Periacetabular Osteotomy in Athletes With Symptomatic Hip Dysplasia Allows for Participation in Low-, Moderate-, and High-Impact Sports, With Greater Than 70% Return to Sport for Competitive Athletes: A Systematic Review

Periacetabular Osteotomy in Athletes With Symptomatic Hip Dysplasia Allows for Participation in Low-, Moderate-, and High-Impact Sports, With Greater Than 70% Return to Sport for Competitive Athletes: A Systematic Review

Authors

Curley AJ, Padmanabhan S, Chishti Z, Parsa A, Jimenez AE, Domb BG

Journal

Arthroscopy, March 2023

Background

Periacetabular osteotomy (PAO) is a surgical procedure for athletes with hip dysplasia. This study examines the success rate of athletes returning to various sports after undergoing PAO surgery.

Methods

• Systematic review of six studies involving 341 patients who underwent PAO for symptomatic hip dysplasia.
• The rate of return to sport (RTS) and patient-reported outcomes (PROs) were analyzed.

Key Findings

• 70% of competitive athletes returned to their sport after PAO.
• Sports participation included low, moderate, and high-impact activities, with competitive athletes showing a 73-82% RTS rate.
• PROs improved post-surgery, including significant increases in modified Harris Hip Score (mHHS).

Conclusions

PAO surgery can enable athletes with hip dysplasia to return to sports, including high-impact ones, with good overall outcomes. The RTS rate for competitive athletes is greater than 70%.

What Does This Mean For Patients

If you're an athlete with hip dysplasia, PAO can provide a high likelihood of returning to your favorite sports, including high-impact activities, after recovery.