Arthroscopic Capsular Plication in Patients With Labral Tears and Borderline Dysplasia of the Hip: Analysis of Risk Factors for Failure
Authors: Maldonado DR, Perets I, Mu BH, Ortiz-Declet V, Chen AW, Lall AC, Domb BG
Journal: Am J Sports Med. 2018 Dec;46(14):3446-3453.
DOI: 10.1177/0363546518808033 | PMID: 30419179
Background
Evaluates arthroscopic capsular plication outcomes in patients with labral tears and borderline dysplasia, focusing on failure risk factors.
Methods
90 patients with borderline dysplasia treated with capsular plication; risk factors like age and lateral center-edge angle (LCEA) analyzed.
Key Findings
- Patients >35 years had a 2.25 times greater risk of failure.
- Both success and failure groups improved, but failures started with lower baseline scores and were older.
- Low LCEA correlated with failure risk.
Conclusions
Capsular plication is effective in borderline dysplasia but requires careful patient selection, especially regarding age.
What Does This Mean for Providers?
- Consider age and LCEA critically when recommending capsular plication for borderline dysplasia.
- Patients >35 should be counseled on increased failure risk and possibly alternative treatments.
- Early intervention in younger patients may improve success rates.