Hip Arthroscopic Surgery With Labral Preservation and Capsular Plication in Patients With Borderline Hip Dysplasia: Minimum 5-Year Patient-Reported Outcomes: Response
Authors: Ashberg L, Chaharbakhshi EO, Perets I, Yuen LC, Walsh JP, Domb BG
Background
- Borderline hip dysplasia (LCEA 20–25°) presents a treatment challenge. While traditionally treated with periacetabular osteotomy (PAO), arthroscopy with labral preservation and capsular plication is increasingly used.
Methods
- A cohort of patients with borderline dysplasia underwent hip arthroscopy with labral preservation and capsular plication. PROs were tracked over at least 5 years.
Key Findings
- Significant and durable improvements were achieved in function and pain metrics.
- The majority of patients maintained improvements at midterm follow-up, with low conversion to total hip arthroplasty.
What Does This Mean for Providers?
- In carefully selected patients with borderline dysplasia, arthroscopic intervention with capsular plication and labral preservation yields favorable outcomes.
- Preoperative evaluation should include detailed imaging and functional assessment to assess candidacy.
- While not a substitute for PAO in true dysplasia, arthroscopy may suffice in borderline cases when instability is addressed intraoperatively.