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Return to Sport and Outcomes After Periacetabular Osteotomy With Concomitant Hip Arthroscopy in Athletes: Minimum 5-Year Follow-up

Authors

Quesada-Jimenez R, Strok MJ, Schab AR, Becker N, Kahana-Rojkind AH, Domb BG.

Background

Some athletes with hip dysplasia (a shallow hip socket) are treated with a combination of two procedures: hip preservation surgery (PAO) and hip arthroscopy. This study looked at long-term recovery and return to sports.

Methods

Athletes who had both surgeries were followed for at least 5 years. Researchers measured pain, hip function, satisfaction, and whether patients returned to sports.

Key Findings

  • Most patients improved significantly after surgery and reported good long-term outcomes.
  • About 86% of athletes returned to sports at some point after surgery. Of those who returned, most were still playing 5 years later.
  • A small number of patients needed another hip surgery, and a very small number eventually required hip replacement.

Conclusion

Combined hip preservation surgery helps most athletes with hip dysplasia improve function, reduce pain, and return to sports long-term.

What Does This Mean For Patients

If you are an athlete with hip dysplasia, this combined surgical approach can help you return to sport and stay active long-term. Most patients improve and many continue sports for years after surgery, although a small number may need additional procedures.