Is the recent increase in hip surgery warranted? This is the question addressed at the annual hip and groin symposium in Whitfield clinic last Saturday, 20th April 2015.
Mr P Carton and his team of experts performed live surgery to repair a hip impingement and lesion life in front of an attentive audience of Physiotherapists and Doctors. I was honoured to have been in the audience.
This is cutting edge surgery, it is only being performed in Whitfield for the last 10 years and is having amazing results in getting players back on the pitch.
It is being pioneered here by Mr Carton who is constantly analysing his technique and results and modifying them to produce the most effective and successful surgery.
Hip Surgery for Groin and Hip pain
Basically the surgery involves trimming down excess bone which forms on either the pelvis ( a pincer deformity) at the front of the hip joint or on the neck of the femur bone ( a cam deformity). The excess which was trimmed off during this surgery looked unhealthy compared to the retained bone.
Mr Carton did a really good repair to the damaged labrum surrounding the joint before closing up the patient after the surgery. This apparently is not always fully closed and repaired post surgery, but should leave this joint a lot more stable.
The changes left the hip joint in a much better shape and the risk of impingement and iritation to the labrum and cartilage around the joint will now be significantly reduced.
I commend Mr Carton on his technique and surgery, and on the work he and his team are doing.
Is Hip surgery for groin pain the best answer?
I was highly impressed with the surgery and can really see the value of such surgery but I, as a sports specialist physiotherapist who has seen thousands of clients with hip and groin pain in my 29 years experience, have concerns.
My 3 main concerns are
- will the boney prominences which were beautifully excised recur
- Shouldn’t more emphasis be put on changing the apparent cause of these boney growths
- Shouldn’t we be looking at the younger child and try to prevent them reaching this stage
Children with groin Pain
In our clinic we see a huge number of children with groin pain. During the symposium it was suggested that the excess boney growth on the pelvis may be associated with the pelvis being anteriorly tilted (dropping forwards) – I spend a lot of time treating this very issue in my clinic. Many of our children, because of their lifestyles, have shortened hip flexors or muscles at the front of the hip.
Surely this is where we should be dedicating our attention – to try and change these children of today, before they become the sports people of the future