Short-term Patient-Reported Outcomes Following Concomitant Hip Arthroscopy and the Endoscopic Modified Shelf Procedure for the Treatment of Acetabular Dysplasia and Intra-articular Pathology
Authors: Maldonado DR, Owens JS, Ouyang VW, Saks BR, Jimenez AE, Glein RM, Lall AC, Domb BG
DOI: 10.1093/jhps/hnab044
Background
Acetabular dysplasia with concomitant intra-articular pathology poses a challenge for hip preservation. This study evaluates outcomes following a combined approach using hip arthroscopy and the minimally invasive endoscopic modified shelf procedure.
Methods
Five female patients with acetabular dysplasia underwent simultaneous hip arthroscopy and the endoscopic modified shelf procedure. Outcomes were assessed via validated PROs over a minimum of 1 year.
Key Findings
- All patients showed significant improvements in hip function and pain reduction.
- Increased acetabular coverage and labral preservation/reconstruction were achieved with no major complications.
Conclusions
The combined arthroscopic and endoscopic modified shelf procedure is safe and effective in the short term for selected patients with dysplasia and intra-articular pathology.
What Does This Mean for Providers?
- This technique provides a minimally invasive option for patients with borderline to mild dysplasia who may not be ideal candidates for periacetabular osteotomy (PAO).
- It expands the surgical toolkit for managing instability and labral damage in dysplastic hips.
- Early results are promising, but appropriate patient selection and further long-term data are essential for broader adoption.