Key result
Hip arthroscopy for borderline developmental dysplasia of the hip requires individualized management based on accurate diagnosis and comprehensive assessment to achieve optimal outcomes.
Patient selection and individualized management are critical when considering hip arthroscopy for borderline developmental dysplasia of the hip.
Although the literature has presented results that favored arthroscopic procedures in treating borderline developmental dysplasia of the hip (BDDH), it remains controversial whether arthroscopic surgery would be better than periacetabular osteotomy for BDDH. Instead of a debate on the application of arthroscopy, the issue worthy of discussion should be distinguishing suitable BDDH candidates for hip arthroscopy. First, identification of patients with real BDDH is critical for making management choices. Second, it should be distinguished whether the major symptoms result from mechanical lesions or functional hip instability. Third, once hip arthroscopy is suggested for BDDH patients, relative contraindications such as advanced age and osteoarthritis should be taken into consideration, in addition to labral repair and capsular closure or plication intraoperatively. In conclusion, more long-term and high-grade evidence is still demanded to end the debate, but we believe that an individualized management strategy based on an accurate diagnosis and comprehensive assessment will bring optimal outcomes for BDDH patients.
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Ding et al. (2020) conducted an editorial in Borderline developmental dysplasia of the hip (BDDH). Arthroscopy vs. Periacetabular osteotomy was evaluated. Hip arthroscopy for borderline developmental dysplasia of the hip requires individualized management based on accurate diagnosis and comprehensive assessment to achieve optimal outcomes.
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