procedure, including the bill. Before agreeing to have surgery, everything included or excluded from the cost of your hip osteotomy surgery will be explained. Plus your Medbelle Patient Care Adviser is always there to explain if you have questions.

You will be told by your surgeon what scans and appointments you will need during your consultation.

Private orthopaedic treatment can be expensive despite the benefits. To help make private orthopaedic surgery more accessible, Medbelle offers affordable finance options. Finance breaks the cost of surgery into easy-to-budget monthly payments. Contact your Medbelle Patient Care Adviser today to find out if you qualify for hip osteotomy finance.

If you want to learn more about the benefits of private orthopaedic care with Medbelle, head over to our blog.

Hip Osteotomy Surgery FAQs

How long does hip osteotomy surgery take?How long will I need to use a mobility aid after hip osteotomy surgery?When can I begin exercising normally again after my hip osteotomy?Are there any alternative treatments to hip osteotomy?Will I need physiotherapy after hip osteotomy?How much time do I need to take off work after a hip osteotomy?