Short-term Outcomes of Concomitant Femoral Derotation Osteotomy and Hip Arthroscopy
Authors: Shapira J, Kyin C, Rosinsky PJ, Maldonado DR, Meghpara MB, Ankem HK, Lall AC, Domb BG
DOI: 10.3928/01477447-20211001-18
Background:
Excessive femoral anteversion or malrotation can contribute to intra-articular hip pathology. Combining femoral derotation osteotomy (FRO) with hip arthroscopy may address both rotational and structural causes of hip pain.
Methods:
This retrospective review evaluated outcomes of patients who underwent FRO with concurrent hip arthroscopy. Clinical outcomes were assessed using PROs, including measures of pain, function, and satisfaction, with at least 1 year of follow-up.
Key Findings:
- Most patients achieved significant improvements in pain and hip function.
- High rates of achieving MCID and PASS were reported.
- Complications were minimal but included hardware-related symptoms requiring secondary procedures in a few cases.
Conclusions:
FRO combined with hip arthroscopy is a safe and effective approach for patients with rotational deformity and intra-articular pathology, showing good short-term outcomes and acceptable complication rates.
What Does This Mean for Providers?
- This combined approach should be considered in patients with confirmed femoral malversion and symptomatic intra-articular pathology.
- Surgeons should counsel patients on the potential need for hardware removal.
- A multidisciplinary preoperative assessment (e.g., imaging, gait analysis) is essential for proper patient selection and procedural planning.