The Prevalence of Hip Labral and Chondral Lesions Identified by Method of Detection During Periacetabular Osteotomy: Arthroscopy Versus Arthrotomy
Authors
Redmond JM, Gupta A, Stake CE, Domb BG
https://doi.org/10.1016/j.arthro.2013.11.013
Purpose
To compare the detection rates of labral and cartilage injuries during periacetabular osteotomy (PAO) using either arthroscopy or arthrotomy.
Methods
Systematic review of 8 eligible studies including 775 patients who underwent PAO with either arthroscopy or arthrotomy. Detection rates of intra-articular pathology were compared.
Key Findings
- Arthroscopy identified labral tears in 84% of hips vs. 21% with arthrotomy (P < .05).
- Arthroscopy also revealed more acetabular and femoral cartilage damage.
- Arthroscopy proved significantly more sensitive for detecting intra-articular pathology.
Conclusion
Hip arthroscopy identifies more intra-articular damage than arthrotomy during PAO.
What This Means for Patients
Patients undergoing surgery for hip dysplasia may benefit from arthroscopic evaluation, which can detect hidden joint damage and guide more complete treatment, potentially improving outcomes.