He couldn't believe my x-rays. Figure 3: The Femoral Neck-Shaft Angle; 3A: Normal femoral neck/shaft angle; Consultation with Dr. Buly at HSS Its been a while again since I have updated my blog because I was waiting until after my appointment at HSS with Dr. Buly which was a week ago today. Many patients first seek medical attention because they are experiencing pain or restrictions in mobility. For new and existing patients, please see recommendations on how to schedule an appointment with Dr. Buly online. Emma got her life back IN FULL. Patients recovering from femoral osteotomy and hip surgery undergo careful monitoring during rehabilitation, with close supervision of joint motion, weight-bearing, muscle strengthening and progression of activity. In such cases, Dr. Buly and other HSS surgical specialists collaborate to perform procedures necessary to successfully treat all aspects of the patient's condition. Dr. Buly then called his colleague, Dr. Helfet, into the exam room so that he could look at my images and examine me to get his opinion. andStuart Pett, M.D illustration forInternational Association for Dance Medicine and Science 2011Summary completed by Nancy Novick, Same-day in-person or virtual appointments, Hip Pain and Joint Preservation An Overview. On the right; after correction, the neck-shaft angle has been corrected to 127, placing the femoral head deeper into the socket. Detailed profile of Robert Leon Buly, MD, a Other Doctors - Specialist New York NY. Proposed surgery with a 90 blade plate. For any type of hip pain, orthopedists conduct a thorough patient history and physical exam. Figure 2C*: Excessive Femoral retroversion; The angle of the femoral neck to the shaft of the femur is called version. So if you are in need of any type of surgery I would not think twice about going to HSS, I can promise you that you will not be disappointed. On the left; position of the retroverted femoral head with the foot straight. 5B: Right: a 3D model of the patient's hip created from CT scan images which demonstrates the In this position, the head subluxes out the front of the joint. A graduate of Texas Southwestern Medical School, Dr. He truly makes me feel like family. Figure 2B*: Excessive femoral anteversion; Figure 7C (left): After performing the osteotomy, the femur is rotated to achieve the desired correction. I am 23 years young and ready to conquer whatever life throws at me!! These problems may include articular cartilage damage in the hip joint, tears to the labrum (the crescent-shaped cartilage structure that runs along the rim of the hip socket) and various forms of hip impingement abnormal contact between the two bones that meet in the hip joint. A decreased neck-shaft angle is called coxa vara or varus alignment. At the top of the femur is the femoral head that fits inside the cavity in the pelvic bone that forms the socket, also known as the acetabulum; together forming the hip joint. To better understand these deformities, it's helpful to consider the normal hip. He gave me back my active life, he did an amazing job. In this position, the neck of the femur impinges on the front of the acetabulum. "It's important to note that in young children, some in-toeing or out-toeing is a normal gait pattern during skeletal development that will resolve on its own," Dr. Buly adds. HSS-New York, New York Featured Jobs; Current Search Criteria. Dr. Dr. Buly specializes in joint-preserving surgeries for both hip and knee - including arthroscopies and osteotomies to correct anatomical problems like dysplasia and hip impingement that impair movement, cause pain and ultimately lead to arthritis.