2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 26-Year-Old Female With Borderline Dysplasia (DDH) and No Significant Arthritic Change Discussion & Voting

Debate Introduction: 26-Year-Old Female With Borderline Dysplasia (DDH) and No Significant Arthritic Change Discussion & Voting

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Video Summary

The discussion focused on deciding between periacetabular osteotomy (PAO) and hip arthroscopy for hip deformities, emphasizing patient-centered choices rather than surgeon preference. Gender, symptoms, sports activity, and imaging findings like femoral antiversion and acetabular version influence treatment. PAO is favored for significant structural deformities and weight-bearing pain, while arthroscopy suits cases with more flexion-related pain or for athletes needing high range of motion. Personalized treatment plans consider long-term outcomes and activity demands. Imaging, particularly CT and MRI, helps assess bone deficiencies guiding surgery type. The debate highlighted the complexity and need for tailored approaches in hip preservation.

Keywords

periacetabular osteotomy

hip arthroscopy

hip deformities

patient-centered treatment

imaging assessment