Our Specialty Centers
Education
Conditions We Treat
Faculty
Research
Patient Care Model
Department Home

Hip Dysplasia-Ganz Ostetomy

Acetabular dysplasia (shallow hip socket) is a significant cause of osteoarthritis in young people.  Often patients from their late teens to early thirties will have pain and a limp with activity.  For the patients suffering from this form of arthritis, with women being affected at a nearly 5:1 ratio to men, they will be unable to walk distances, suffer from chronic pain and eventually be unable to work and perform the usual activities of daily life.  Patients also complain of pain interfering with their sex lives.  A recently developed surgical procedure,
Ganz Osteotomy, restores the patient's normal anatomy by deepening the socket.  This allows the patient increased mobility and decreased pain enabling them to return to their active life.

Osteoarthritis of the hip is a common affliction of the elderly and hip replacement is performed to alleviate pain and improve function.  Total hip replacement is an excellent solution for middle aged and elderly patients with severe hip arthritis.  However, when young people, below the age of 45, are stricken with osteoarthritis the choices are few.  If an active patient at that age undergoes hip replacement they will often require 2-4 future surgeries to replace the worn out hip replacement. Bo Jackson, the baseball and football superstar, had a hip replacement in his twenties and in less than 10 years has required several subsequent revisions and surgeries.

Each subsequent surgery becomes more difficult and, with the loss of bone stock the results become progressively less sure.  Adolescents and people in their twenties are rarely indicated for hip replacement and often have no good options to alleviate their pain and improve their function.  Osteotomies, redirection of bone, have been used as a means of utilizing the patient's own tissue in order to restore function and eliminate pain.  Although numerous osteotomies are available, the new use of the Ganz Osteotomy allows for restoration of the acetabulum (the hip socket) with the patient's own bone and natural articular cartilage (lining of the joint).   Unfortunately this operation cannot be utilized for all young patients with osteoarthritis, however, in the patient with a shallow hip socket it should be the treatment of choice

Before: Shallow hip sockets with early arthritis.

Before: Shallow hip sockets with early arthritis.

After: Status post Ganz Osteotomy.

After: Status post Ganz Osteotomy.

Hip Dysplasia

David S. Feldman, M.D., Chief Pediatric Orthopaedic Surgery is one of a few surgeons in the United States to perform  this innovative procedure. To obtain more information or to schedule an appointment, please call (212)598-6217 or e-mail us at ganzosteotomy@aol.com.

HJD Home

Home | General Information | Departments | Programs 
 
Conditions We Treat | Academic & Professional | Research

info@hjdhospital.com

employmentopportunities@hjdhospital.com

Contact the webmaster@msnyuhealth.org with your comments.
©2000, Hospital for Joint Diseases. All Rights Reserved
.

Copyright © 2000-2003 Mount Sinai NYU Health