Hip

Arthroscopic Hip Surgery

Arthroscopic hip surgery, commonly called a “hip scope” procedure, is a minimally-invasive procedure that is used to treat injuries in and around the hip joint. Much like arthroscopic surgery of the knee and shoulder, hip arthroscopy is designed to repair soft tissue tears of the labrum (labral tears) and to remove loose bodies or bone spurs which are causing pain. It is commonly used to treat femoroacetabular impingement (FAI) and severe cases of hip bursitis. Although the research behind hip scope surgery is newer than for the knee and shoulder, this procedure is now commonly performed in younger patients with labral tears as well as in middle-aged patients who want to preserve their joint (hip preservation surgery) and prevent the need for a hip replacement. Our surgeons have received fellowship training in this procedure using advanced equipment, including the Hana® hip table and in-surgery live X-ray guidance, to perform this procedure safely and efficiently.

Total Hip Replacement (Full hip replacement)

For patients with bone on bone arthritis of the hip joint, even walking down their hallway or up to their second floor bedroom can be a difficult struggle. Our surgeons will perform a comprehensive physical examination and imaging evaluation to determine whether hip replacement is right for you. Once we have determined that hip replacement is appropriate, our surgical team is proud to offer a variety of hip replacement options, including the popular posterior approach, the reliable anterolateral approach, and the increasingly popular direct anterior approach to total hip placement. Our team will help you determine the pro’s and con’s of each surgical approach option to choose the best option for each individual patient, since we realize that patients can often be overwhelmed with the large amount of information (or misinformation) that is available online and in our communities.

Partial Hip Replacement (Hemiarthroplasty)

A partial hip replacement involves replacing only the ball of the “ball and socket” hip joint. When the socket is not affected by arthritis, it does not need to be replaced. Most commonly, a hip hemiarthroplasty (partial or half of a hip replacement) is performed for elderly patients who have suffered a specific type of broken hip called a femoral neck fracture. In these cases, the patient’s broken bone will not heal if it is repaired or pinned, so the standard-of-care surgery is to remove the broken part of the bone and replace it with a new hip, which is called a partial hip replacement.

Hip Fracture Surgery

Hip fractures are increasingly common as Americans live longer and stay more active. As we age, our bones will always become weaker so that the chance of breaking the hip bone with a fall becomes greater and greater as we get older. When a patient has a broken hip, surgery to repair the bone is usually offered because the hip bone cannot be placed in a cast and does not heal well on its own. Most commonly, a titanium rod and pins (screws) are placed into the hip (femur) bone to stabilize the fracture and promote healing of the bone. This is usually done through small incisions, and patients are often allowed to bear weight on their hip right after surgery. Our surgeons work closely with our hospital medical doctors (hospitalists, internal medicine physicians) to care for the patient before and after surgery, and also to ensure that the patient receives the best rehabilitation plan after surgery.

Our Providers

Our Provider

Donald E. Bittner, MD
Donald E. Bittner, MD
Orthopedic Surgery, Hand Surgery
City:  Fullerton
4.9 out of 5

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