10 questions to ask your hip preservation surgeon

Suggestions from Benedict Nwachukwu, MD, MBA – Hip Orthopedic Specialist in NYC

If you consider the hip preservation operation for problems such as an outlet for femororacetabular (FAI), labral tears, or chronic hip pain, knowing what to ask can make all differences.

“As an active athlete and individual, I want patients to feel like information, confidence, and empowered as I want when making decisions about orthopedic care.”

Here are ten important questions that I often hear – and how I answer them in my own practice:

1. What is your experience with hip preservation surgery?

Not all orthopedic surgeons are trained in hip joint preservation techniques, many are almost exclusively focused on hip replacement procedures. In fact, most orthopedic surgeons make replacement rather than conservation operations such as hip arthroscopy. Advanced training in different expertise for minimal invasive techniques is needed for hip preservation operations.

My training at the hospital for special surgery and Rush University focused on hip arthroscopy, sports medicine, and joint preservation procedures. I have carried out hundreds of hip preservation procedures and actively published research to help advance the field.

2. Are you doing postless hip artroscopy? Why is that significant?

Yes – I do postless techniques regularly. Arthroscopy of traditional hip using a soft post placed between the feet to separate the hip joints for surgery, which has the potential to compress the groin and even place the nerves at the risk of damage. In surgery without postless, we use further traction and the position of the patient to avoid it. It’s safer and more comfortable for patients, but not offered by all surgeons because they need special equipment and experience.

3. Do I need a second opinion before surgery?

Very. I encourage the second opinion, especially for patients who have been told that they have no choice but to replace hip. I have seen many patients who are amazed to know that they still meet the requirements for hip preservation procedures to delay hip replacement after years of pain.

4. How do you determine whether I am a candidate for hip preservation vs hip replacement?

Age is not the only factor. I consider imaging, level of activity, cartilage condition, and aspirations of each patient. Most patients are in their 40s or even 50 active candidates for arthroscopic joint saving procedures.

5. What do you do for Labral or FAI tears?

My goal is to always restore and preserve functions. I usually improve the labrum, rather than eliminate it, and overhaul the bones in the cam or verandan settings. This procedure reduces chronic pain while maintaining a healthy and stable joint.

6. What is my recovery like?

Recovery varies, but I make a personalized plan for each patient. Most of the immediate physical therapy, and I am still involved throughout the rehabilitation period. My team and I work sequentially with therapists so that you move safely and confidently.

7. What non-surgical options do you recommend before considering the operation?

Surgery is not the first resort. We usually try physical therapy, guided injections, and modification of activities before we go to the operating room. I only recommend operations when we have tried other things and it is clear that it will be very valuable.

8. Are you going to do your own operation?

Yes. I personally do all my own operations. Even though I might operate with residents or colleagues in academic centers, I have always been the main surgeon and participate in all aspects of your care.

9. What level of your complications, and how do you deal with unexpected problems?

I believe in transparency. While complications are rare, we monitor every result and follow the evidence -based protocol to reduce risk. If something unexpected happens, we manage it effectively and lovingly, communicate with our patients in every step.

10. Are you involved in orthopedic research or innovation?

Yes. I am a member of the faculty at Weill Cornell Medicine and regularly publish research on hip preservation, surgical techniques, and results. Stay involved in research helps me give me the most up -to -date and effective care patients.

Ready to schedule a consultation or second opinion?

Are you exploring your choices or looking for a definite treatment plan, I’m here to help. If you are not sure whether the operation is right for you, or want to confirm your choice, the second opinion is a good next step!