Search Filters

  • Media Source
  • Presentation Format
  • Media Type
  • Media Year
  • Language
  • Diagnosis / Condition
  • Diagnosis Method
  • Patient Populations
  • Treatment / Technique

Outcomes Of Concomitant Hip Arthroscopy And Periacetabular Osteotomy: A Systematic Review

Outcomes Of Concomitant Hip Arthroscopy And Periacetabular Osteotomy: A Systematic Review

Andrew Jimenez, MD, UNITED STATES Michael Lee, BA, UNITED STATES Scott Fong, BA, UNITED STATES Jade S Owens, BS, UNITED STATES Ronak Mahatme, BS, UNITED STATES David Kim, BS, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Jay Moran, BS, UNITED STATES Jacquelyn Simington, BS, UNITED STATES Seyi Abu, UNITED STATES

Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut , UNITED STATES


2023 Congress   ePoster Presentation   2023 Congress   Not yet rated

 

Anatomic Location

Anatomic Structure

Diagnosis / Condition

Treatment / Technique

Sports Medicine


Summary: A systematic review reporting on patient-reported outcomes of combined hip arthroscopy and periacetabular osteotomy.


Background

Despite several studies reporting outcomes of concomitant hip arthroscopy and periacetabular osteotomy (PAO), there is a paucity of aggregate data in the literature.

Purpose

The purpose of this study is to evaluate outcomes and survivorship of patients undergoing concomitant hip arthroscopy and PAO.

Methods

A systematic review was performed on the current literature with the following keywords: “periacetabular osteotomy,” “hip arthroscopy,” “combined,” “concomitant,” “concurrent,” “femoroacetabular impingement,” and “outcomes.” PubMed, Cochrane, and Scopus were queried in April 2022 using the criteria established in the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). The following information was recorded for each study if available: title, author, publication date, study design, demographic, number of hips, follow-up time, study period, indications for hip arthroscopy, patient-reported outcomes (PROs), rates of secondary hip preservation surgeries, and rates of conversion to total hip arthroplasty (THA).

Results

Ten articles were included in the systematic review. Three studies were level III evidence, and seven studies were level IV evidence. This review included 553 hips with average follow-up that ranged from 1 to 12.8 years. The average age at time of surgery ranged from 20.4 to 40 years. Nine studies reported outcomes in the general population and one study reported on outcomes in the athletic population. All ten studies listed dysplasia as the surgical indication. Nine studies reported PROs and 7 studies reported significant improvements after surgery. Four studies reported additional clinical benefit thresholds and every study reported an 80% achievement of at least one psychometric threshold. Seven out of 10 studies reported surgery rates on either hip preservation or conversion to THA. Secondary hip preservation procedure rates ranged from 0% to 7% and conversion to THA rates ranged from 0% to 3.4%. Overall secondary surgery rates varied from 0% to 10.3%

Conclusion

Patients who underwent concomitant hip arthroscopy and PAO reported favorable outcomes and high rates of clinical benefit. However, there were variable rates of secondary hip preservation procedures and conversion to THA with higher revision rates demonstrated in athletes.


More 2023 ISAKOS Congress Content