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Bone and Joint Clinic of Baton Rouge

PAO Surgeons Baton Rouge

PAO for Hip Dysplasia

Periacetabular osteotomy (PAO) is a safe and effective treatment used to treat hip dysplasia.  It improves hip functionality, lessens pain and other associated symptoms, and reduces long-term complications from hip dysplasia such as osteoarthritis.


What is Hip Dysplasia?

Hip dysplasia is a condition in which the hip socket is too shallow and does not fully cover the head (ball) of the femur. Symptoms include:

  • Differing leg lengths
  • Limp
  • Reduced hip flexibility
  • Clicking or popping in the joint

PAO Patient Factors

Determining if a patient is a candidate for PAO will depend on a number of factors, including: 

  • Age - PAO is well indicated in patients who have reached skeletal maturity and do not also suffer from advanced osteoarthritis of the hip joint. The procedure has been shown to be most effective in patients under the age of 40. 


  • Joint Congruence - Joint congruence is the relation of two opposing joint surfaces and their shape or contour. In hip dysplasia patients, surgeons must consider the curvature of the socket as compared to the curvature of the femoral head. Ideally, the shape of the ball of the femur and the sides of the socket will match.


  • Joint Space - Normal thickness of the joint space is 4mm. In patients who have a joint space of 2mm or less, the joint is likely too degenerated for PAO success.

PAO Recovery

PAO allows for the hip joint to be preserved rather than replaced with artificial parts. It offers an improved long-term outlook when performed on an ideal candidate. However, it is a major procedure which requires an extensive recovery consisting of:

  • 3 to 5 days of inpatient recovery


  • Up to 8 weeks of reduced weightbearing and walking with the aid of crutches

  • Up to 3 months of physical therapy

  • Resume normal activities approximately 6 to 8 weeks post-operatively

  • Resume sports and exercise approximately 3 to 6 months post-operatively
PAO hip procedure patient resource kit

Download the PAO Patient Kit today


All PAO Hip Procedure resources in one place.

Learn more about the PAO Hip Procedure

Hip dysplasia is among the most common birth abnormalities and is the leading cause of hip arthritis in patients under the age of 50. Fortunately, PAO is a safe and effective treatment option available to many patients.


Discover the details of the PAO hip procedure by downloading the PAO Patient Kit today. 

DOWNLOAD TODAY

PAO Surgeon in Baton Rouge

Dr. Arthur Hess Specializes in PAO Hip Surgery at the Bone and Joint Clinic of Baton Rouge.

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RELATED READING

PAO Blogs

A Baton Rouge Orthopedic Surgeon Focused on Positive Patient Outcomes
By Arthur Hess, M.D. 20 Dec, 2018
Discover what motivates one of Baton Rouge's top orthopedic trauma surgeon.
PAO and Hip Dysplasia: The Procedure and Benefits
By Bone & Joint Staff 14 Nov, 2018
PAO is a safe and effective treatment for many cases of hip dysplasia, allowing the joint to be spared and minimizing long-term complications.

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