Is Intraarticular Pathology Common in Patients With Hip Dysplasia Undergoing Periacetabular Osteotomy?
Authors: Maldonado DR, Chen JW, Kyin C, Rosinsky PJ, Shapira J, Karom JM, Lall AC, Domb BG
Background
Acetabular retroversion is a hip deformity often associated with pain and dysfunction. Historically, anteverting periacetabular osteotomy (APO) was considered necessary for treatment.
Methods
This letter responds to previous claims supporting APO by presenting evidence that advanced arthroscopic techniques alone can effectively manage acetabular retroversion without requiring osteotomy.
Key Findings
Advanced arthroscopic interventions provide significant symptomatic and functional improvements, reducing the need for more invasive surgeries like APO.
Conclusions
Modern arthroscopic methods offer a less invasive alternative to APO for acetabular retroversion, potentially decreasing surgical morbidity.
What Does This Mean for Providers?
Providers should consider advanced arthroscopic techniques as a first-line surgical option in patients with acetabular retroversion, reserving APO for select cases. This approach can minimize patient morbidity while achieving favorable outcomes.