2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #2: Go Straight to PAO

Debate Speaker #2: Go Straight to PAO

Video Transcription

Video Summary

Dr. Moran from Madrid advocates for periacetabular osteotomy (PAO) as the primary treatment for young patients with acetabular bone deficiency, emphasizing that addressing the structural deformity—not just labral damage—is crucial. Using a 3D approach, PAO corrects the bone's position to prevent long-term hip degeneration, aiming to preserve hip function for decades. While arthroscopy addresses labrum issues, it alone may lead to higher failure and conversion rates. Long-term studies, including 30-year follow-ups, show PAO effectively slows osteoarthritis progression. Dr. Moran stresses treating the root cause to ensure durable outcomes and advises thorough patient education.

Asset Caption

Oliver Marin-Pena, M.D.

Keywords

Periacetabular Osteotomy

Acetabular Bone Deficiency

Hip Preservation

3D Surgical Approach

Osteoarthritis Prevention