Arthroscopic capsular plication and labral preservation in borderline hip dysplasia: two-year clinical outcomes of a surgical approach to a challenging problem
Authors
Domb BG, Stake CE, Lindner D, El-Bitar Y, Jackson TJ
DOI: 10.1177/0363546513499154
Purpose
To evaluate the clinical outcomes of arthroscopic labral repair augmented by capsular plication in patients with borderline hip dysplasia.
Methods
Case series of 26 patients under 40 years old with borderline hip dysplasia (lateral center-edge angle 18°–25°) undergoing hip arthroscopy. Outcome scores and pain levels were measured preoperatively and up to 3 years postoperatively.
Key Findings
- Significant improvement in hip function scores and pain reduction at two years post-op.
- Overall patient satisfaction averaged 8.4/10.
- 77% of patients had good to excellent outcomes.
- Low revision surgery rate (2 patients).
Conclusion
Arthroscopic labral repair combined with capsular plication provides favorable two-year clinical outcomes for patients with borderline hip dysplasia, offering an effective treatment alternative to more invasive procedures.
What this means for patients
Young patients with borderline hip dysplasia can experience significant pain relief and improved hip function with a minimally invasive arthroscopic surgery, avoiding the risks of more invasive surgeries and having a good chance of long-term success.