ARTICLESNonprosthetic Surgery of the Juvenile Idiopathic Arthritic HipRydholm, Urban M.D., Ph.D.Author Information From the Arthritis Unit, Department of Orthopaedics, University Hospital, Lund, Sweden. Address correspondence and reprint requests to Urban Rydholm, MD, PhD, Head of Arthritis Unit, Department of Orthopaedics, University Hospital, S-221 85 Lund, Sweden. E-mail: [email protected] Techniques in Orthopaedics: September 2003 - Volume 18 - Issue 3 - p 272-278 Buy Abstract Summary Control of hip disease is very important for maintaining mobility and independence in patients with juvenile idiopathic arthritis (JIA). Hip deformity and pain must be treated early by drugs and physiotherapy and, if necessary, by arthroscopic joint lavage and corticosteroids. Core decompression is a minor procedure that can provide considerable relief from aching pain. Soft tissue releases as well as intertrochanteric osteotomy can affect the loading situation of the whole lower extremity, and also give the possibility of regeneration of cartilage in children with clinical deformities and radiographic growth disturbances of the hip. Minor surgical procedures should always be considered if they can delay the requirement for total joint replacement. © 2003 Lippincott Williams & Wilkins, Inc.