Periacetabular Osteotomy in Athletes With Symptomatic Hip Dysplasia Allows for Participation in Low-, Moderate-, and High-Impact Sports, With Greater Than 70% Return to Sport for Competitive Athletes: A Systematic Review
Authors: Curley AJ, Padmanabhan S, Chishti Z, Parsa A, Jimenez AE, Domb BG
Journal: Arthroscopy, March 2023
DOI: 10.1016/j.arthro.2022.12.004
Background
PAO is the standard surgical treatment for symptomatic hip dysplasia. This review assesses return-to-sport (RTS) rates and functional outcomes in athletes after PAO.
Methods
- Systematic review of 6 studies including 341 patients undergoing PAO.
- Analysis focused on RTS rates and PROs, including mHHS.
Key Findings
- Over 70% of competitive athletes returned to sport after PAO.
- RTS included low, moderate, and high-impact activities, with competitive athlete RTS rates of 73-82%.
- Significant improvements in PROs post-surgery.
Conclusions
PAO enables athletes with hip dysplasia to return to their sports at a high rate, including demanding high-impact activities, with improved function.
What Does This Mean for Providers?
- PAO should be considered a viable option for athletes aiming to return to sport across impact levels.
- Providers must set realistic expectations and tailor rehab to optimize RTS outcomes.
- Competitive athletes may benefit from comprehensive counseling on recovery timelines and functional goals.
- Careful preoperative evaluation and postoperative monitoring of athletic function are critical for maximizing outcomes.