Hip Preservation for All Ages

Hip problems in infancy or those that develop later due to impingement, dysplasia or osteonecrosis are best addressed by a team of specialists with an expertise in hip pathology.  The Hip Preservation Program provides the only comprehensive team of clinicians in the Rocky Mountain region able to assess and treat hip problems that are seen throughout a lifespan.


About the Program

Conditions Treated

The hip preservation team with The Denver Clinic for Extremities at Risk have expertise in surgical interventions for the following conditions that affect the hip:




Case study - Hip Dysplasia

This is a 25 year old female dancer whose right hip pain had caused her to quit dancing and had pain with walking when she was referred to The Denver Clinic. After evaluation by her local joint replacement specialist, she was referred to Dr. Jaren Riley for evaluation. She had right hip dysplasia which was present since birth, making her acetabulum shallow and misshapen. She also had a physeal (growth plate) injury to her femoral head, resulting in severe deformity, impingement, and pain. X-rays and MRI showed a large paralabral cyst, labral tear, and dysplasia of the femoral head and acetabulum, but minimal cartlagenous disease. 

AP pelvis preop 25 year deidentified hip_lateral_preop_25_year2
Pre-operative X-ray AP  Pre-operative X-ray from the side





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Case study - Slipped Capital Femoral Epiphysis (SCFE)



This 11 year old male presented with an unstable, moderately displaced Slipped Capital Femoral Epiphysis (SCFE) of the left femur. The xray shows the appearance of the left femur (on the right on the xray) slipping away from the femoral head. 










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Case Study - Hip Reconstructive Surgery

Hip_revis_JP_initial_pelvis_xrayA woman with a history of chronic dislocation of her right hip after a total hip replacement was referred to the Hip Preservation Program for consultation.  She presented with a displaced acetabular (socket) component, a dislocated hip, and signficant breakdown of the bone of the pelvis where the hip replacement components had been originally placed.


She was having significant pain and it was very difficult for her to walk. 



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meet the team

John Polousky, MD
J.Polousky.pDr. John Polousky is a member of the hip preservation service at The Denver Clinic for Extremities at Risk. His clinical interests with regard to hip preservation include cartilage restoration procedures and deformity correction. Dr. Polousky's clinical practice is with Rocky Mountain Youth Sports Medicine Institute.