Arthroscopic Capsular Plication in Patients With Labral Tears and Borderline Dysplasia of the Hip: Analysis of Risk Factors for Failure
Authors
Maldonado DR, Perets I, Mu BH, Ortiz-Declet V, Chen AW, Lall AC, Domb BG
Journal: Am J Sports Med. 2018 Dec;46(14):3446-3453.
DOI: 10.1177/0363546518808033
PMID: 30419179
Background
This study investigates the outcomes of arthroscopic capsular plication in patients with labral tears and borderline hip dysplasia. The focus is on identifying risk factors for failure, particularly in patients with low lateral center-edge angle (LCEA) and advanced age.
Methods
90 patients with borderline dysplasia and labral tears underwent hip arthroscopy with capsular plication. The study evaluated postoperative patient-reported outcomes (PROs) and identified risk factors for failure, including age and LCEA.
Key Findings
Age was a significant risk factor for failure, with patients older than 35 being 2.25 times more likely to experience failure. Both success and failure groups showed significant improvement in PROs, but the failure group was significantly older and had lower baseline scores.
Conclusions
In patients with borderline hip dysplasia, arthroscopic capsular plication is generally successful. However, patients older than 35 are at higher risk for failure, emphasizing the need for careful patient selection.
What Does This Mean for Patients
Younger patients with borderline hip dysplasia are more likely to benefit from capsular plication. However, older patients should be aware of the increased risk of failure, particularly if their LCEA is low.
DOI: 10.1177/0363546518808033