Concomitant Hip Arthroscopy and Periacetabular Osteotomy
Authors: Domb BG, LaReau JM, Hammarstedt JE, Gupta A, Stake CE, Redmond JM
DOI: 10.1016/j.arthro.2015.06.002
Purpose
To report outcomes of patients treated with simultaneous hip arthroscopy and periacetabular osteotomy (PAO) for acetabular dysplasia.
Methods
- 17 patients underwent combined surgery from 2010 to 2013.
- Clinical outcomes, radiographs, and complications analyzed over mean 2.4-year follow-up.
Key Findings
- Arthroscopic management of chondrolabral damage performed in all cases.
- Significant improvements in pain, function, and hip range of motion.
- No patients required total hip replacement or revision surgery within follow-up.
- Some manageable complications were reported (infections, pulmonary embolism, nerve palsy).
What Does This Mean for Providers?
- Combined hip arthroscopy and PAO is a safe and effective approach for patients with acetabular dysplasia and intra-articular pathology.
- Enables simultaneous correction of bony deformity and soft tissue pathology, potentially improving overall patient outcomes.
- Requires careful perioperative management due to risks of complications, but complication rates are acceptable.
- Consider combined approach in appropriate patients to optimize surgical outcomes.