Hip Arthroscopy in Dysplasia: Addressing Anatomy and Setting Yourself up for Periacetabular Osteotomy Success

Combined hip arthroscopy and periacetabular osteotomy (PAO) is associated with improved outcomes in patient who have symptomatic hip dysplasia with concomitant intra-articular or extra-articular hip pathology. Modifications to the arthroscopic procedure include illiocapsularis dissection from the underlying capsule after capsular closure to aid in and begin the dissection for the PAO. The outcomes of combined PAO and hip arthroscopy have been published in several recent studies, demonstrating favorable patient reported outcomes of the combined procedures. When used in combination, these procedures have been shown to be safe and effective in addressing symptomatic dysplasia.