Outcomes of Hip Arthroscopy With Concomitant Periacetabular Osteotomy, Minimum 5-Year Follow-Up
Authors: Maldonado DR, LaReau JM, Perets I, Ortiz-Declet V, Laseter JR, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2018.10.143
Background
Patients with acetabular dysplasia often present with both structural and intra-articular pathology (e.g., labral tears, FAI). Concomitant periacetabular osteotomy (PAO) and hip arthroscopy may address both causes.
Methods
Retrospective cohort of patients undergoing combined PAO and hip arthroscopy with minimum 5-year follow-up. Preoperative and postoperative PROs (e.g., mHHS, NAHS, HOS-SSS) were analyzed.
Key Findings
- Significant improvement in PROs across the board.
- No progression to end-stage arthritis or conversion to total hip arthroplasty (THA) during the follow-up period.
- Durable improvements in pain, function, and joint stability.
What Does This Mean for Providers?
- Combining PAO with hip arthroscopy is a safe and effective long-term strategy for select patients with acetabular dysplasia and coexisting intra-articular pathology.
- This dual approach may be preferable in younger, active patients where preserving the native joint is a priority.
- Consider in patients where isolated arthroscopy or PAO may inadequately address the full spectrum of pathology.