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Should Acetabular Retroversion Be Treated Arthroscopically? A Systematic Review of Open Versus Arthroscopic Techniques

Authors: Litrenta J, Mu B, Ortiz-Declet V, Chen AW, Perets I, Domb BG

Journal: Arthroscopy. 2018 Mar;34(3):953–966

DOI: 10.1016/j.arthro.2017.09.013 | PMID: 29373292

Background

Acetabular retroversion can be addressed via arthroscopic or open surgical approaches, but comparative outcomes remain unclear.

Methods

Systematic review of 15 studies (11 arthroscopic, 4 open), evaluating PROs, arthritis progression, revision rates, and complications.

Key Findings

  • Both techniques yielded significant clinical improvements with low complication and revision rates.
  • Minimal progression of arthritis noted in both groups.

Conclusions

Both arthroscopic and open procedures are effective and safe for acetabular retroversion.

What Does This Mean for Providers?

  • Surgical approach should be individualized based on patient anatomy, severity, and surgeon expertise.
  • Arthroscopic surgery can be considered a less invasive option with comparable outcomes.
  • Open surgery remains valid, especially for complex deformities.
  • Shared decision-making with patients is key.
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