Current Controversies in Hip Arthroscopy (AANA19)-How Much Dysplasia Is Too Much

How Much Dysplasia Is Too Much_-Dr. John J. Christoforetti, M.D.

Video Transcription

Video Summary

The talk explores the complexities of diagnosing and treating hip dysplasia, particularly borderline cases with lateral center-edge angles between 20-25 degrees. It highlights the variability in defining borderline dysplasia and stresses the importance of accurate preoperative planning due to the altered bone stock in dysplastic hips. Arthroscopic techniques such as labral repair, augmentation, and ligamentum teres reconstruction are discussed, emphasizing the challenges of treating labral tears and hip instability in dysplastic patients. The speaker reviews outcomes of hip arthroscopy versus periacetabular osteotomy (PAO), noting equivalent benefits but higher complication rates in PAO. Combined procedures and the importance of multidisciplinary collaboration are encouraged. The presentation also showcases advanced surgical techniques for labral reconstruction using grafts, stressing meticulous graft handling and postoperative rehabilitation protocols. Ultimately, the talk underscores careful patient selection, preservation of native labrum when possible, and continuous evaluation of surgical outcomes to optimize treatment of hip dysplasia.

Asset Caption

Instructional Course Lecture: Current Controversies in Hip Arthroscopy

Keywords

hip dysplasia

borderline dysplasia

arthroscopic labral repair

periacetabular osteotomy (PAO)

labral reconstruction