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Periacetabular Osteotomy for Hip Dysplasia Can Prevent Joint Replacement Unusual development in the hip joint in adolescents and adults is more prevalent than was once thought. The problem can result in hip hip and dysplasia impingement and usually requires surgery to improve the problem sildenafil side effects . Michael K. Ryan, MD, an orthopaedic cosmetic surgeon in the Hip Middle at Andrews Sports activities Medication in Birmingham, is normally one of just a few hip preservation cosmetic surgeons who surgically goodies these hip abnormalities using a surgical technique known as periacetabular osteotomy . Hip dysplasia is usually a developmental abnormality from the hip outlet that leads to a shallow acetabulum, while a outlet that is more than protected, or too-deep, could cause impingement, Ryan says.