AANA19 Hip Access Pass-Blarney_ Do the PAO-Dr. Paul E. Beaule, M.D.

Blarney_ Do the PAO-Dr. Paul E. Beaule, M.D.

Video Transcription

Video Summary

The speaker advocates periacetabular osteotomy (PAO) as the best treatment for hip dysplasia, emphasizing that dysplasia is fundamentally a problem of hip instability. They critique the term "borderline dysplasia" as inappropriate for symptomatic hips due to its varied definitions and origin in asymptomatic cases. Improved diagnostic methods, including anterior and posterior wall indices, provide clearer assessment of hip coverage and instability. Hip arthroscopy alone yields unpredictable outcomes in dysplasia. A proposed comprehensive classification system accounts for three-dimensional instability patterns, aiding tailored surgical management. PAO offers correction in three planes and, combined with arthroscopy, achieves optimal outcomes by restoring hip stability.

Keywords

Periacetabular Osteotomy

Hip Dysplasia

Hip Instability

Diagnostic Indices

Comprehensive Classification System