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Understanding Periacetabular Osteotomy: A Procedure for Hip Preservation

Understanding Periacetabular Osteotomy: A Procedure for Hip Preservation

Understanding Periacetabular Osteotomy: A Procedure for Hip Preservation

This innovative technique is designed to preserve the hip joint, offering long-term benefits for patients suffering from hip-related issues.

What is Periacetabular Osteotomy?

Periacetabular Osteotomy (PAO) is a surgical procedure gaining prominence in the field of orthopedics, specifically for individuals dealing with hip dysplasia or other structural abnormalities of the hip joint. Periacetabular Osteotomy involves the repositioning of the hip socket to provide better coverage for the femoral head. This is crucial in cases where patients have shallow hip sockets, a common characteristic in hip dysplasia. By carefully cutting and repositioning the pelvic bone, surgeons can enhance the overall stability and functionality of the hip joint.

Indications for Periacetabular Osteotomy:

Hip Dysplasia: PAO is often recommended for patients with hip dysplasia, a condition where the hip socket doesn't fully cover the ball portion of the femur.

Structural Abnormalities: Individuals with structural abnormalities of the hip joint, such as impingement or malformations, can benefit from this procedure.

Early Arthritis Prevention: PAO can be a preventive measure for the development of early arthritis in patients with hip irregularities.

Benefits of Periacetabular Osteotomy:

Hip Preservation: Unlike total hip replacement, PAO aims at preserving the patient's natural hip joint, which is particularly advantageous for younger individuals who wish to maintain an active lifestyle.

Reduced Risk of Arthritis: By addressing the underlying structural issues, PAO can reduce the risk of arthritis and associated hip degeneration.

Improved Functionality: Patients often experience improved hip joint functionality and reduced pain after undergoing a successful PAO.

Recovery and Rehabilitation:

The recovery period following a Periacetabular Osteotomy varies, but patients typically undergo physical therapy to strengthen the hip muscles and regain mobility. Adhering to post-operative care instructions is crucial for a successful recovery.


Periacetabular Osteotomy is a remarkable advancement in orthopedic surgery, offering a tailored approach to hip preservation. As with any medical procedure, consulting with a qualified orthopedic surgeon is essential to determine if PAO is the right course of action for an individual's specific hip condition. Through this innovative surgery, patients can look forward to improved hip function, reduced pain, and the preservation of their natural joint for years to come.

Dr. Weber and his team several patients with hip pain in Los Angeles, CA. We provide personalized treatment for all hip injuries from professional athletes to high school recreational players to weekend skiers. If you are a patient with a hip injury or are experiencing hip pain in Los Angeles, please reach out. We can see you within 24 hours.


Title: Navigating ACL Tears: Understanding, Treating, and Recovering

Summary: Let's delve into the world of ACL tears, exploring their causes, symptoms, treatment options, and the path to recovery.

Understanding ACL Tears:

The Anterior Cruciate Ligament (ACL) is a vital component of the knee joint, playing a crucial role in stabilizing and supporting knee movements. Unfortunately, ACL tears are a common injury, often experienced by athletes and individuals engaged in rigorous physical activities. An ACL tear is a ligament injury that occurs when the knee is subjected to excessive stress or a sudden twisting motion. Sports that involve sudden stops, changes in direction, or jumping, such as soccer, basketball, and skiing, are common scenarios for ACL injuries. The telltale signs include a popping sound at the time of injury, severe pain, swelling, and instability in the knee.

Diagnosis and Treatment:

Prompt diagnosis is essential to ensure an effective treatment plan. Medical professionals typically employ physical examinations, imaging studies like MRI scans, and patient history to confirm ACL tears. The treatment approach may vary based on the severity of the injury, ranging from non-surgical options, such as physical therapy and bracing, to surgical interventions like ACL reconstruction.

ACL Reconstruction Surgery:

For severe cases, ACL reconstruction surgery may be recommended. This involves replacing the torn ligament with a graft, often sourced from the patient's own hamstring or patellar tendon. The surgical procedure aims to restore stability to the knee and facilitate a smoother recovery.

Rehabilitation and Recovery:

Post-surgery, a comprehensive rehabilitation program is crucial. Physical therapy sessions focus on strengthening the muscles around the knee, improving flexibility, and gradually reintroducing weight-bearing exercises. Patience and adherence to the rehabilitation plan are key components of a successful recovery.

Prevention is Key:

While ACL tears cannot be entirely prevented, individuals can take steps to reduce their risk. This includes incorporating strength training exercises, proper warm-up routines, and using protective gear when engaging in high-impact sports.


ACL tears, though challenging, can be navigated with the right knowledge and a proactive approach to treatment. Seeking prompt medical attention, understanding treatment options, and committing to the rehabilitation process are crucial steps toward a full recovery. Whether through non-surgical methods or reconstructive surgery, individuals can regain strength, stability, and confidence in their knees, returning to an active and fulfilling lifestyle.

Dr. Weber and his team treat over 200 Los Angeles athletes and weekend warriors with ACL tears each year. We provide personalized treatment for all knee injuries from professional athletes to high school recreational players to weekend skiers. If you are a patient with a knee injury in Los Angeles, please reach out. We can see you within 24 hours. 

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