We are proud to share an important milestone in orthopaedic care at HMH Riverview Hospital. Dr. Atul Kamath recently performed the hospital’s first periacetabular osteotomy, commonly referred to as PAO. This advanced surgical procedure is designed specifically for younger patients with hip dysplasia and represents a significant step forward in expanding specialized hip care options in our region
Understanding Hip Dysplasia in Young Patients
Hip dysplasia occurs when the hip socket does not fully cover the ball of the hip joint. This can lead to instability, abnormal joint wear, and pain over time. While hip dysplasia is sometimes diagnosed in infancy, many adolescents and young adults are not diagnosed until they begin experiencing symptoms.
Young patients with hip dysplasia often report groin pain, hip stiffness, limping, or discomfort with activity. Without proper treatment, this abnormal joint alignment can place excessive stress on the cartilage, increasing the risk of early onset arthritis and long term mobility issues.
What Is a Periacetabular Osteotomy?
A periacetabular osteotomy is a highly specialized surgical procedure used to treat symptomatic hip dysplasia in younger patients whose hip joints have not yet developed advanced arthritis. During a PAO, the surgeon carefully reshapes and repositions the hip socket to better cover the femoral head. This improved alignment helps distribute forces more evenly across the joint and reduces painful wear on the cartilage.
One of the key goals of PAO surgery is hip preservation. Rather than replacing the joint, the procedure aims to correct the underlying structural problem and allow patients to keep their natural hip for as long as possible.
Who May Be a Candidate for PAO Surgery?
PAO surgery is typically considered for adolescents and young adults who have hip dysplasia and ongoing symptoms that do not improve with conservative treatment. Candidates often have minimal to no arthritis and maintain good hip range of motion.
Not every patient with hip pain or hip dysplasia is a candidate for PAO, which is why evaluation by an experienced orthopaedic surgeon is essential. Advanced imaging and a thorough physical examination help determine whether this procedure is the right option for each individual patient.
Why This First PAO Surgery Matters
Performing the first PAO at HMH Riverview Hospital marks an important expansion of advanced orthopaedic services available locally. PAO surgery is technically demanding and requires specialized training, careful planning, and a coordinated surgical team.
By offering this procedure at Riverview Hospital, patients in our community now have access to complex hip preservation surgery closer to home. This can reduce the need to travel long distances for specialized care while still receiving treatment that meets the highest standards.
A Team Effort Focused on Patient Care
Successful PAO surgery requires collaboration among surgeons, anesthesiologists, nurses, physical therapists, and support staff. This milestone reflects the dedication of the entire surgical team and their shared commitment to advancing patient care.
Following surgery, patients typically participate in a structured rehabilitation program focused on restoring strength, mobility, and function. With proper recovery and follow up, many patients are able to return to an active lifestyle and experience significant improvements in pain and quality of life.
Looking Ahead
This first periacetabular osteotomy at HMH Riverview Hospital represents more than a single procedure. It reflects continued growth in specialized orthopaedic services and a commitment to meeting the evolving needs of younger patients with complex hip conditions.
Congratulations to Dr. Atul Kamath and the entire Riverview Hospital team on achieving this important milestone and on continuing to expand access to advanced hip preservation care for our community.