Combined hip arthroscopy and periacetabular osteotomy: indications, advantages, technique, and complications

Abstract

Evaluation and treatment of concomitant intra-articular pathology may be beneficial before periacetabular osteotomy (PAO) is performed. Hip arthroscopy before PAO allows the surgeon to perform full inspection of the hip joint and can be used to treat hip pathology before osteotomy. The indications for hip arthroscopy before PAO are presented in this article. The combined surgical procedure is described, along with potential complications. The advantages and disadvantages of this technique are outlined.

Figures

Fig 1

A 26-year-old woman presented with a 7-month duration of groin pain and mechanical symptoms. She was treated with combined hip arthroscopy and PAO. (A) At the time of arthroscopy, she was noted to have a hypertrophied and torn labrum. (B) She underwent labral repair before PAO.

Fig 2

A 21-year-old woman presented with longstanding activity-related right groin pain. (A) An anteroposterior pelvic radiograph shows acetabular dysplasia. (B) She underwent combined hip arthroscopy and PAO.