2025 ISAKOS Biennial Congress ePoster
Patients With Borderline Hip Dysplasia Demonstrate Favorable Long-Term Return To Sport Rates
Ady Haim Kahana Rojkind, MD, Des Plaines, IL UNITED STATES
Matthew J. Strok, BA, Des Plaines, IL UNITED STATES
Elizabeth G. Walsh, BS, Des Plaines, Illinois UNITED STATES
Roger Quesada Jimenez, MD, Des Plaines, Illinois UNITED STATES
Benjamin D. Kuhns, MD, MS, Des Plaines, Illinois UNITED STATES
Benjamin G. Domb, MD, Des Plaines, Illinois UNITED STATES
American Hip Institute Research Foundation, Des Plaines, Illinois, UNITED STATES
FDA Status Cleared
Summary
Athletes with borderline hip dysplasia who underwent primary hip arthroscopy with capsular plication and labral treatment demonstrated comparable long-term results and RTS rates to a control group of athletes with normal acetabular coverage.
Abstract
Purpose
The purpose of the current study was to examine patient outcomes and return-to-sport (RTS) rates in patients with borderline hip dysplasia (BHD) and labral pathology who underwent primary hip arthroscopy with capsular plication at a minimum 10-year follow-up.
Methods
Data was retrospectively reviewed for all patients with BHD who underwent primary hip arthroscopy with capsular plication and labral treatment between 2008 and 2014. Patients in the BHD group were propensity matched 1:1 to a control group of patients with normal acetabular coverage based on age, sex, body mass index, follow-up time, Tonnis Grade, and preoperative sport competition level. Patients were included if they had completed preoperative and minimum of 10-year postoperative questionnaires for at least one of the following patient-reported outcomes (PROs): the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), International Hip Outcome Tool (iHOT-12), Visual Analogue Scale (VAS); or documented an endpoint during the study timeframe. Return-to-sport rates were also analyzed.
Results
There were 47 patients (49 hips) with PRO and sports data in both the BHD and control groups. Both groups demonstrated similar increases in all PROs from preoperative to 10-year follow-up and favorable RTS rates with 36 patients (76.6%) in the BHD group returning to sport at some point in time compared to 41 patients (87.2%) from the control group. Of these patients that returned to sport, 72.2% (26 patients) in the BHD group and 63.4% (26 patients) in the control group were continuing to play their respective sports at 10-years postoperative. Both groups demonstrated comparable rates of revision arthroscopy.
Conclusions
Athletes with BHD who underwent primary hip arthroscopy with capsular plication and labral treatment demonstrated comparable long-term results and RTS rates to a control group of athletes with normal acetabular coverage.