Key result
Patients with borderline hip dysplasia represent an in-between category requiring better classification to determine whether they need soft-tissue-only hip arthroscopy or bony realignment via PAO.
Highlights the need for better classification of borderline hip dysplasia to determine which patients require bony realignment versus soft-tissue-only surgery.
Borderline hip dysplasia (BHD) has become a topic of particular interest in recent years for the hip-preservation community as we continue to learn more about how to appropriately treat these patients and as we have observed more failures attributed to an arthroscopic-only approach applied to unstable hips.1,2 Although patients with frank hip dysplasia require bony realignment in the form of a periacetabular osteotomy (PAO), patients with BHD represent an “in-between” category in which some patients will have success with a soft-tissue–only surgical approach through hip arthroscopy, whereas others need bony realignment in the form of a PAO.
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Kraeutler et al. (2024) conducted an editorial in Borderline hip dysplasia. Classification of borderline hip dysplasia was evaluated. Patients with borderline hip dysplasia represent an in-between category requiring better classification to determine whether they need soft-tissue-only hip arthroscopy or bony realignment via PAO.
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