Key result
Curved periacetabular osteotomy concomitant with arthroscopic labral repair improved the D'Aubigne and Postel hip score from 10 to 17 at 18 months in a patient with DDH and FAI.
Case Report (n=1)
No
Arthroscopic labral repair concomitantly performed with curved periacetabular osteotomy may be an effective treatment for patients with developmental dysplasia of the hip and femoroacetabular impingement.
Should not yet change practice in DDH-FAI; single case leaves open efficacy of combined curved PAO and labral repair.
A 23-year-old female presented with pain in the left hip. Radiological examination showed developmental dysplasia of the hip (DDH) combined with acetabular retroversion and posterior wall deficiency. Findings in the physical examination were coincident with femoroacetabular impingement. At surgery, we performed curved periacetabular osteotomy concomitant with arthroscopic labral repair and osteochondroplasty, simultaneously addressing dysplastic acetabulum and femoroacetabular impingement. The final follow-up examination at 18 months showed satisfactory outcome with the D'Aubigne and Postel hip score of 17/18. In addition to accurate diagnosis, the arthroscopic procedure for associated intra- and peri-articular problems seems to help improve the surgical outcome of periacetabular osteotomy performed for patients with DDH.
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Nakayama et al. (2013) conducted a case report in Developmental dysplasia of the hip (DDH) with acetabular retroversion and femoroacetabular impingement (n=1). Curved periacetabular osteotomy concomitant with arthroscopic labral repair was evaluated on D'Aubigne and Postel hip score. Curved periacetabular osteotomy concomitant with arthroscopic labral repair improved the D'Aubigne and Postel hip score from 10 to 17 at 18 months in a patient with DDH and FAI.
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