{Reference Type}: Journal Article
{Title}: Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study.
{Author}: Tassinari E;Mariotti F;Castagnini F;Lucchini S;Perdisa F;Bracci G;Cosentino M;Bordini B;Traina F;
{Journal}: J Exp Orthop
{Volume}: 8
{Issue}: 1
{Year}: Dec 2021 3
暂无{DOI}: 10.1186/s40634-021-00428-w
{Abstract}: <B>OBJECTIVE: </B>The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°).<BR><B>METHODS: </B>Fifty hip arthroscopies performed in 45 patients were retrospectively evaluated. Exclusion criteria were: age > 40, hip arthritis > grade 2 according to Tonnis classification, femoral head avascular necrosis, pediatric's orthopaedics conditions and true dysplasia with LCEA < 18°.Two groups were identified: group A with 15 hips with LCEA between 25° and 18° and Group control B made of 35 hips with LCEA > 25°.<BR><B>RESULTS: </B>The groups were homogeneous for demography and pre-operative WOMAC and HOOS. Osteoplasty for CAM were performed in 100% of patients in both groups, only in 12 hips (34.4%) in group B we had both femoral and acetabular osteoplasty. Labral repair was performed in 86% of patients in group A, in 60% of patients in group B, capsular plication in 93% of group A, in 5% of case of group B. WOMAC and HOOS statically significant improved in both groups at final follow-up (24 months). No cases in both groups required conversion to total hip arthroplasty. Clinical outcomes of study group were comparable to the control group.<BR><B>CONCLUSIONS: </B>Even if the present small series is not conclusive, we suggest isolated arthroscopic management of patients with FAI and LCEA between 18° and 25°, but capsular plication and careful labral management are strongly recommended.<BR><B>METHODS: </B>Level IV.