Arthroscopic Capsular Plication and Labral Preservation in Borderline Hip Dysplasia: Two-Year Clinical Outcomes of a Surgical Approach to a Challenging Problem
Authors: Domb BG, Stake CE, Lindner D, El-Bitar Y, Jackson TJ
Purpose
To evaluate clinical outcomes of arthroscopic labral repair with capsular plication in patients with borderline hip dysplasia.
Methods
Case series of 26 patients under 40 years old with lateral center-edge angle 18°–25°, treated arthroscopically. Outcomes and pain levels were assessed preoperatively and followed for up to 3 years.
Key Findings
- Significant improvements in hip function and pain reduction at two years.
- Patient satisfaction averaged 8.4/10; 77% had good or excellent outcomes.
- Revision surgery was low (2 patients).
Conclusion
Arthroscopic labral repair augmented by capsular plication is an effective, minimally invasive option for borderline hip dysplasia with favorable mid-term outcomes.
What Does This Mean for Providers?
- This technique offers a joint-preserving alternative for borderline dysplasia patients who might otherwise be candidates for more invasive surgeries like PAO.
- Capsular plication may improve hip stability and augment labral repair success in this cohort.
- Careful patient selection and attention to capsular management are critical for optimal results.