Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up
Authors
Jimenez AE, Lee MS, Owens JS, Maldonado DR, LaReau JM, Domb BG
Journal
Arthroscopy, September 2022
Background
Hip arthroscopy combined with periacetabular osteotomy (PAO) is used to treat acetabular dysplasia and intra-articular hip pathologies. This study investigates the outcomes of athletes who undergo both procedures.
Methods
- Data were reviewed for athletes who underwent both hip arthroscopy and PAO for acetabular dysplasia and cam deformity between 2010 and 2018.
- Patient-reported outcomes (PROs) and return-to-sport (RTS) rates were assessed at a minimum of 2 years post-surgery.
Key Findings
- Significant improvements were observed in the mHHS, NAHS, and HOS-SSS scores (P < .001).
- 82.8% of athletes achieved the minimal clinically important difference (MCID) for mHHS, 86.2% for NAHS, and 79.3% for HOS-SSS.
- 81.8% of athletes successfully returned to sport.
Conclusions
Concomitant hip arthroscopy and PAO in athletes results in significant improvements in hip function and a high rate of return to sport.
What Does This Mean For Patients
If you're an athlete with acetabular dysplasia or cam deformity, combined hip arthroscopy and PAO may significantly improve your hip function and increase your chances of returning to your sport.