![]() ![]() ![]() Despite being a technically demanding and invasive surgery, the many advantages of the PAO have led it to be the preferred treatment for many surgeons. The Bernese periacetabular osteotomy (PAO) is the most common treatment for acetabular dysplasia in skeletally mature patients with preserved cartilage and currently remains the gold-standard in this setting. Isolated hip arthroscopy in the setting of symptomatic acetabular dysplasia remains controversial. Patients with acetabular dysplasia are five times more likely to develop osteoarthritis compared to non-dysplastic patients. The prevalence of hip acetabular dysplasia in the general population ranges from 4.0% to 12.8%. Concomitant hip arthroscopy and endoscopic modified shelf procedure appears to be a safe and effective procedure for patients with acetabular dysplasia and labral tears yielding favorable outcomes and satisfaction at short-term follow-up. PROs demonstrated significant improvement at latest follow-up (modified Harris Hip Score, P = 0.042 Non-Arthritic Hip Score, P < 0.001 Hip Outcome Score–Sports Specific Subscale, P = 0.035 Visual Analog Scale, P < 0.001 International Hip Outcome Tool-12, P = 0.043), and satisfaction was 8.60 ± 0.89. ![]() The lateral center-edge angle increased from 15.80° to 23.20° ( P = 0.003), and vertical center-edge angle increased from 16.60° to 23.60° ( P < 0.001). There were five females with a mean age of 40.18 ± 5.05 years and follow-up of 21.55 ± 8.68 months. Patients that met extraordinarily selective surgical indications and underwent the abovementioned surgery between February 2016 and October 2019 and had minimum 1-year follow-up were included. The purpose of this study was to report short-term patient-reported outcomes (PROs) following concomitant hip arthroscopy and endoscopic modified shelf procedure in the setting of acetabular dysplasia and labral tears. Outcomes following this procedure are scarce. Although several shelf techniques have been described, the endoscopic procedure with concomitant hip arthroscopy is a new, less invasive alternative. The shelf procedure is a treatment of acetabular dysplasia, with the aim of increasing weight-bearing acetabular coverage. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |