Open and Arthroscopic Treatment of Adult Hip Dysplasia: A Systematic Review
Authors
Lodhia P, Chandrasekaran S, Gui C, Darwish N, Suarez-Ahedo C, Domb BG.
Purpose
To compare outcomes and conversion rates to total hip arthroplasty after hip arthroscopy, periacetabular osteotomy (PAO), or combined approaches in adult hip dysplasia.
Methods
- Systematic review of 10 studies covering 834 hips treated with arthroscopy, PAO, or combined surgery.
- Evaluated patient-reported outcomes and rates of conversion to THA.
Key Findings
- Arthroscopy showed low THA conversion (4.8%), effective mostly in borderline dysplasia.
- PAO had good outcomes for true dysplasia but higher THA conversion (12%).
- Combined procedures had limited data with a higher THA conversion (17.7%).
Conclusion
Treatment should be tailored by dysplasia severity: arthroscopy for borderline cases; PAO for true dysplasia.
What This Means for Patients
If your hip dysplasia is borderline, arthroscopy might help with less invasive surgery; more severe cases often need PAO. Your doctor will select the best approach based on your condition.
DOI: 10.1016/j.arthro.2015.07.022