Modified Shelf Acetabuloplasty Endoscopic Procedure With Allograft for Developmental Hip Dysplasia Treatment
Authors: Maldonado DR, Ortiz-Declet V, Chen AW, Lall AC, Mohr MR, Laseter JR, Domb BG
Journal: Arthrosc Tech. 2018 Jun 25;7(7):e779-e784.
DOI: 10.1016/j.eats.2018.03.015 | PMID: 30094151
Background
Developmental hip dysplasia often leads to early osteoarthritis. While periacetabular osteotomy remains the gold standard, it is invasive with a prolonged recovery period. Endoscopic shelf acetabuloplasty with allograft offers a less invasive alternative.
Technique Overview
- Describes a minimally invasive, endoscopic technique for shelf acetabuloplasty using a bone allograft to augment acetabular coverage.
- Avoids donor-site morbidity associated with autografts.
- Early feasibility and safety data support its use in select patients with dysplasia.
Clinical Implications
- Provides an alternative surgical option for acetabular dysplasia patients who are not candidates for, or prefer to avoid, more invasive open osteotomy.
- May reduce surgical morbidity and accelerate postoperative recovery while improving acetabular support.
- Requires technical proficiency in endoscopic hip procedures and careful patient selection.
What Does This Mean for Providers?
Providers should be aware of this less invasive shelf acetabuloplasty technique as a potential treatment for developmental hip dysplasia, especially in patients unsuitable for open osteotomy. The procedure demands expertise in hip arthroscopy and graft handling and should be integrated into the treatment algorithm with consideration of patient-specific anatomy and pathology.