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Dr.Sawhney
Dr.Sawhney, Orthopedic Surgeon
Category: Orthopedics
Satisfied Customers: 6823
Experience:  More than a decade of post qualification experience
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I was born with p dysplasia. I had corrective surgery on my

Customer Question

I was born with hip dysplasia. I had corrective surgery on my right hip when I was 3. This is what my hip looks like at 30.
1. -What do you see in these xrays and is anything fractured?
2 - Ever since I fell last year, my hip feels like there is something out of place and like bone hits bone a lot. What do you recommend doing to help treat this?
3 - Would physical therapy help, or is this problem beyond physical therapy?
4 - Are there any physical therapy items that I could buy to help adjust my hip or that I could use to help at home?
I currently walk ok, I just have a limp and some pain as well as weakness lifting my leg.
http://postimg.org/image/4hh3pn6vz/
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http://postimg.org/image/rruycrx51/
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Submitted: 1 year ago.
Category: Orthopedics
Expert:  Dr.Sawhney replied 1 year ago.

Hello

I am an Orthopaedic surgeon and I would be happy to help you today.

I am busy right now and answer your question in few hours .

Thanks

Customer: replied 1 year ago.
Thanks
Expert:  Dr.Sawhney replied 1 year ago.

Thanks for waiting.

I have seen the images you attached with your question.

You have an incongruent hip dysplasia with the large proportion of femoral head uncovered. This causes the femoral head to improve against margins of acetabulum and that is why you feel bone-on-bone.

There is no fracture. The line seen on X Ray is actually reminiscent of innominate osteotomy with you underwent at 3 years of age.

At this stage physiotherapy would not make any material difference to the pathology of the hip joint. It may only help strengthen the muscles around the hip joint which is desirable.

You may benefit by considering salvage hip surgery in form of shelf or chiari osteotomy of the socket side of hip joint with or without virus rotation osteotomy of femir. This would help prolong the life of your god given hip by increasing the coverage of femoral head and decreasing stress placed on femoral head per contact area unit.

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