Editorial Commentary: Hip Arthroscopy in Hip Dysplasia: Just Because You Are Doing It, Should You?

Faucett, Scott C.

doi:10.1016/j.arthro.2017.10.021

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…The treatment of patients with an LCEA between 18° and 25° is nowadays controversial since there is no agreement on the critical value of LCEA where bony correction is mandatory, and arthroscopic surgery has been reported to significantly improve symptoms in borderline dysplastic hips if associated with labral repair and careful capsular closure [ 7 , 14 ]. As a matter of fact, less evidence-based data are available about the outcomes of such patients, and early reports considered borderline dysplasia to be a relative contraindication for hip arthroscopy [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

et al. 2021

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Purpose The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°). Methods Fifty hip arthroscopies performed in 45 patients were retrospectively evaluated. Exclusion criteria were: age > 40, hip arthritis > grade 2 according to Tonnis classification, femoral head avascular necrosis, pediatric’s orthopaedics conditions and true dysplasia with LCEA < 18°.Two groups were identified: group A with 15 hips with LCEA between 25° and 18° and Group control B made of 35 hips with LCEA > 25°. Results The groups were homogeneous for demography and pre-operative WOMAC and HOOS. Osteoplasty for CAM were performed in 100% of patients in both groups, only in 12 hips (34.4%) in group B we had both femoral and acetabular osteoplasty. Labral repair was performed in 86% of patients in group A, in 60% of patients in group B, capsular plication in 93% of group A, in 5% of case of group B. WOMAC and HOOS statically significant improved in both groups at final follow-up (24 months). No cases in both groups required conversion to total hip arthroplasty. Clinical outcomes of study group were comparable to the control group. Conclusion Even if the present small series is not conclusive, we suggest isolated arthroscopic management of patients with FAI and LCEA between 18° and 25°, but capsular plication and careful labral management are strongly recommended. Level of evidence Level IV.

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Section: Discussionmentioning

confidence: 99%

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

et al. 2021

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“…Thus, conflicting results have been published in the past, 2,[9][10][11][12][13][14] and further study is needed to identify whether chondrolabral treatment in patients undergoing pelvic reorientation is necessary to improve patients' outcomes. Referring to this, Faucett 15 recently complained about inconsistent definitions of hip dysplasia in our current literature and the need for reliable treatment options based on short-term, midterm, and long-term studies. Despite a few limitations (e.g., diverse and heterogeneous study populations and retrospective collection of data), Adler and Giordano 1 give us a supporting tool in dealing with a controversial topic and a complex and frequent dilemma.…”

Section: See Related Article On Page 237mentioning

confidence: 99%

Editorial Commentary: Hip Arthroscopy in Dysplastic Hip Population? A Must, a Maybe, or a No Go?

Stapf¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Treating symptomatic patients with dysplasia involves a controversy in therapy. The question is whether to obtain osseous correction with the help of pelvic reorientation osteotomy or to address intra-articular pathology with an arthroscopic approach. Neither isolated therapy nor the other method seems to be sufficient, but conducting both treatment options simultaneously has also not proved to be superior and carries the risk of additional complications. Different treatment options have been presented on this topic over the years and should be considered on a case-by-case basis. Pelvic reorientation osteotomy in patients with moderate to severe acetabular dysplasia remains uncontested, but it lacks the ability to obtain visualization of the central hip compartment. The isolated arthroscopic approach seems to be favorable for treatment of intra-articular pathologies in patients with mild to borderline dysplasia, whereas collateral arthroscopy in pelvic reorientation osteotomy may achieve better clinical outcomes in patients with more complex cases.

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Editorial Commentary: Hip Arthroscopy in Hip Dysplasia: Just Because You Are Doing It, Should You?

Abstract: As surgeons advance the field of hip arthroscopy and perform more hip arthroscopy in patients with hip dysplasia and associated femoroacetabular impingement, we need to publish more outcome studies to determine this procedure's success and safety in this specific group of patients.

Cited by 2 publications

References 8 publications

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

Editorial Commentary: Hip Arthroscopy in Dysplastic Hip Population? A Must, a Maybe, or a No Go?

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