Borderline Dysplastic Female Patients With Painful Internal Snapping Improve Clinical Outcomes At Minimum 2-Year Follow-Up Following Hip Arthroscopy With Femoroplasty, Labral Repair, Iliopsoas Fractional Lengthening, and Capsular Plication: A Propensity-Matched Controlled Comparison

Borderline Dysplastic Female Patients With Painful Internal Snapping Improve Clinical Outcomes At Minimum 2-Year Follow-Up Following Hip Arthroscopy With Femoroplasty, Labral Repair, Iliopsoas Fractional Lengthening, and Capsular Plication: A Propensity-Matched Controlled Comparison

Authors

Maldonado DR, Diulus SC, Annin S, Shapira J, Rosinsky PJ, Kyin C, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.03.034

Background

Female patients with borderline hip dysplasia and painful internal snapping may experience poor outcomes without the right treatment. This study examines the effectiveness of a combination of procedures—femoroplasty, labral repair, iliopsoas fractional lengthening, and capsular plication (FLIP)—for these patients.

Methods

The study reviewed 74 hips from women with borderline dysplasia and painful internal snapping who underwent the FLIP procedure. Their clinical outcomes were compared to a control group with similar characteristics but without painful internal snapping.

Key Findings

Significant improvement was reported for all patient-reported outcomes (PROs) and pain levels (VAS). The FLIP procedure showed similar improvements to the control group, with a high rate of achieving the minimal clinically important difference (MCID).

Conclusions

The FLIP procedure for borderline dysplastic women with internal snapping provides significant improvement in pain and function over a minimum 2-year follow-up, with comparable outcomes to those without internal snapping.

What Does This Mean for Patients

If you have borderline dysplasia and internal snapping in your hip, the FLIP procedure could be an effective option to improve your hip function and reduce pain, offering similar outcomes to patients without snapping.