2023 Specialty Day Access Pass-Decision-Making in Borderline Dysplasia: What Is the Evidence?

Decision-Making in Borderline Dysplasia: What Is the Evidence?

Video Transcription

Video Summary

The speaker discusses borderline hip dysplasia, emphasizing the inconclusive evidence and need for clearer surgical success definitions. Traditional terms like "borderline dysplasia" may be outdated; focus should shift to hip instability versus stability. Key diagnostic angles and measures like lateral center edge angle, acetabular inclination, and Fear index are crucial. Arthroscopy use is rising, often combined with capsular plication, which improves outcomes. However, less than half of athletes return to prior performance levels, and dissatisfaction and reoperation rates are significant. Predictors of failure include age, severe dysplasia, and instability. A combined arthroscopic and open surgical approach may be optimal, warranting further study.

Asset Caption

Michael J. Salata, M.D.

Keywords

borderline hip dysplasia

hip instability

arthroscopy

capsular plication

surgical outcomes