Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up

Jimenez, Andrew E.; Lee, Michael S.; Owens, Jade S.; Maldonado, David R.; Saks, Benjamin R.; Lall, Ajay C.; Domb, Benjamin G.

doi:10.1016/j.arthro.2022.02.017

Cited by 17 publications

(18 citation statements)

References 53 publications

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“…Descriptive information, including study period, number of hips, sex, mean follow-up time, and mean age, are recorded in Table 1 . The 10 studies in this review were from 5 different institutions, with study periods ranging from 18 2001 to 15 2018. Overall, 553 hips were included, with the mean follow-ups ranging from 1 year 38 to 12.8 years.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, 553 hips were included, with the mean follow-ups ranging from 1 year 38 to 12.8 years. 3 Seven studies were case series, representing level 4 evidence, 3 , 7 , 9 , 15 , 18 , 25 , 34 and the remaining 3 articles 31 , 33 , 38 were level 3 cohort studies.…”

Section: Resultsmentioning

confidence: 99%

“…Whether in the active or general population, the 2 procedures in conjunction have demonstrated excellent short-term outcomes. 15 , 33 …”

mentioning

confidence: 99%

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Outcomes After Concomitant Hip Arthroscopy and Periacetabular Osteotomy: A Systematic Review

Lee

Fong²,

Owens

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Despite several studies’ reports on outcomes of concomitant hip arthroscopy and periacetabular osteotomy (PAO), there is a paucity of aggregate data in the literature. Purpose: To evaluate outcomes and survivorship after concomitant hip arthroscopy and PAO. Study Design: Systematic review; Level of evidence, 4. Methods: The PubMed, Cochrane, and Scopus databases were searched in April 2022 using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The following keywords were used: (hip OR femoroacetabular impingement) AND (arthroscopy OR arthroscopic) AND (periacetabular osteotomy or rotational osteotomy) AND (outcomes OR follow-up). Of 270 articles initially identified, 10 studies were ultimately included. The following information was recorded for each study if available: publication information; study design; study period; patient characteristics; follow-up time; indications for hip arthroscopy; patient-reported outcomes (PROs); rates of secondary hip preservation surgeries; and rates of conversion to total hip arthroplasty (THA). Survivorship was defined as nonconversion to THA. Results: The study periods for the 10 included articles ranged from 2001 to 2018. Three studies were level 3 evidence, and 7 studies were level 4 evidence. This review included 553 hips with a mean follow-up of 1 to 12.8 years. All 10 studies listed dysplasia as an indication for surgery. Of 9 studies that reported PRO scores, 7 reported significant improvement after surgery. Studies with a <5-year follow-up reported conversion to THA rates of 0% to 3.4% and overall secondary surgery rates of 0% to 10.3%. Similarly, studies with >5-year follow-up reported conversion to THA rates of 0% to 3% and overall secondary surgery rates of 0% to 10%. Conclusion: Patients who underwent concomitant hip arthroscopy and PAO reported favorable outcomes, with 7 of the 9 studies that provided PRO scores indicating significant preoperative to postoperative improvement.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Outcomes After Concomitant Hip Arthroscopy and Periacetabular Osteotomy: A Systematic Review

Lee

Fong²,

Owens

et al. 2023

Orthopaedic Journal of Sports Medicine

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“…In the study by Jimenez et al, 2 the diagnostic workup for patients with dysplasia included a supine anteroposterior pelvis radiograph to measure the lateral center-edge angle and signs of acetabular retroversion. Although they did include a standing anteroposterior pelvis radiograph, it is unclear whether this was used for analysis.…”

Section: See Related Article On Page 2649mentioning

confidence: 99%

Editorial Commentary: Positive Outcomes and High Rate of Return to Sport After Hip Arthroscopy With Concomitant Periacetabular Osteotomy in Athletes: Don’t Fear the Periacetabular Osteotomy

Hassan

Yen²

2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Similar femoral and acetabular morphology were found in patients with a history of childhood hip dysplasia treatment and those who presented after skeletal maturity with no prior history when undergoing periacetabular osteotomy 40 . In a study of athletes undergoing periacetabular osteotomy, those who attempted to return to sport were successful at a rate of >80% 41 . A retrospective review of female patients who underwent periacetabular osteotomy found that 55% of those who had given birth postoperatively had undergone a cesarean section, a rate almost twice the German national average 42 .…”

Section: Hip Preservationmentioning

confidence: 99%

What’s New in Pediatric Orthopaedics

Andras

Sanders²,

Goldstein

et al. 2022

Journal of Bone and Joint Surgery

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This pediatric orthopaedic update represents a review of articles predominantly from October 2021 to October 2022. Spine Adolescent Idiopathic ScoliosisAs we strive toward optimal adolescent idiopathic scoliosis treatment that will serve patients well into adulthood, longterm follow-up studies are of particular importance. Lander et al. reported on a series of 134 patients treated with Harrington instrumentation with a minimum 40-year follow-up. Patients with a lowest instrumented vertebra (LIV) at L3 or proximal had a lower likelihood of undergoing additional surgical procedures at 13% compared with patients with an LIV at L4 or distal at 36%, but, aside from this, the groups were similar with regard to health-related quality of life and their scores were not different from normal age-based means 11 . Also encouraging was the report on 115 patients with a 25year follow-up that showed that the serum levels of cobalt and chromium ions were similar in the patients treated with Harrington instrumentation compared with a control group of patients treated with bracing 12 . However, questions with regard to the long-term effect of retained implants continue to generate concern as titanium levels were found to be persistently elevated to 5 times the preoperative level at the 2-year follow-up in a series with more contemporary implants 13 . The impact of this remains unknown but warrants continued study.There remains continued interest in leveraging technology to achieve optimal pedicle screw placement safely and consistently. In a systematic review and meta-analysis by Baldwin et al., screws placed with intraoperative computed tomographic (CT) navigation were determined to be one-third Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/H355).

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Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up

Cited by 17 publications

References 53 publications

Outcomes After Concomitant Hip Arthroscopy and Periacetabular Osteotomy: A Systematic Review

Outcomes After Concomitant Hip Arthroscopy and Periacetabular Osteotomy: A Systematic Review

Editorial Commentary: Positive Outcomes and High Rate of Return to Sport After Hip Arthroscopy With Concomitant Periacetabular Osteotomy in Athletes: Don’t Fear the Periacetabular Osteotomy

What’s New in Pediatric Orthopaedics

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