Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up
Authors: Jimenez AE, Lee MS, Owens JS, Maldonado DR, LaReau JM, Domb BG
Journal: Arthroscopy, September 2022
DOI: 10.1016/j.arthro.2022.02.017
Background
Athletes with acetabular dysplasia and concomitant intra-articular pathology often require both structural correction and labral/cartilage preservation. This study evaluates outcomes of concomitant hip arthroscopy and periacetabular osteotomy (PAO) in this population.
Methods
- Athletes who underwent simultaneous hip arthroscopy and PAO for acetabular dysplasia with cam morphology were included.
- Patient-reported outcomes (mHHS, NAHS, HOS-SSS) and return-to-sport (RTS) rates were evaluated at a minimum 2-year follow-up.
Key Findings
- Statistically significant improvements were observed in all PROs (P < .001).
- Over 80% of athletes achieved the minimal clinically important difference (MCID) across all metrics.
- 81.8% successfully returned to sport, indicating excellent functional recovery.
Conclusions
This combined surgical approach yields high RTS rates and meaningful functional gains for athletes with complex hip pathoanatomy.
What Does This Mean for Providers?
In athletes with both acetabular dysplasia and cam-type impingement, performing concomitant arthroscopy and PAO may optimize long-term joint preservation and performance. Providers should consider dual procedures in appropriately selected patients to improve outcomes and facilitate RTS.