Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation: Ten-Year Survivorship and Patient-Reported Outcomes

Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation: Ten-Year Survivorship and Patient-Reported Outcomes

Authors

Domb BG, Owens JS, Glein RM, Jimenez AE, Maldonado DR

Journal

The Journal of Bone and Joint Surgery, May 2023

Objective

To report 10-year survivorship and patient-reported outcomes after hip arthroscopy with capsular plication and labral preservation for patients with borderline hip dysplasia (BHD).

Key Findings

• 82.2% of patients remained free from the need for total hip arthroplasty (THA) after 10 years.
• Significant improvements in hip function and pain were reported.
• Patients with higher BMI and older age were at higher risk of requiring THA conversion.
• High rates of achieving the Minimal Clinically Important Difference (MCID) across several outcome measures.

Conclusion

Primary hip arthroscopy with capsular plication and labral preservation is an effective long-term treatment for patients with BHD, showing good survival rates and improvement in hip function.

What Does This Mean For Patients

If you have borderline hip dysplasia, this surgery could offer long-lasting relief and improved hip function. Maintaining a healthy weight and addressing symptoms earlier may help avoid the need for a hip replacement later.