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Hip preservation

Hip preservation surgery is used to relieve hip pain by reshaping the natural joint or by repairing or replacing damaged tissues. These procedures can be used instead of total hip replacements, offering another solution for hip dysplasia or arthritis.

Sky Ridge International Center for Hip Preservation

Internationally recognized hip preservation center of excellence helping keep you in the competition.

If you have hip dysplasia or hip pain, joint replacement is not your only option. Our fellowship-trained, board-certified hip preservation specialists have distinct surgical specialties and are leaders in caring for difficult-to-treat hip conditions.

Conditions treated with hip preservation procedures

At The Sky Ridge International Center for Hip Preservation, our physicians are skilled in diagnosing and treating common and complex hip conditions.

  • Hip dysplasia: The top ball part of your thighbone (femur) doesn’t fit properly into your hip socket because it’s too shallow. Hip dysplasia is a leading cause of hip pain and instability in active women ages 13 to 40.
  • Hip labral tears: The cartilage tissue (labrum) that lines your hip socket tears.
  • Hip impingement: Irregularly shaped bones in your hip joint rub against each other. Hip impingement is also called femoroacetabular impingement (FAI).
  • Hip instability: The hip joint feels loose or weak. Hip dysplasia often causes hip instability.

Surgical options for hip pain

Our center offers advanced treatments that preserve your hip joint and get you back in the game without pain!

Our center offers advanced treatments that preserve your hip joint and get you back in the game without pain!

Why choose Sky Ridge for hip preservation

Creating a vision for the future in hip preservation

The International Center for Hip Preservation at Sky Ridge is bringing together world-renowned hip preservation specialists across North America and the United Kingdom through HCA Healthcare network. We are committed to developing best practices for hip preservation that benefit our patients.


Providing compassionate hospital care

We combine a state-of-the-art orthopedic unit with a care team of nurse and therapists specializing in hip preservation. Our patient and family concierge program supports families traveling from afar and abroad.


Advancing research and positive outcomes

Our robust research program focuses on improving patient care, from nonoperative management to surgical treatment of young, active patients with complex hip disorders. At our monthly case conference hip preservation specialists from across the country and internationally meet virtually to discuss challenging cases, review imaging studies and collaborate to create the best plan of care for patients.


Educating doctors and practitioners

Our physician training program connects surgeons around the world via livestream to educate and advance surgical techniques. We also offer advanced training for hip preservation physician assistants and nurse practitioners.

Michelle's hip preservation story

Michelle had a unique experience as both the clinical nurse coordinator for the International Center for Hip Preservation and someone diagnosed with hip dysplasia. Here she shares how she's now pain free after hip preservation surgery.

Serving patients from across the country

We have treated patients from more than 20 states in our clinic. Our concierge program ensures you and your family will be supported from your first consultation through recovery.

Concierge services

Whether traveling near or far for specialized medical care, you want to know you are in expert hands before, during and after your stay. Our Sky Ridge Medical Center concierge service works closely with our hip preservation team giving you on point of contact for any questions before your arrival, support for loved ones on the day of surgery and assistance with all hospital services and area accommodations. Call (720) 225-1998 or visit our patient resources page for more information.

Our hip preservation services

Hip preservation surgery is a subspecialty of our orthopedic program in which surgeons perform procedures designed specifically to preserve your natural hip joint, rather than undergoing a hip replacement. We use the latest technology to pinpoint the cause of your hip pain, including advanced CT scans that create a 3D model of your hip and pelvic region. We also use ultrasound-guided fluoroscopy imaging (moving X-rays) to determine the combination of hip and back pain sources.

Minimally invasive hip arthroscopy

During hip arthroscopy, our surgeons insert a thin scope with a video camera (arthroscope) through a small incision in your hip. They refer to video images from the arthroscope to perform procedures through other small incisions. Hip arthroscopy is a minimally invasive procedure, which means you have smaller scarring and little blood loss and will recover faster.

At the Sky Ridge International Center for Hip Preservation, we specialize in arthroscopic hip labral reconstructions. We treat many patients who experience a repeat hip labral tear after undergoing surgery at another center (a failed labrum repair). Our surgeons expertly reattach tissue or use donor tissue to reconstruct the torn labrum, and we help lower your risk of another tear.

Our surgeons use hip arthroscopy to:

  • Diagnose hip conditions
  • Remove torn labral cartilage and reattach tissue to bone
  • Repair or reconstruct the labrum
  • Trim bone spurs caused by hip impingement
  • Remove inflamed connective (synovial) tissue
  • Perform revision surgery on a previously repaired torn labrum

Periacetabular osteotomy (PAO) procedure for hip dysplasia

Periacetabular osteotomy (PAO) is an advanced surgical procedure for hip dysplasia. Most people develop symptoms between 13 and 40 years old, and our surgeons treat hip dysplasia in both teenagers and adults. The treatment greatly reduces your risk of early-onset hip arthritis before age 50 and the need for a hip replacement at a young age.

During PAO, our surgeons reshape your hip joint and rotate the hip socket into its proper position. This repositioning allows the ball joint (femoral head) to sit correctly in the socket.

Surgeons at the Sky Ridge International Center for Hip Preservation are nationally recognized PAO experts. For you, this means

  • Less time in surgery: Our deep experience performing PAOs means we can safely and effectively perform the procedure in about 90 minutes. That’s two to three hours shorter than other centers. Less time in surgery means less time under anesthesia. It also minimizes blood loss.
  • Faster recovery: Many of our patients leave the hospital 72 hours after surgery. PAO patients at other centers often have a five- to seven-day hospital stay.

Combination PAO and hip arthroscopy for hip dysplasia and labral tears

We are one of a select few centers nationwide with the expertise to perform periacetabular osteotomy (PAO) and hip arthroscopy during one surgery. Rather than performing two separate surgeries several weeks apart, this combined surgical approach helps optimize outcomes for patients and enable a shorter recovery.

You also benefit from:

  • Fewer surgeries
  • Reduced time under anesthesia
  • Minimal blood loss and tendon and muscle damage
  • Shorter hospital stay
  • Less pain and scarring
  • Faster return to activities

What to expect during surgery

Before your procedure
We will meet with you and determine the best surgical treatment option for you. Then we will work with you to schedule your procedure at Sky Ridge Medical Center.
Your surgery and hospital visit
You'll check in to the hospital on the day of your surgery. For some procedures, you may be able to return home that day, but if you have a PAO procedure, you will typically stay 2-3 days in the hospital, where we'll monitor you closely and start physical therapy.
When you're ready to go home
Once you are ready to return home, we will coordinate with your outpatient physical therapist to help you continue healing and returning to your everyday activities.

More about the Sky Ridge International Center for Hip Preservation

Showing 4 Videos

Hip preservation surgery

Don't "play through" hip pain. This surgery can improve your quality of life and save your natural hip joint.

Frequently asked questions

Hip preservation

Sydney's story

Learn how Sydney's experience at the International Center for Hip Preservation helped her get back to the activities she loves – pain free.
Read more about this story 

Don't play through the pain!

Hip pain doesn't have to leave you on the sidelines of your favorite activities. Our specialized physicians and staff offer innovative treatments that can help alleviate your pain. Call today and ask for a hip preservation specialist.

Hip pain doesn't have to leave you on the sidelines of your favorite activities. Our specialized physicians and staff offer innovative treatments that can help alleviate your pain. Call today and ask for a hip preservation specialist.

The Healthy Living Blog

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Hip preservation surgery for hip dysplasia 

July 19, 2023
Sky Ridge Medical Center
The expert surgeons specialize in preserving the hip joint while eliminating pain from hip dysplasia.

Hip preservation surgery for hip dysplasia 

July 19, 2023
Sky Ridge Medical Center
The expert surgeons specialize in preserving the hip joint while eliminating pain from hip dysplasia.

Get relief from hip pain 

January 11, 2023
Sky Ridge Medical Center
If you experience aching hips when you walk or run, you may have hip dysplasia. The International Center for Hip Preservation can help.

Innovative hip surgery stops pain, reducing need for hip replacement 

January 04, 2023
Sky Ridge Medical Center
When 12-year-old Sydney's hip pain began to feeling like her joints were slipping in their sockets, she sought out hip preservation surgery.