ABSTRACT

This chapter deals with safe surgical dislocation for hip joint preservation surgery for femoroacetabular impingement resulting in limitation of movement in the hip due to early osteoarthritis of the hip joint due to a developmental anomaly of the hip joint, or it can also be caused by any disease or condition that results in a deformity of the femoral head, like Perthes disease, dysplasia, or avascular necrosis. The treatment of many conditions of the hip that afflict the young and have been neglected in favor of total hip arthroplasty can be avoided when, after safe surgical dislocation, the femoral head neck offset is restored after osteochondroplasty, resulting in no more impingement and hip movements being free. In Slipped Capital Femoral Epiphyis (SCFE), after surgical dislocation of the hip, the capital femoral epiphysis is reduced over the femoral neck and the bump is excised, which restores full movement in the hips. Thus, safe surgical dislocation of the hip helps in gaining complete access to the hip joint in common conditions like Avascular Necrosis (AVN), post-Perthes, and dysplastic hips.