Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation: Ten-Year Survivorship and Patient-Reported Outcomes
Authors: Domb BG, Owens JS, Glein RM, Jimenez AE, Maldonado DR
Journal: The Journal of Bone and Joint Surgery, May 2023
Objective
Evaluate 10-year survivorship and patient-reported outcomes following hip arthroscopy with capsular plication and labral preservation in borderline hip dysplasia (BHD).
Key Findings
- 82.2% of patients avoided total hip arthroplasty (THA) at 10 years post-op.
- Significant improvements in pain and hip function were sustained long-term.
- Higher BMI and older age correlated with increased risk for THA conversion.
- High rates of achieving Minimal Clinically Important Difference (MCID) in multiple outcome measures.
Conclusion
Hip arthroscopy with capsular plication and labral preservation is a durable treatment for BHD, providing sustained symptom relief and hip function improvement.
What Does This Mean for Providers?
- Hip arthroscopy with capsular plication and labral preservation is a viable joint-preserving option for BHD patients, with excellent long-term outcomes.
- Monitor patients with elevated BMI and advanced age closely as they are at increased risk for eventual THA.
- Early intervention and weight management may improve survivorship and reduce the likelihood of needing hip replacement surgery.
- Use this data to inform patient selection, surgical planning, and counseling regarding prognosis.