Osteotomy for hip dysplasia

Osteotomy for developmental dysplasia of the hip (DDH), hip preservation surgery, acetabular osteotomy, periacetabular osteotomy (PAO), femoral osteotomy, pelvic osteotomy.

At The London Clinic, we provide a private hip dysplasia osteotomy service using the latest minimally invasive surgical procedures. Right in the heart of Harley street, you’ll be seen by one of our world-class orthopaedic surgeons, who will guide you from pre-op, right through to recovery.


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What is it for?

Surgery for instability and dislocation of the hip

Treatment overview

An osteotomy for hip dysplasia (dislocation) is a surgical procedure that involves the reshaping of the hip socket (acetabulum) so that the ball and socket fit together correctly.

Hip dysplasia is often present from birth, but symptoms of hip pain and restricted movement may develop in early adulthood.

  • Osteotomy surgery for hip dysplasia has several benefits:
  • Corrects the shape of the hip socket
  • Prevents wear and tear (osteoarthritis)
  • Prevents and delays the need for hip replacement surgery
  • Decreases pain
  • Increases movement

The surgery leaves the width of your pelvis unchanged so there are no issues with pregnancy and childbirth later in life.

At The London Clinic our orthopaedic surgeons are pioneers in the latest minimally invasive surgical procedures for hip dysplasia.

Our surgeons use 3D imaging and CT scans to plan your surgery and tailor your treatment more precisely and our state-of-the-art private theatres provide a safe and secure operating environment.

By choosing The London Clinic, you’ll get a more compassionate and connected kind of care, from enhanced pre-admission through to aftercare and follow up.

Contact us today, so you can start your treatment journey and get back to the life you love.

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Why choose The London Clinic

Excellence in one place

We operate as teams of experts with world-class resources dedicated to maintaining the highest standards of medical care. You are surrounded by the latest treatments and advice with everything you need to get back to your best health.

Personal care, every time

Exceptional patient care is a way of life for us. Our nurses, clinicians and support teams are dedicated to the care of a very small number of patients, so have more time for you. They’ll be with you every step of the way, tailoring your care around you and giving the peace-of-mind that comes with knowing you’re in the best hands.

Effortlessly simple

We work together as one to guide you through each step of your experience, with complexities unravelled and answers readily to hand. Your personal treatment plan will be laid out for you, with all the details taken care of so you can focus on you.

What's included in your package?

Choosing The London Clinic means your treatment plan will be laid out for you, with all the details taken care of so you can focus on you.


Your treatment package will include:

  • Enhanced pre-admission assessment
  • Your treatment with our complete care team at your fingertips
  • Personalised aftercare and follow-up

We want you to be in control of your health. That’s why we also offer optional services such as comprehensive recovery packages and extra touches for you to choose from during your stay with us.

How to pay

  • You can use private medical insurance (PMI) to access this treatment. We work with all major PMI providers in the UK and many internationally
  • You can pay for yourself (self-pay)
  • If you’re paying for yourself, we have finance options available with Chrysalis


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Book an appointment

Our dedicated appointments team will arrange for you to meet with one of our renowned consultants in our clinic near Harley Street.

Diagnosis and treatment plan

Your orthopaedic surgeon will carry out a thorough examination of your hip and ask you about your general health and lifestyle.

They’ll arrange for you to have a CT or MRI scan to get a more detailed look at your hip joint.

You’ll then be booked in for a pre-operative assessment.

Pre-operative assessment

You’ll have a follow up pre-operative assessment with your care team so they can:

  • Advise you on what you can or can’t eat before surgery.
  • Advise you on any physiotherapy and medications you might need.
  • Make a 3D image of your hip in preparation for your surgery.

The day of your operation

Your care team will prepare you for surgery and let you know exactly what to expect during the day.

After the operation, you’ll be taken to the recovery suite, where you’ll be looked after while you wake-up from the anaesthetic.

Aftercare and follow-up

You’ll have your own physiotherapist and care nurse who will give you pain relief and blood thinning medication to prevent any blood clots after surgery.

Your care team will make sure you have the right walking aid so that you can be as mobile as possible.

Once home, you’ll have a video check-up with your care nurse about your dressing, any medication, and overall wellbeing.

After around a week, we’ll invite you for a follow-up appointment with your surgeon who’ll assess your joint and check you’re recovering well.


Osteotomy surgery for hip dysplasia normally takes between 60 to 90 minutes under a general anaesthetic, plus a local anaesthetic for pain management.

There are two main types of surgical procedures:

Proximal femoral osteotomy (PFO) – performed on the ball side of the hip

Periacetabular osteotomy (PAO) – performed on the socket side of the hip

At The London Clinic we offer minimally invasive osteotomy which requires shorter incisions (cuts) in your skin and specialised tools. Your surgeon starts by making a small incision on the skin over the front of your hip.

Then using X-ray guidance (fluoroscopy) and specialised miniature tools, they carefully cut through soft tissue and pelvic bone to free your hip socket from your pelvis.

The bone containing the socket joint is then rotated so that it fits more precisely over the head of your thigh bone (femur). Your surgeon then re-attaches your socket using surgical screws and closes the incision with staples.

Sometimes your surgeon might reposition the ball (head of the thigh bone) which is a femoral osteotomy.

Once complete we will take you to the recovery suite while you come round from the anaesthetic.

When your care nurse is happy with your progress, we’ll take you back to your private en-suite to relax.

Osteotomy for hip dysplasia corrects deformities and restores normal hip function for improved movement and weight bearing.

One of the key benefits is that your surgery will prevent wear and tear before it leads to physical changes and arthritis in the hip.

Full recovery from the surgery takes about four months and you’ll need to use crutches for the first six weeks to avoid placing too much weight on your hip.

Most people are fit to drive after eight weeks and can go back to work after six to twelve weeks.

However, how long it takes you to recover from your hip surgery depends on how fit and healthy you are before your surgery.

During your stay at our hospital after your surgery, your physiotherapist will show you some specific exercises you can do at home, which will help you get back on your feet more quickly.

As part of your aftercare package, you can choose to have ongoing physiotherapy and hydrotherapy sessions to enhance your recovery.

Hip dysplasia surgery is considered a safe procedure, but all surgery carries some risk.

Apart from short-lived swelling, bruising and numbness for a few days post-surgery, rarer side-effects can occur:

  • Bleeding inside the joint
  • Blood clot that develops in a limb (e.g DVT)
  • Infection in the joint
  • Permanent nerve damage with numbness
  • Failure for the bones to heal

We offer enhanced pre-assessment before your surgery and rehabilitation afterwards so we can help prevent this from happening.

At The London Clinic, our orthopaedic surgeons who offer osteotomy for hip dysplasia are world leaders in their field.

You’ll have your surgery in one of our state-of-the-art operating theatres near Harley Street.

During your two to three night stay, your dedicated care team, with your own nurse and physiotherapist, will be on hand to look after you.

To make you feel more comfortable while you’re with us, we offer extra touches like a personalised food menu and a ward coordinator who’ll be able to book additional care for you, such as reiki and acupuncture should you wish.

Once you’re ready to leave The London Clinic, you’ll be given advice to follow to make sure you recover safely at home.

We’ll keep in contact with you over the following weeks to ensure everything is going smoothly and you have everything you need.

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