Periacetabular osteotomy and arthroscopic labral repair after failed hip arthroscopy due to iatrogenic aggravation of hip dysplasia
Authors
Jackson TJ, Watson J, LaReau JM, Domb BG
DOI: 10.1007/s00167-013-2540-x
Purpose
To report a case where hip arthroscopy was performed in a patient with significant hip dysplasia, which worsened symptoms, and subsequent treatment combining arthroscopic labral repair and periacetabular osteotomy (PAO) was done successfully.
Methods
Case report detailing the clinical course, failed hip arthroscopy in dysplasia, followed by revision surgery with PAO and labral repair.
Key Findings
- Hip arthroscopy alone can worsen symptoms in patients with untreated hip dysplasia.
- Combined PAO and arthroscopic labral repair corrected underlying bony abnormality and soft tissue damage.
- Good clinical outcomes observed at 2-year follow-up.
Conclusion
Hip arthroscopy should be carefully indicated in patients with hip dysplasia; when dysplasia is present, PAO combined with labral repair may be necessary for optimal results.
What this means for patients
If you have a shallow hip socket (dysplasia), hip arthroscopy alone might not help and could worsen your symptoms. A combined surgery to correct the socket shape and repair the labrum can improve outcomes.