2023 Annual Meeting Hip Access Pass-When Is Arthroscopy Not Enough? My Indications for PAO

When Is Arthroscopy Not Enough? My Indications for PAO

Video Transcription

Video Summary

Dr. Andrea Spiker discusses periacetabular osteotomy (PAO) for hip dysplasia, diagnosed mainly through radiographic measures like lateral center edge and tonus angles. Standing AP pelvis X-rays are preferred for accuracy. Clinical hip instability can warrant PAO even with borderline or normal angles. Differentiating dysplasia from impingement involves clinical signs such as pain patterns and hypermobility evaluation. PAO involves osteotomies to reorient the acetabulum, often done through a muscle-sparing bikini incision. The role of simultaneous hip arthroscopy is debated, but Spiker personally performs both together. PAO effectively prevents osteoarthritis, with high long-term survival and low complication rates, enabling return to normal activity.

Asset Caption

Andrea M. Spiker, M.D.

Keywords

periacetabular osteotomy

hip dysplasia

radiographic diagnosis

clinical hip instability

hip arthroscopy