Combined Hip Arthroscopy and Periacetabular Osteotomy: Indications, Advantages, Technique, and Complications
Authors: Domb BG, LaReau J, Redmond JM
DOI: 10.1016/j.eats.2013.09.002
Purpose
To outline indications, benefits, surgical approach, and potential complications of combined hip arthroscopy with periacetabular osteotomy (PAO).
Methods
Review and technical description of performing hip arthroscopy prior to PAO to enable comprehensive assessment and treatment of intra-articular pathology.
Key Findings
- Arthroscopy before PAO improves visualization and treatment of intra-articular lesions.
- Combined approach addresses both structural deformities and intra-articular pathology.
- Potential complications are discussed with recommendations for management.
Conclusion
The combined hip arthroscopy and PAO approach is effective for complex hip pathology but requires awareness of complication risks.
What Does This Mean for Providers?
- Consider combined surgery for patients with structural and intra-articular hip pathology for optimized outcomes.
- Careful patient selection and surgical planning are essential.
- Be prepared to manage potential complications inherent in the combined approach.