Femoral Head Overgrowth: Surgical Options and Insights

Proliferation of the femur?

Hello, doctor.
I previously suspected that the protrusions on both sides of my hips were due to congenital hip dislocation.
However, after an X-ray, I realized I misjudged the diagnosis; the result showed that it was due to the broadness of my hips formed by the femoral head (which seems to be longer).
Therefore, I would like to further ask the doctor: 1.
Is it possible to surgically remove the protruding bone? 2.
Have there been any previous cases like this? 3.
If feasible, what budget should I prepare? 4.
I heard that there is a recent double incision surgery that can avoid complications; what do you think about that? Thank you for taking the time to answer!

Ailan, 20~29 year old female. Ask Date: 2004/07/06

Dr. Shi Qiming reply Orthopedics

Dear Mr.
Allen,
1.
It is possible to remove the protruding bone, but this would unnecessarily increase the surgical risks and result in an additional scar, which may be too great a sacrifice.
2.
I did not undergo surgery for cosmetic reasons.
3.
The double incision surgery is currently likely referring to total joint replacement surgery.
4.
I hope you can come to our hospital for a detailed examination, after which I can provide further explanation.
Thank you!
Orthopedics Department, Hsinchu Hospital

Reply Date: 2004/07/06

More Info

Understanding femoral head overgrowth and its surgical options is a complex topic that requires careful consideration of various factors, including the specific anatomy of the hip joint, the underlying cause of the overgrowth, and the potential risks and benefits of surgical intervention.

1. Surgical Options for Bone Removal: Yes, it is possible to surgically remove or reshape the overgrown bone in the femoral head, but this depends on the specific diagnosis and the extent of the overgrowth. Procedures such as osteotomy (cutting and repositioning the bone) or femoral head resection may be considered. However, the decision to proceed with surgery should be made in consultation with an orthopedic surgeon who specializes in hip disorders. They will evaluate your specific case, including imaging studies like X-rays or MRIs, to determine the best course of action.

2. Previous Cases: There have been numerous cases where individuals with femoral head overgrowth or deformities have undergone surgical procedures to correct these issues. The outcomes can vary widely based on the individual’s anatomy, the severity of the overgrowth, and the surgical technique used. In many cases, patients have reported significant improvements in function and a reduction in discomfort post-surgery. However, each case is unique, and historical data should be interpreted with caution.

3. Budget Considerations: The cost of surgery can vary significantly based on several factors, including the type of procedure, the surgeon's experience, the facility where the surgery is performed, and whether you have insurance coverage. In the United States, orthopedic surgeries can range from several thousand to tens of thousands of dollars. It is advisable to consult with your healthcare provider and insurance company to get a more accurate estimate based on your specific situation.

4. Double Incision Technique: The double incision technique you mentioned is a newer approach that aims to minimize complications and improve recovery times. This technique may reduce the risk of nerve damage and improve blood supply to the area, potentially leading to better outcomes. However, the effectiveness and appropriateness of this technique can vary based on the individual case. It is essential to discuss this option with your orthopedic surgeon, who can provide insights based on their experience and the latest research.

In summary, if you are considering surgery for femoral head overgrowth, it is crucial to consult with a qualified orthopedic surgeon who can assess your specific condition and provide tailored recommendations. They will consider your overall health, the severity of the overgrowth, and your personal goals for surgery. Additionally, understanding the potential risks and benefits, as well as the financial implications, will help you make an informed decision about your treatment options.

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