Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation: Ten-Year Survivorship and Patient-Reported Outcomes

• Published in: Journal of bone and joint surgery. American volume 2023-05, Vol.105 (9), p.687-699
• Main Authors: Domb, Benjamin G., Owens, Jade S., Glein, Rachel M., Jimenez, Andrew E., Maldonado, David R.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Arthroscopy; Female; Femoracetabular Impingement - surgery; Follow-Up Studies; Hip Dislocation - etiology; Hip Dislocation - surgery; Hip Dislocation, Congenital; Hip Joint - surgery; Humans; Male; Patient Reported Outcome Measures; Retrospective Studies; Survivorship; Treatment Outcome; Young Adult
• ISSN: 0021-9355; 1535-1386
• DOI: 10.2106/JBJS.22.00340

The arthroscopic management of borderline hip dysplasia (BHD) is controversial, and long-term follow-up data are scarce. The purpose of this study was to report prospectively collected survivorship and patient-reported outcome measures (PROMs) at a minimum 10-year follow-up following primary hip arthroscopy with capsular plication and labral preservation in patients with BHD. Data were prospectively collected on all patients who underwent primary hip arthroscopy between September 2008 and September 2011. Patients with BHD (defined by a lateral center-edge angle [LCEA] between 18° and 25°) were included. Preoperative and minimum 10-year follow-up scores for the modified Harris hip score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain were collected. Exclusion criteria were prior ipsilateral hip surgery, Workers' Compensation status, Tönnis grade of >1, previous hip conditions, or LCEA of