Hips With Acetabular Retroversion Can Be Safely Treated With Advanced Arthroscopic Techniques Without Anteverting Periacetabular Osteotomy: Midterm Outcomes With Propensity-Matched Control Group

Hips With Acetabular Retroversion Can Be Safely Treated With Advanced Arthroscopic Techniques Without Anteverting Periacetabular Osteotomy: Midterm Outcomes With Propensity-Matched Control Group

Authors

Maldonado DR, Chen JW, Kyin C, Rosinsky PJ, Shapira J, Karom JM, Lall AC, Domb BG
DOI: 10.1177/0363546520916737

Background

Acetabular retroversion, where the hip socket is turned backward, is a cause of femoroacetabular impingement syndrome (FAIS). Traditionally, this condition has been treated with a periacetabular osteotomy (PAO), which involves repositioning the acetabulum. However, newer, less invasive methods, such as hip arthroscopy, are now being explored.

Methods

This study compared the outcomes of patients with acetabular retroversion who underwent hip arthroscopy for FAIS and labral tears, to a matched control group without retroversion. Both groups were evaluated using patient-reported outcomes (PROs) at midterm follow-up.

Key Findings

Patients with acetabular retroversion treated with advanced hip arthroscopy showed significant improvements in PROs, similar to the control group. No significant differences were found in recovery, suggesting that arthroscopy alone is an effective treatment option.

Conclusions

Advanced arthroscopic techniques can safely treat acetabular retroversion without the need for the more invasive PAO, providing good midterm outcomes.

What Does This Mean for Patients

If you have acetabular retroversion and need treatment for FAIS, hip arthroscopy may be a good option, offering similar benefits to traditional surgery without the added complexity of osteotomy.