Is Hip Arthroscopy Effective in Patients With Combined Excessive Femoral Anteversion and Borderline Dysplasia? Response

Is Hip Arthroscopy Effective in Patients With Combined Excessive Femoral Anteversion and Borderline Dysplasia? Response

Authors: Chaharbakhshi EO, Hartigan DE, Perets I, Domb BG

DOI: 10.1177/0363546519859827

Background

Combined excessive femoral anteversion and borderline hip dysplasia pose challenges for hip preservation surgery. This response clarifies the reliability of MRI for measuring femoral anteversion and discusses patient selection.

Methods

Addresses critiques regarding femoral anteversion measurement via MRI, reaffirming its clinical reliability and emphasizing the importance of patient selection.

Key Findings

• Significant differences in femoral anteversion between groups were observed.
• MRI was validated as a dependable imaging modality for femoral version assessment.

Conclusions

Hip arthroscopy can be an effective treatment in patients with both excessive femoral anteversion and borderline dysplasia when patients are selected appropriately.

What Does This Mean for Providers?

• Providers should utilize accurate imaging modalities (MRI) for preoperative assessment of femoral version.
• Careful patient selection is essential to optimize arthroscopic outcomes in patients with combined femoral anteversion and borderline dysplasia.
• Surgical planning must consider combined morphological factors to guide candidacy for hip arthroscopy versus alternative interventions.