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High Rate of Return to Sport in Competitive Athletes Undergoing Periacetabular Osteotomy With Concomitant Hip
Alfred Mansour1, Nicole Lemaster2, Jacob Jelmini2
1Department of Orthopaedic Surgery, The University of Texas Health Center at Houston, Houston, Texas, U.S.A.
Purpose:
To report the return-to-sport rate of competitive athletes with hip dysplasia, in relation to their preoperative level of competition, who underwent hip arthroscopy with concomitant periacetabular osteotomy (HA + PAO).
Methods:
Patients participating in competitive sports who underwent HA + PAO for the correction of hip dysplasia between January 2016 and December 2023 by a single orthopaedic surgeon were retrospectively reviewed. Patients who underwent periacetabular osteotomy-alone or were classified as participating in recreational sports were excluded. Patients without documentation of attempted RTS or interest in RTS were also excluded. Pre- and postoperative level and type of sport were assessed. Sport level was categorized as high school, competitive club (regional, national, or international competition), college, and/or professional level. The level of RTS was classified as lower, same, or higher than preoperative status. A minimum 2-year follow-up was attempted for all patients.
Results:
Forty-eight patients (56 hips) were identified. Four patients were lost to follow-up. Forty-four patients (37 women, 7 men) and 52 hips were included in the analysis. Eight patients underwent bilateral HA + PAO. Athletes from high school (n = 16), high school and competitive club (n = 6), competitive club (n = 12), college (n = 9), and professional (n = 1) levels were included. Of the 44, 41 returned (93.18%) to sport and 3 did not (6.82%). Of the 41 athletes who returned to sport, 33 (80.49%) returned to their preoperative level, 5 (12.19%) returned to a higher level of competition, and 3 (7.32%) returned to a lower level of competition. Data on subsequent surgeries after HA + PAO were available for 88.63% (39/44) of patients, with a minimum 2-year follow-up and a mean follow-up duration of 47.78 months (range = 24-120 months). Three patients sustained complications that required a return to the operating room.
Conclusions:
This study reported an overall RTS rate of 93.1% in competitive athletes who underwent an HA + PAO, with an 86.36% (38/44) rate of return to the same or higher level of competition.
Level Of Evidence:
Level IV, retrospective case series.
