Hip Arthroscopy

A minimally invasive technique using a small camera and instruments inserted through tiny incisions to treat conditions inside the hip joint.

Common Procedures:

• Labral repair or reconstruction
• Bone spur removal (cam and pincer lesions)
• Cartilage preservation (e.g., microfracture)
• Capsular tightening for instability

Ideal For:

• Young, active patients with FAI or labral tears
• Early joint damage with preserved cartilage

Periacetabular Osteotomy (PAO)

A reconstructive surgery that repositions the acetabulum (hip socket) to improve coverage of the femoral head, enhancing stability and joint biomechanics.

Indicated For

• Developmental Dysplasia of the Hip (DDH)
• Borderline dysplasia with labral tears
• Hip instability in young patients without advanced arthritis

Goals

• Reduce abnormal joint stress
• Protect labrum and cartilage
• Prevent progression to osteoarthritis

Surgical Hip Dislocation

A specialized open procedure that allows 360° access to the femoral head and acetabulum, while preserving blood supply to the hip.

Indicated For

• Severe FAI with complex deformities
• Cartilage or labral repair not accessible by arthroscopy
• Cam lesions, head-neck offset issues, or femoral head asphericity

Developed by Prof. Reinhold Ganz

This technique is considered the gold standard for addressing complex hip deformities that cannot be treated arthroscopically. It allows precise reshaping of the femoral head/neck and direct visualization of intra-articular pathology.

Why Hip Preservation Matters

Early diagnosis and surgical treatment of hip deformities can:

• Prevent irreversible joint degeneration
• Restore mobility and active lifestyle
• Delay or avoid hip replacement
• Improve long-term joint health and performance

Dr. Ajay Aggarwal’s Expertise

Dr. Aggarwal trained under Prof. Reinhold Ganz at Inselspital, Switzerland, the originator of both PAO and surgical dislocation techniques. His expertise includes:

• Advanced hip arthroscopy for FAI and labral repair
• Periacetabular osteotomy (PAO) for dysplasia
• Surgical hip dislocation for complex femoral and acetabular deformities
• Combined approaches for borderline dysplasia and instability