Hip Osteotomy

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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.

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Our Treatment Guide

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 free 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.

Anaesthetic

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 thefemur.

  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 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
  • Postop physiotherapy sessions
  • 1 post-op X-ray

Hip osteotomy surgery with Medbelle does not include:

Diagnostic imaging scans

  • Estimated £150 per x-ray
  • From £500 to £600 for MRI or CT scans

Post-operation surgeon consultations

  • £150 per appointment

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?

On average, hip osteotomy surgery takes between 1.5 to 2 hours to complete.

How long will I need to use a mobility aid after hip osteotomy surgery?

This time varies from patient to patient, but for many people, it’s between 10 and 12 weeks.

As you heal, you will need a mobility aid less and less. If you are using crutches, you may be able to use only one at around 9 weeks into your recovery.

Overall, Every patient experiences a different rehabilitation process and your surgeon and physiotherapist will tailor-make a programme for you.

Some patients find it beneficial to rent a secondary mobility aid such as a wheelchair to use as they recover. Having an aid other than crutches may make going out much easier and gives the hands and arms a chance to rest if they get sore.

When can I begin exercising normally again after my hip osteotomy?

The recovery process varies from person to person. Generally, the timeline for exercise can be longer for an osteotomy when compared to other procedures such as hip resurfacing or hip arthroscopy.

Lower-impact activities like riding a static bike may be resumed after 10 or 12 weeks.

For high-impact exercises (such as jogging), you will need to build up to these very gradually to ease your hip joint into the new movement and prevent any injury or damage. You should be able to fully resume high-impact activities at around 5 months. However, be aware this may take longer depending on how you heal.

While returning to your usual exercise routine is a focus, your surgeon or physiotherapist may advise you to avoid certain activities altogether depending on the condition of your hip.

It may take at least 6 months for you to return to some impact sports.

The advice for returning to sexual activity varies, so make sure you ask your surgeon about this.

Are there any alternative treatments to hip osteotomy?

Alternative treatments for people with hip dysplasia include hip resurfacing (where metal ‘caps’ are used to recover the hip bones) and a total hip replacement (where the whole joint is replaced).

Your surgeon will be able to discuss the potential alternatives with you at your consultation so you can make a decision that is best for you.

Will I need physiotherapy after hip osteotomy?

Anyone having a hip osteotomy will be given a tailor-made physiotherapy program. It is most important you follow this guidance. These exercises and instructions help ensure the lasting effect of your procedure and future health of your hip.

Your physiotherapy will begin when you are in hospital then you will be given follow up appointments to attend as well as work to do when you are home.

As your recovery progresses, you will require fewer physiotherapy and aftercare appointments. Many patients begin tapering off physiotherapy after about 2 or 3 months.

How much time do I need to take off work after a hip osteotomy?

The more physical your job, the more time your surgeon will advise you to take off.

It may be ideal to take around 8 weeks if you can.

However, if you work in an office, you may return to work after 3 to four weeks if your surgeon agrees that this is appropriate.

If your work is physically demanding, you may need to be away from work for up to 4 months.

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