Hypermobility, when identified in a patient, is a key factor in understanding the biomechanical condition of the joints as well as planning a proper course of treatment. This condition affects every facet of the patient's life and, unfortunately, is often left undiagnosed, leading to lengthy delays in proper care.
PAO as an Outpatient Procedure
We have developed a protocol for safe and reliable outpatient PAOs. Patients can now be discharged the same day as surgery or the morning after. The new protocol has consistently received high patient satisfaction. We are currently working on a manuscript that documents our methods.
Hip Preservation for Patients Over 50
Age has been identified as a potential criterion for excluding patients from hip preserving procedures. We have demonstrated that advanced age should not be a deterrent for arthroscopic surgery, provided the patient is an appropriate candidate. Currently, we are evaluating our PAO patient population in this age range to evaluate long-term outcomes and satisfaction with the procedure.
Preventing Constipation Post PAO
Narcotics are one of the main tools for treating pain after an operation. Unfortunately, the use of narcotics puts patients at risk for constipation which can lead to extended hospital stays, not to mention increased patient discomfort. We hope to establish a protocol that utilizes pre-op prevention and intra/post-op pain management to decrease constipation rates in post-op PAO patients.
Improving Pain Management Post PAO
Pain is undoubtedly one of the biggest concerns following any major operation. PAO procedures are no exception. In our ongoing efforts to improve the quality of our techniques we aim to decrease if not eliminate pain following PAO Surgeries.
Concomitant PAO + Arthroscopic Surgery
Both arthroscopy and periacetabular osteotomy techniques are fantastic for treating specific aspects of the hip. However, this study indicates that combining both surgeries into a single, albeit, longer procedure is not only safe but can improve patient recovery.