The hip plays a central role in standing, walking, climbing stairs, and many other daily activities. When pain, injury, arthritis, or a previous implant problem affects the joint, mobility and quality of life can become significantly limited.
With more than 20 years of orthopedic experience, Dr. Brian Cohen provides hip pain treatments in Columbus, OH. Depending on the cause and severity of the condition, treatment may involve fracture repair, robotic-assisted total hip replacement, or revision hip replacement.
About the Hip Joint
The hip joint is the largest weight-bearing joint in the human body. It is extremely flexible and allows for a wide range of motion. Your hip is where your thigh bone meets your pelvis. It is a ball-and-socket joint. The ball is located at the upper part of the thigh bone and the socket is part of the pelvis.
Procedures for Common Hip Conditions
If you are suffering from hip pain and do not know why, you should contact Dr. Cohen’s office. Dr. Cohen and/or one of his sports medicine colleagues will obtain a complete “history of present illness” from you and conduct a focused, comprehensive physical exam to evaluate your hip for areas of tenderness, assess range of motion and establish if you have normal or decreased hip strength. Depending on the findings, they may order an X-ray, an MRI, and/or a CT scan. This will help determine the exact cause of your hip pain.
Procedures for common hip conditions include the following:
-
Open reduction internal fixation of hip fractures (opens in new tab)
-
Open reduction intramedullary nail fixation of hip fractures
-
Robotic-assisted procedures, including total hip replacement and revision total hip replacement
Hip Surgery Options
Open Reduction Internal Fixation of Hip Fractures
Open reduction internal fixation is a type of treatment for fractures (broken bones). A hip fracture is a broken hip.
Open reduction refers to the surgery to repair the broken hip. Open means that the orthopedic surgeon is using a surgical incision to expose the fracture. Once exposed, the orthopedic surgeon then reduces (manipulates) the fractured bones back into place.
Fixation (opens in new tab) stabilizes the injured bone and enables healing. The ultimate goal of hip fracture fixation is to heal the fracture completely and enable the patient to return to full mobility and function.
Internal fixation means the hardware used to hold the hip fracture together is inserted surgically. The surgeon may use any of the following for internal fixation:
-
Wires
-
Pins
-
Screws
-
Plates
Open Reduction Intramedullary Nail Fixation of Hip Fractures
Open reduction intramedullary nail fixation of hip fractures is a surgical technique used to reduce and stabilize a broken hip and enable its healing. Fixation is accomplished with a rod placed within the femoral canal and secured with locking screws.
Dr. Cohen will make a cut at the top of the thigh, close to the hip, and use fluoroscopic or X-ray assistance to reduce the fracture and pass the intramedullary nail down the canal of the femur across the fracture site and secure fixation with cross or locking screw.
-
A previous injury in the same area
-
Reduced muscle strength
-
Limited flexibility
-
Muscle fatigue
-
Inadequate warm-up before activity
-
Increasing exercise intensity too quickly
-
Repetitive running, jumping, or twisting
-
Age-related changes in muscle and tendon flexibility
Robotic-Assisted Total Hip Replacement
Dr. Brian Cohen utilizes MAKO robotic hip replacement procedures (opens in new tab). Prior to the robotic-assisted surgery, Dr. Cohen completes a surgical plan to determine the size, placement, and position of the hip implant. During robotic-assisted surgery, Dr. Cohen guides a robotic arm to perform the surgery and insert the hip implant. The hip implant is positioned based on the established location from the surgical plan.
Revision Total Hip Replacement
Unfortunately, not all hip replacement surgery brings about pain relief. In some instances, a hip replacement surgery can fail or have undesirable consequences. In other instances, a surgical implant may simply wear out. Revision total hip replacement involves replacing some or all of a hip implant.
A revision total hip replacement is more complicated than normal joint replacement surgery and carries additional risk. Robotic-assisted revision total hip replacement may help to ensure the proper placement and alignment of the hip implant.
Why Choose Dr. Cohen?
OVER 25+ YEARS OF EXPERIENCE
One of the first orthopedic surgeons employed by a large hospital. Dr. Cohen spent 20 years.
TRUSTED BY OVER 100,000+ PATIENTS WORLDWIDE
Over his distinguished career, Dr. Cohen has cultivated a reputation of excellence and trust among his patients and his peers.
UTILIZING THE LATEST TECHNOLOGY
To achieve the best surgical outcomes, Dr. Cohen uses the most advanced technologies and techniques, keeping his practice state-of-the-art.
PATIENT SAFETY IS TOP PRIORITY
An individualized, patient-focused process coupled with decades of training and experience helps ensure maximum safety for all of Dr. Cohen’s patients.
Hip Pain Treatments in Columbus, OH
Hip pain can make walking, standing, and other everyday activities increasingly difficult. Dr. Cohen evaluates the cause of the problem and recommends treatment based on the condition of the joint, the extent of the damage, and each patient’s mobility goals.
To schedule a consultation with Dr. Brian Cohen, call (614) 788-0375.