Editorial Commentary: Concomitant Hip Arthroscopy and Periacetabular Osteotomy Treat Both the Cause and the Effects of Hip Dysplasia: The Best of Both Worlds

Editorial Commentary: Concomitant Hip Arthroscopy and Periacetabular Osteotomy Treat Both the Cause and the Effects of Hip Dysplasia: The Best of Both Worlds

Authors: Kahana-Rojkind AH, Domb BG

Journal: Arthroscopy, February 2024

DOI: 10.1016/j.arthro.2023.07.046

Objective

To discuss the rationale and benefits of combining hip arthroscopy with periacetabular osteotomy (PAO) to treat the multifaceted pathology of hip dysplasia.

Key Findings

• Hip dysplasia involves both bony deformity and intra-articular soft tissue damage (labrum, cartilage).
• Hip arthroscopy addresses labral and cartilage pathology, while PAO corrects acetabular malorientation.
• Performing these procedures concurrently provides a more comprehensive treatment approach.

Conclusion

The combined surgical approach of hip arthroscopy and PAO allows for simultaneous correction of both the underlying bone deformity and secondary joint damage, improving patient outcomes.

What Does This Mean for Providers?

• Consider a combined hip arthroscopy and PAO approach for patients with symptomatic hip dysplasia to address both mechanical and intra-articular pathology.
• Coordinating these procedures may optimize long-term joint preservation and functional outcomes.
• Patient selection and surgical planning are critical to maximize benefits and minimize complications from dual procedures.