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Related Experiment Video

Updated: Dec 23, 2025

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Concomitant Hip Arthroscopy and Periacetabular Osteotomy.

Benjamin G Domb1, Justin M LaReau2, Jon E Hammarstedt3

  • 1American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A.; Stritch School of Medicine, Loyola University Chicago, Chicago, Illinois, U.S.A..

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|August 3, 2015
PubMed
Summary

Concomitant hip arthroscopy and periacetabular osteotomy (PAO) effectively treated acetabular dysplasia, with 82% of patients achieving excellent outcomes and significant improvement in pain and function. This combined approach did not increase complications beyond PAO alone.

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Area of Science:

  • Orthopedic Surgery
  • Hip Preservation Surgery

Background:

  • Acetabular dysplasia is a developmental condition of the hip joint.
  • It can lead to labral tears, femoroacetabular impingement, and early osteoarthritis.
  • Surgical intervention aims to improve hip joint mechanics and prevent further damage.

Purpose of the Study:

  • To evaluate the early clinical and radiographic outcomes of combining hip arthroscopy with periacetabular osteotomy (PAO).
  • To assess the safety and efficacy of this combined approach in treating acetabular dysplasia.

Main Methods:

  • A prospective and retrospective review of 17 patients undergoing concomitant hip arthroscopy and PAO.
  • Collection of preoperative and postoperative range of motion, pain, and outcome scores.
  • Analysis of intraoperative arthroscopic findings and postoperative complications.

Main Results:

  • All 17 patients had chondrolabral pathology identified and treated.
  • 82% of patients (13 of 16) achieved excellent outcomes with significant improvement in pain and function.
  • Radiographic parameters improved, with no significant progression of arthritis at a mean 2.4-year follow-up.
  • Complications included superficial infections, pulmonary embolism, and temporary sciatic neurapraxia.

Conclusions:

  • Concomitant hip arthroscopy and PAO is a favorable treatment for acetabular dysplasia.
  • Addressing intra-articular pathology during PAO leads to satisfactory clinical improvement.
  • The combined procedure does not appear to increase complications compared to PAO alone.