Is Hip Arthroscopy Effective in Patients With Combined Excessive Femoral Anteversion and Borderline Dysplasia? A Match-Controlled Study

Is Hip Arthroscopy Effective in Patients With Combined Excessive Femoral Anteversion and Borderline Dysplasia? A Match-Controlled Study

Authors

Chaharbakhshi EO, Hartigan DE, Perets I, Domb BG
DOI: 10.1177/0363546518812859

Background

Combined excessive femoral anteversion (EFA) and borderline dysplasia (EFABD) can complicate hip arthroscopy. This study evaluates the outcomes of hip arthroscopy in patients with these conditions.

Methods

The study compared patients with EFABD who underwent hip arthroscopy for labral preservation to a matched group of patients without EFABD. It analyzed outcomes, complications, and the need for additional surgeries.

Key Findings

Patients with EFABD had lower hip function scores and greater patient dissatisfaction compared to the control group. They also required more secondary surgeries (33.3% vs. 4.2%).

Conclusions

While patients with EFABD can still experience improvements after hip arthroscopy, the outcomes are generally worse than those for patients without EFABD. Additional surgical options, such as osteotomies, may be needed for optimal results.

What Does This Mean for Patients

If you have both excessive femoral anteversion and borderline dysplasia, hip arthroscopy may not be as effective as for other patients. You may require further treatment or surgery to achieve the best possible outcome.