About hip joint pathology in young patients

Em torno da patologia da anca em doentes jovens

Auditorium 2 at Hospital da Luz was the venue for a discussion by Portuguese and foreign specialists on new surgical approaches to hip joint pathology in young patients. Swiss surgeon Reinhold Ganz was the star of the symposium and his experience caught the attention of all.

Reinhold Ganz, a Swiss doctor, at one time medical director to the Orthopaedic Surgery Department and professor in Orthopaedics at the University of Berne, caught everyone's attention throughout the symposium. During the symposium on «Biological hip surgery in young patients», held today at Hospital da Luz, under the international medical congress Leaping Forward, the experience of this surgeon of international repute meant that all questions addressed by the audience under each topic earned an answer from Prof. Ganz.

This was the case starting with the first morning presentation in Auditorium 2 at Hospital da Luz. Reinhold Ganz kicked off the work with a question for the audience: «Why not implant a prosthetic hip in this young patient, as we do with all other patients? After all, it is easier and quicker…» The question did not go unanswered, and the Swiss surgeon explained that the lifetime of a prosthesis is limited and we cannot put a young patient in a situation where he would have to undergo another surgery only a few years later.

Therefore, Ganz concluded, we must choose the hardest path, i.e. hip reconstruction, where it is clinically and surgically viable. This will help postpone possible new surgery for as long as possible.

During the symposium, a variety of topics were addressed, like Perthes' Disease, progress achieved in hip arthroscopy in young patients, hip dysplasia, and treating severe hip malformations. And Reinhold Ganz was asked to speak about his expertise in almost every situation.

Paulo Rego in turn, head of the Orthopaedics Service at Hospital Beatriz Ângelo (the hospital managed by a public-private partnership with Espírito Santo Saúde), orthopaedist at Hospital da Luz and director at this symposium, also discussed some new surgical approaches to this disease and, particularly, his experience in some of them.