Hip preservation surgery with or without osteotomy showed high return to sport rate

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Key takeaways:

  • Preservative hip arthroscopy with or without osteotomy yielded high rates of return to sport in young patients.
  • A prospective cohort of patients had return to sport rates up to 80%.

BOSTON — In this video from the Arthroscopy Association of North America Annual Meeting, Jacob L. Henrichsen, MD, discussed hip preservation surgery with or without osteotomy for young patients looking to return to sport.

Henrichsen and colleagues at the University of Iowa analyzed data from a retrospective cohort and a prospective cohort of young patients treated with hip arthroscopy either with or without periacetabular osteotomy and distal femoral osteotomy.

“In our retrospective review, we had about 50% of our patients that underwent hip arthroscopy and [periacetabular osteotomy] PAO [and] were able to return to sport,” Henrichsen told Healio. “In our prospective study, however, we were able to isolate the patients who had plans to return to sport and saw a much [more] significant increase in their return to sport rates at around 72%.”

Henrichsen noted these outcomes are important to note when counseling young athletes with femoroacetabular impingement, hip dysplasia and acetabular or femoral aversion issues.

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