The hip joint is intended to allow easy, comfortable movement of the legs, but a variety of hip conditions can cause pain, weakness, or loss of motion in this area. The Orthopaedic Institute of Central Jersey offers a wide range of traditional and advanced treatment options designed to address the complex array of issues that can affect this pivotal joint. During your initial consultation, we will develop a customized plan of action that can improve function, reduce discomfort, and enhance your quality of life.
When trauma, disease, or another condition (such as osteonecrosis) occurs, the damaged bone may need to be removed and replaced. One option for replacement is bone grafting, which uses the patient’s own bony tissue (or a donor’s) to replace the damaged bone. In many cases, this allows new, living bone to grow over the donor tissue and become as strong and functional as the natural bone. A bone graft may also be used to support an implanted device in a joint replacement, for example. If our surgeons recommend bone grafting in your treatment plan, they will provide details about the donor material and how it will be used to achieve the desired result.
Computer Assisted Orthopaedic Hip Surgery
Advanced technology can aid our surgeons in optimizing the result of hip surgery. Computer-assisted
Conservative Hip Treatment
Not all hip conditions require surgery, and many issues can be addressed using non-surgical, conservative treatment methods. Some of the most effective approaches include rest, ice, physical therapy, braces or splints, medication, and steroid injections. Our practice emphasizes these minimally invasive therapies whenever possible, as they can often achieve significant improvement and may even eliminate the condition entirely, depending on the concern.
Commonly used to treat osteonecrosis (avascular necrosis) in the early stages, core decompression is a hip-preserving alternative (and more conservative) approach to treatment that is designed to release pressure that can accumulate in diseased and damaged bone. This pressure is considered to be a major source of the pain associated with osteonecrosis. In this procedure, one large or several small holes are drilled into the affected bone. This creates one or more channels where new blood vessels can grow and nourish the diseased and dying bone. This reduces the chances of bone collapse and development of arthritis at the joint. Bone grafting may be used in conjunction with core decompression, and this technique has been shown to help with the regeneration of healthy bone.
Minimally Invasive Hip Surgery
At Orthopaedic Institute of Central Jersey, our board-certified surgeons are extensively trained in arthroscopic and minimally invasive surgical techniques. Minimally invasive approaches allow our doctors to use a tiny camera (endoscope) to see inside the affected area (arthroscopy) without creating a large incision. As a result, outcomes may improve and downtime typically will be reduced. If hip surgery is recommended as part of your treatment plan, our
Non-Operative Avascular Necrosis (Osteonecrosis) Treatment
Typically, the most effective and successful treatment for osteonecrosis will be a surgical approach; however, in the earliest stages, some non-operative treatments can be tried. In many cases, a combination of therapies will be advised, and they may include taking medication, using crutches, and making lifestyle changes. This is a progressive disorder, and non-surgical procedures can slow but not stop the condition.
Hip osteotomy is a procedure in which portions of bone located in or near the hip joint are removed. This technique is designed to reduce the pressure that can build up on one side or in one area of the joint as cartilage wears down or as a result of misalignment, damage, or defect. This is done to protect bone tissue and minimize pain while delaying the need for a joint replacement. Partial and total hip replacements have become the more favored approaches in recent years, but this operation remains an option for certain patients.
Revision Hip Surgery
Although best avoided and typically rare, revision hip surgery may be necessary in certain cases. An infection, fracture or other trauma, and wear and tear over time (if the hip replacement was performed at a relatively young age or in instances of a highly active lifestyle) are the most common reasons for requiring revision hip surgery. Depending on the patient’s unique concern, a variety of techniques may be used during the operation. If there is device failure, some or all components may be replaced. If the repetitive dislocation is an issue, a constrained socket may be placed to hold the joint in the correct alignment. For fractures, a bone graft may be recommended to strengthen the bony tissue, and some mechanical parts may be replaced if they have loosened. If an infection is identified, the affected area will be cleaned out as much as possible and antibiotics will be prescribed based on the type of bacteria present. Your surgeon will discuss the particulars of your treatment plan if revision hip surgery is recommended for your condition.
Recent Success Stories
Dr. Tozzi is a caring, compassionate, and skilled surgeon who gave me my life back after performing a total hip replacement. I recommend Dr. Tozzi to everyone I share my story with.
Dr. Roehrig replaced my left hip and I am scheduled for the right. He was very compassionate in the way he understood and treated my condition. I will never go to another doctor.
A huge thank you to Dr. Glasser for diagnosing and treating an old injury. With her expertise, I was finally able to exercise and surf again without any pain. Highly recommended!