Hip Preservation Research at Children's Hospital Colorado
Principal Investigator
Courtney Selberg, MD
Assistant Professor
Research Professional
Jordyn Adams, BA
Research Professional
Hip Preservation
The hip preservation program at Children’s Hospital Colorado focuses on understanding and treating hip conditions across childhood and adolescence.
Hip conditions include:
- Developmental dysplasia of the hip
- Slipped capital femoral epiphysis
- Legg-Calve-Perthes disease
- Adolescent onset dysplasia
- Femoroacetabular impingement (FAI)
Current projects examine patient predisposition, long-term effects, progression of hip problems, and effective interventions to extend the preservation of hip function and cartilage.
Recent Publications
The Optimal Age for Surgical Management of DDH Differs by Treatment Method
There is a lack of consensus on the optimal age for specific surgical interventions for developmental dysplasia of the hip. Using radiographic and clinic outcomes we identified the optimal age cutoffs for closed reduction, open reductions, and open reduction with concomitant pelvic osteotomy respectively. View full study
Maintenance of acetabular correction following PAO: a multicenter study comparing stainless-steel and titanium screws
Stainless steel screws are commonly used for fragment fixation during periacetabular osteotomy (PAO). Titanium is reserved for patients with documented nickel allergies. Titanium screws possess a significantly lower Young’s modulus than stainless steel and, therefore, potentially less resistance to physiologic loading. We hypothesized that the use of titanium screws might be associated with changes in acetabular correction prior to healing. The aim of this study was to compare the maintenance of acetabular correction following PAO using stainless-steel or titanium screws. View full study
Recovery in Hip Range of Motion in Young Flexibility Athletes 1 Year After Periacetabular Osteotomy
Periacetabular Osteotomy (PAO) is a well-established surgical intervention for the treatment of hip dysplasia. Our primary objective was to assess whether a group of young flexibility athletes who underwent PAO for hip dysplasia recovered their pre-operative hip range of motion (ROM) within 1 year of surgery. Our secondary objective was to compare hip ROM recovery between a group of young flexibility athletes and a group of non-flexibility athletes who underwent PAO for hip dysplasia. View full study
Prospective Studies
International Perthes Study Group (IPSG) Prospective Study
Compare the outcomes of current treatments in the management of 4 age groups (ages 1-6, 6—8, 8—11, >11) of patients with Perthes disease at two- and five-year follow-up. For each age group, two to three common treatment regimens currently used by practicing pediatric orthopaedic surgeons will be compared.
Prospective Evaluation of Patients who undergo a Surgical Hip Dislocation with Modified Dunn Procedure following Moderate to Severe Slipped Capital Femoral Epiphysis Prospective Study
To compare the following techniques for intraoperative femoral head blood flow assessment for predictive value of future osteonecrosis development at key time points during surgery: Camino intracranial pressure ICP monitoring of femoral head blood flow, laser doppler flowmetry, and total time the epiphysis is dislocated from the acetabulum.
Anesthesia Database and MultiModal Pain Prospective Study
The aim of this study is to demonstrate the utility of a newly implemented standardized anesthesia protocol which involves a collaborative approach between surgical and anesthesia teams to improve perioperative care, improve patient outcomes, and decrease the incidence of complications in patients who undergo a pelvic osteotomy (with or without a femoral osteotomy) or surgical hip dislocation procedure.
Finite element modeling using computer tomography
Finite element modeling using computer tomography (CT) scans to create 3-D models of hip bones with accurate representations of hip cartilage (seen in blue, green, and purple).
Biomechanical Analysis
Biomechanical analysis of loading forces within the hip joint as femoral torsion changes for the Femoral Version study.
