APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Pearls and Pitfalls of Patient Selection in Hip Preservation Practice

Pearls and Pitfalls of Patient Selection in Hip Preservation Practice

Video Transcription

Video Summary

John Cristoforetti, a sports medicine surgeon specializing in hip preservation, discusses key principles for effective patient selection and treatment. Emphasizing comprehensive diagnosis, he highlights the importance of understanding the interplay among a patient’s functional demands, mechanical hip structure, and healing potential. Cristoforetti stresses differentiating between localized mechanical problems suitable for surgery and complex cases involving severe degenerative joint disease or chronic pain requiring a holistic, multidisciplinary approach. He advocates for preoperative goal-setting with patients to align expectations, the use of diagnostic injections to pinpoint pain sources, and screening for psychological factors like catastrophization that affect outcomes. Successful hip preservation hinges on clear communication, defined treatment aims, and collaborative care teams, similar to approaches in cancer surgery. Ideal candidates are emotionally balanced individuals with correctable mechanical conflicts and predictable pain patterns. Ultimately, broad-minded diagnosis and patient-centered care strategies enhance surgical success and long-term joint health preservation.

Asset Caption

John J. Christoforetti, M.D.

Keywords

hip preservation

patient selection

sports medicine surgery

diagnostic injections

multidisciplinary care