Editorial Commentary: Hip Arthroscopy and Periacetabular Osteotomy in Patients 45 Years and Older Have Similar Outcomes to a Younger Cohort: Articular Cartilage Status Is the Primary Determinant of Outcome

Staged or combined hip arthroscopy/periacetabular osteotomy has typically been reserved for the younger patient with coexisting hip dysplasia and labral pathology and/or cam-type femoroacetabular impingement. In carefully selected patients with little to no arthritis over the age of 45, results are similar to a younger cohort of patients. Hip-preserving procedures intend to preserve the hip from getting arthritis, and if a patient does not have arthritis, consideration should be given to hip preservation surgery despite a more advanced age.