Outcomes of Hip Arthroscopy With Concomitant Periacetabular Osteotomy, Minimum 5-Year Follow-Up
Authors
Maldonado DR, LaReau JM, Perets I, Ortiz-Declet V, Laseter JR, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2018.10.143
Background
Hip arthroscopy combined with periacetabular osteotomy (PAO) is a treatment for acetabular dysplasia, a condition where the hip socket is not properly formed. This study investigates the long-term outcomes of combining these two procedures.
Methods
The study followed patients who underwent both hip arthroscopy and PAO to treat acetabular dysplasia and intra-articular hip pathology. Preoperative and 5-year postoperative scores were used to evaluate the outcomes.
Key Findings
Significant improvements in hip function and pain were seen, with no cases of progression to hip arthritis. The combined procedure led to better hip stability, and the outcomes were durable over a 5-year follow-up period.
Conclusions
Hip arthroscopy with concomitant PAO appears to be an effective treatment for acetabular dysplasia with associated hip pathology. It results in sustained improvement in function and pain relief, making it a viable option for young patients with these conditions.
What Does This Mean for Patients
If you have acetabular dysplasia or associated hip conditions, combining hip arthroscopy with PAO may offer long-term relief and improve hip function. The procedure is effective in treating both the structural and soft tissue issues in the hip.