The Prevalence of Hip Labral and Chondral Lesions Identified by Method of Detection During Periacetabular Osteotomy: Arthroscopy Versus Arthrotomy
Authors: Redmond JM, Gupta A, Stake CE, Domb BG
DOI: 10.1016/j.arthro.2013.11.013
Purpose
Compare detection rates of labral and cartilage injuries during periacetabular osteotomy (PAO) using arthroscopy vs. arthrotomy.
Methods
Systematic review of 8 studies, 775 patients undergoing PAO.
Key Findings
- Arthroscopy detected labral tears in 84% of hips vs. 21% with arthrotomy (significant difference).
- More acetabular and femoral cartilage damage found via arthroscopy.
- Arthroscopy is significantly more sensitive in detecting intra-articular pathology.
Conclusion
Arthroscopy identifies more joint damage during PAO compared to arthrotomy.
What this means for providers
Consider incorporating arthroscopy into PAO procedures to improve detection of intra-articular lesions, guiding comprehensive surgical management.