Long-term Outcomes of Advanced Arthroscopic Techniques for Patients With Acetabular Retroversion Without Anteverting Periacetabular Osteotomy
Authors
Domb BG, Flynn ME, Kingham YE, Keane JC, Kahana-Rojkind AH, Quesada-Jimenez R.
Background
Acetabular retroversion is a condition where the hip socket is oriented in a way that can cause impingement and pain. Treatment options range from hip arthroscopy to corrective bone surgery (PAO).
Methods
Patients with acetabular retroversion treated with hip arthroscopy for femoroacetabular impingement and labral tears were followed for at least 10 years. Outcomes were compared to a matched group without retroversion.
Key Findings
Both groups had significant and lasting improvements in pain and hip function. About 96% of hips in both groups did not require hip replacement. Rates of meaningful improvement were similar or slightly higher in the retroversion group for some measures. Few patients required further surgery.
Conclusion
In appropriately selected patients, hip arthroscopy alone can provide durable long-term results for acetabular retroversion, with outcomes similar to patients without this condition.
What Does This Mean For Patients
Even with an abnormal hip socket shape, many patients can do very well with arthroscopy alone and avoid more invasive bone-cutting surgery or hip replacement in the long term.