Key result
A technique combining hip arthroscopy with periacetabular osteotomy was described to treat intraarticular pathology and improve acetabular coverage in patients with developmental dysplasia of the hip.
Describes a combined surgical technique of hip arthroscopy and periacetabular osteotomy for treating hip dysplasia with intraarticular pathology.
May expand surgical options in complex dysplasia; leaves open need for outcome validation before adoption.
The Bernese periacetabular osteotomy (PAO) is a powerful technique for correcting acetabular coverage in patients with developmental dysplasia of the hip. However, there is increasing recognition of additional intraarticular pathologies that may contribute to ongoing pain. For this reason, for the last 3 years, we have combined hip arthroscopy with PAO to treat intraarticular pathology along with improving acetabular coverage. Our technique is reviewed below. Lewis BD, Olson SA. Technique for Combined Hip Arthroscopy and Periacetabular Osteotomy for the Patient with Hip Dysplasia and Intraarticular Pathology. The Duke Orthop J 2016;6(1):41-46.
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A 2016 study conducted a review in Developmental dysplasia of the hip with intraarticular pathology. Combined hip arthroscopy and periacetabular osteotomy (PAO) was evaluated. A technique combining hip arthroscopy with periacetabular osteotomy was described to treat intraarticular pathology and improve acetabular coverage in patients with developmental dysplasia of the hip.
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