Why the study?
Intra-articular damage may cause persistent postoperative symptoms after periacetabular osteotomy for developmental dysplasia of the hip, leading to questions about whether articular damage requires treatment.
Does periacetabular osteotomy without labral repair improve functional outcomes and prevent total hip arthroplasty in patients with developmental dysplasia of the hip and intra-articular lesions?
Population
103 hips in 92 patients with developmental dysplasia of the hip undergoing PAO
Design
Retrospective review
Follow-up
Mean 7 years (range: 3-16)
Authors
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Untreated intra-articular lesions during PAO yield good medium-term outcomes; leaves open whether addressing them improves results in DDH.
Does periacetabular osteotomy without labral repair improve functional outcomes and prevent total hip arthroplasty in patients with developmental dysplasia of the hip and intra-articular lesions?
Periacetabular osteotomy yields excellent long-term functional outcomes and high survivorship free of total hip arthroplasty in patients with developmental dysplasia of the hip, even when concurrent intra-articular labral lesions are left untreated.
Lara et al. (2020) studied this question.