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Surgical Technique: Hip Arthroscopy for Hip Dysplasia

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Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

Hip arthroscopy as a sole treatment strategy in patients with hip dysplasia has yielded variable results historically, including frank hip dislocations postoperatively and rapid degeneration leading to early osteoarthritis (OA) and total hip replacement (THR). Thus, the utility of hip arthroscopy for patients with hip dysplasia came into question as surgeons attempted to refine their indications. The authors posit that hip arthroscopy is an important part of the treatment algorithm for patients with hip dysplasia and can meaningfully address labral pathology, concomitant cam-type femoroacetabular impingement, acetabular subchondral cysts, capsular laxity, and ligamentum teres pathology. For patients with frank hip dysplasia, the intra-articular work performed during hip arthroscopy is routinely followed by extra-articular realignment with a periacetabular osteotomy (PAO) and/or derotational femoral osteotomy (DFO). However, in select cases of borderline hip dysplasia, hip arthroscopy may be utilized as a sole first-line treatment, particularly when the combined torsion and version index (COTAV) and Beighton laxity score (BLS) are low. These patients require close monitoring during the first year of their postoperative rehabilitation as latent instability often presents with recurrent symptoms upon return to higher demand activities at the 6- to 12-month postoperative time point. In these instances, PAO surgery may be revisited when other causes for recurrent symptoms have been ruled out (i.e., adhesions, residual impingement, heterotopic ossification) and instability is deemed to be the most likely culprit.

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References

  1. Adler KL, Giordano BD. The utility of hip arthroscopy in the setting of acetabular dysplasia: a systematic review. Arthroscopy. 2019;35(1):237–48. https://doi.org/10.1016/j.arthro.2018.07.048.

    Article  PubMed  Google Scholar 

  2. Allen D, Beaule PE, Ramadan O, Doucette S. Prevalence of associated deformities and hip pain in patients with cam-type femoroacetabular impingement. J Bone Joint Surg Br. 2009;91(5):589–94. https://doi.org/10.1302/0301-620X.91B5.22028.

    Article  CAS  PubMed  Google Scholar 

  3. Amar E, Sampson TG, Sharfman ZT, Caplan A, Rippel N, Atzmon R, et al. Acetabular labral reconstruction using the indirect head of the rectus femoris tendon significantly improves patient reported outcomes. Knee Surg Sports Traumatol Arthrosc. 2018;26(8):2512–8. https://doi.org/10.1007/s00167-017-4641-4.

    Article  PubMed  Google Scholar 

  4. Anderson LA, Erickson JA, Swann RP, McAlister IP, Anderson MB, Sierra RJ, et al. Femoral morphology in patients undergoing periacetabular osteotomy for classic or borderline acetabular dysplasia: are cam deformities common? J Arthroplast. 2016;31(9 Suppl):259–63. https://doi.org/10.1016/j.arth.2016.01.066.

    Article  Google Scholar 

  5. Aoki SK, Beckmann JT, Wylie JD. Arthroscopic femoral osteochondroplasty for cam-type femoroacetabular impingement: the trough technique. Arthrosc Tech. 2016;5(4):e743–e9. https://doi.org/10.1016/j.eats.2016.02.024.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ashwell ZR, Flug J, Chadayammuri V, Pascual-Garrido C, Garabekyan T, Mei-Dan O. Lateral acetabular coverage as a predictor of femoroacetabular cartilage thickness. J Hip Preserv Surg. 2016;3(4):262–9. https://doi.org/10.1093/jhps/hnw034.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Bardakos NV, Villar RN. The ligamentum teres of the adult hip. J Bone Joint Surg Br. 2009;91(1):8–15. https://doi.org/10.1302/0301-620X.91B1.21421.

    Article  CAS  PubMed  Google Scholar 

  8. Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8. https://doi.org/10.1302/0301-620X.87B7.15203.

    Article  CAS  PubMed  Google Scholar 

  9. Beck EC, Alter T, Mehta N, Cancienne JM, Sarmast S, Liu JN, et al. Contemporary hip capsular management and closure using a suture passing device. Arthrosc Tech. 2019;8(9):e947–e52. https://doi.org/10.1016/j.eats.2019.05.003.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Cadet ER, Chan AK, Vorys GC, Gardner T, Yin B. Investigation of the preservation of the fluid seal effect in the repaired, partially resected, and reconstructed acetabular labrum in a cadaveric hip model. Am J Sports Med. 2012;40(10):2218–23. https://doi.org/10.1177/0363546512457645.

    Article  PubMed  Google Scholar 

  11. Cancienne JM, Beck EC, Kunze KN, Chahla J, Suppauksorn S, Paul K, et al. Two-year patient-reported outcomes for patients undergoing revision hip arthroscopy with capsular incompetency. Arthroscopy. 2020;36(1):127–36. https://doi.org/10.1016/j.arthro.2019.07.026.

    Article  PubMed  Google Scholar 

  12. Carreira DS, Kruchten MC, Emmons BR, Martin RL. Arthroscopic labral reconstruction using fascia lata allograft: shuttle technique and minimum two-year results. J Hip Preserv Surg. 2018;5(3):247–58. https://doi.org/10.1093/jhps/hny028.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Chadayammuri V, Garabekyan T, Bedi A, Pascual-Garrido C, Rhodes J, O’Hara J, et al. Passive hip range of motion predicts femoral torsion and acetabular version. J Bone Joint Surg Am. 2016;98(2):127–34. https://doi.org/10.2106/JBJS.O.00334.

    Article  PubMed  Google Scholar 

  14. Chaharbakhshi EO, Perets I, Ashberg L, Mu B, Lenkeit C, Domb BG. Do ligamentum teres tears portend inferior outcomes in patients with borderline dysplasia undergoing hip arthroscopic surgery? A match-controlled study with a minimum 2-year follow-up. Am J Sports Med. 2017;45(11):2507–16. https://doi.org/10.1177/0363546517710008.

    Article  PubMed  Google Scholar 

  15. Chaharbakhshi EO, Hartigan DE, Perets I, Domb BG. Is hip arthroscopy effective in patients with combined excessive femoral anteversion and borderline dysplasia? Response. Am J Sports Med. 2019;47(11):NP62–NP3. https://doi.org/10.1177/0363546519859827.

    Article  PubMed  Google Scholar 

  16. Chahla J, Dean CS, Soares E, Mook WR, Philippon MJ. Hip capsular reconstruction using dermal allograft. Arthrosc Tech. 2016;5(2):e365–9. https://doi.org/10.1016/j.eats.2016.01.015.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Chandrasekaran S, Martin TJ, Close MR, Suarez-Ahedo C, Lodhia P, Domb BG. Arthroscopic reconstruction of the ligamentum teres: a case series in four patients with connective tissue disorders and generalized ligamentous laxity. J Hip Preserv Surg. 2016;3(4):358–67. https://doi.org/10.1093/jhps/hnw016.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Clohisy JC, Nunley RM, Carlisle JC, Schoenecker PL. Incidence and characteristics of femoral deformities in the dysplastic hip. Clin Orthop Relat Res. 2009;467(1):128–34. https://doi.org/10.1007/s11999-008-0481-3.

    Article  PubMed  Google Scholar 

  19. Degen RM, O’Sullivan E, Sink EL, Kelly BT. Psoas tunnel perforation-an unreported complication of hip arthroscopy. J Hip Preserv Surg. 2015;2(3):272–9. https://doi.org/10.1093/jhps/hnv043.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Domb BG, Stake CE, Lindner D, El-Bitar Y, Jackson TJ. Arthroscopic capsular plication and labral preservation in borderline hip dysplasia: two-year clinical outcomes of a surgical approach to a challenging problem. Am J Sports Med. 2013;41(11):2591–8. https://doi.org/10.1177/0363546513499154.

    Article  PubMed  Google Scholar 

  21. Domb BG, El Bitar YF, Stake CE, Trenga AP, Jackson TJ, Lindner D. Arthroscopic labral reconstruction is superior to segmental resection for irreparable labral tears in the hip: a matched-pair controlled study with minimum 2-year follow-up. Am J Sports Med. 2014;42(1):122–30. https://doi.org/10.1177/0363546513508256.

    Article  PubMed  Google Scholar 

  22. Domb BG, Chaharbakhshi EO, Perets I, Yuen LC, Walsh JP, Ashberg L. Hip arthroscopic surgery with labral preservation and capsular plication in patients with borderline hip dysplasia: minimum 5-year patient-reported outcomes. Am J Sports Med. 2018;46(2):305–13. https://doi.org/10.1177/0363546517743720.

    Article  PubMed  Google Scholar 

  23. Domb BG, Kyin C, Rosinsky PJ, Shapira J, Yelton MJ, Meghpara MB, et al. Circumferential labral reconstruction for irreparable labral tears in the primary setting: minimum 2-year outcomes with a nested matched-pair labral repair control group. Arthroscopy. 2020. https://doi.org/10.1016/j.arthro.2020.02.014.

  24. Durr HD, Martin H, Pellengahr C, Schlemmer M, Maier M, Jansson V. The cause of subchondral bone cysts in osteoarthrosis: a finite element analysis. Acta Orthop Scand. 2004;75(5):554–8. https://doi.org/10.1080/00016470410001411.

    Article  PubMed  Google Scholar 

  25. Espinosa N, Rothenfluh DA, Beck M, Ganz R, Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. J Bone Joint Surg Am. 2006;88(5):925–35. https://doi.org/10.2106/JBJS.E.00290.

    Article  PubMed  Google Scholar 

  26. Fagotti L, Kemler BR, Utsunomiya H, Storaci HW, Krob JJ, Brady AW, et al. Effects of capsular reconstruction with an iliotibial band allograft on distractive stability of the hip joint: a biomechanical study. Am J Sports Med. 2018;46(14):3429–36. https://doi.org/10.1177/0363546518802841.

    Article  PubMed  Google Scholar 

  27. Fagotti L, Soares E, Bolia IK, Briggs KK, Philippon MJ. Early outcomes after arthroscopic hip capsular reconstruction using iliotibial band allograft versus dermal allograft. Arthroscopy. 2019;35(3):778–86. https://doi.org/10.1016/j.arthro.2018.10.110.

    Article  PubMed  Google Scholar 

  28. Field RE, Rajakulendran K, Strambi F. Arthroscopic grafting of chondral defects and subchondral cysts of the acetabulum. Hip Int. 2011;21(4):479–86. https://doi.org/10.5301/HIP.2011.8583.

    Article  PubMed  Google Scholar 

  29. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20. https://doi.org/10.1097/01.blo.0000096804.78689.c2.

    Article  Google Scholar 

  30. Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res. 2008;466(2):264–72. https://doi.org/10.1007/s11999-007-0060-z.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Garabekyan T, Mei-Dan O. Editorial commentary: which allograft is superior for hip capsular reconstruction? Let’s choose the right patient before we choose the right graft. Arthroscopy. 2019;35(3):787–8. https://doi.org/10.1016/j.arthro.2018.11.068.

    Article  PubMed  Google Scholar 

  32. Garabekyan T, Ashwell Z, Chadayammuri V, Jesse MK, Pascual-Garrido C, Petersen B, et al. Lateral acetabular coverage predicts the size of the hip labrum. Am J Sports Med. 2016a;44(6):1582–9. https://doi.org/10.1177/0363546516634058.

    Article  PubMed  Google Scholar 

  33. Garabekyan T, Chadayammuri V, Pascual-Garrido C, Mei-Dan O. All-arthroscopic ligamentum teres reconstruction with graft fixation at the femoral head-neck junction. Arthrosc Tech. 2016b;5(1):e143–7. https://doi.org/10.1016/j.eats.2015.10.020.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Garabekyan T, Chadayammuri V, Pascual-Garrido C, Mei-Dan O. Arthroscopic bone grafting of deep acetabular cysts using a curved delivery device. Arthrosc Tech. 2016c;5(1):e113–9. https://doi.org/10.1016/j.eats.2015.10.012.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Gray AJ, Villar RN. The ligamentum teres of the hip: an arthroscopic classification of its pathology. Arthroscopy. 1997;13(5):575–8. https://doi.org/10.1016/s0749-8063(97)90182-1.

    Article  CAS  PubMed  Google Scholar 

  36. Hammarstedt JE, Redmond JM, Gupta A, Domb BG. Arthroscopic ligamentum teres reconstruction of the hip in Ehlers-Danlos syndrome: a case study. Hip Int. 2015;25(3):286–91. https://doi.org/10.5301/hipint.5000228.

    Article  PubMed  Google Scholar 

  37. Hanke MS, Steppacher SD, Anwander H, Werlen S, Siebenrock KA, Tannast M. What MRI findings predict failure 10 years after surgery for femoroacetabular impingement? Clin Orthop Relat Res. 2017;475(4):1192–207. https://doi.org/10.1007/s11999-016-5040-8.

    Article  PubMed  Google Scholar 

  38. Hartigan DE, Perets I, Yuen LC, Domb BG. Results of hip arthroscopy in patients with MRI diagnosis of subchondral cysts-a case series. J Hip Preserv Surg. 2017;4(4):324–31. https://doi.org/10.1093/jhps/hnx034.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Hatakeyama A, Utsunomiya H, Nishikino S, Kanezaki S, Matsuda DK, Sakai A, et al. Predictors of poor clinical outcome after arthroscopic labral preservation, capsular plication, and cam osteoplasty in the setting of borderline hip dysplasia. Am J Sports Med. 2018;46(1):135–43. https://doi.org/10.1177/0363546517730583.

    Article  PubMed  Google Scholar 

  40. Hernandez JD, McGrath BE. Safe angle for suture anchor insertion during acetabular labral repair. Arthroscopy. 2008;24(12):1390–4. https://doi.org/10.1016/j.arthro.2008.08.007.

    Article  PubMed  Google Scholar 

  41. Ida T, Nakamura Y, Hagio T, Naito M. Prevalence and characteristics of cam-type femoroacetabular deformity in 100 hips with symptomatic acetabular dysplasia: a case control study. J Orthop Surg Res. 2014;9:93. https://doi.org/10.1186/s13018-014-0093-4.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Inui A, Nakano S, Yoshioka S, Goto T, Hamada D, Kawasaki Y, et al. Subchondral cysts in dysplastic osteoarthritic hips communicate with the joint space: analysis using three-dimensional computed tomography. Eur J Orthop Surg Traumatol. 2013;23(7):791–5. https://doi.org/10.1007/s00590-012-1082-0.

    Article  PubMed  Google Scholar 

  43. Jackson TJ, Stake CE, Trenga AP, Morgan J, Domb BG. Arthroscopic technique for treatment of femoroacetabular impingement. Arthrosc Tech. 2013;2(1):e55–9. https://doi.org/10.1016/j.eats.2012.10.005.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Jamali AA, Fritz AT, Reddy D, Meehan JP. Minimally invasive bone grafting of cysts of the femoral head and acetabulum in femoroacetabular impingement: arthroscopic technique and case presentation. Arthroscopy. 2010;26(2):279–85. https://doi.org/10.1016/j.arthro.2009.09.016.

    Article  PubMed  Google Scholar 

  45. Jo S, Lee SH, Wang SI, Smith B, O’Donnell J. The role of arthroscopy in the dysplastic hip-a systematic review of the intra-articular findings, and the outcomes utilizing hip arthroscopic surgery. J Hip Preserv Surg. 2016;3(3):171–80. https://doi.org/10.1093/jhps/hnv071.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Kain MS, Novais EN, Vallim C, Millis MB, Kim YJ. Periacetabular osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia. J Bone Joint Surg Am. 2011;93(Suppl 2):57–61. https://doi.org/10.2106/JBJS.J.01770.

    Article  PubMed  Google Scholar 

  47. Kizaki K, Hatakeyama A, Utsunomiya H, Philippon MJ, Uchida S. Arthroscopic double shoelace capsular plication technique for the treatment of borderline hip dysplasia associated with capsular laxity. Arthrosc Tech. 2019;8(8):e923–e7. https://doi.org/10.1016/j.eats.2019.04.008.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Kohno Y, Nakashima Y, Hatano T, Akiyama M, Fujii M, Hara D, et al. High prevalence of cam deformity in dysplastic hips: a three-dimensional CT study. J Orthop Res. 2016;34(9):1613–9. https://doi.org/10.1002/jor.23147.

    Article  PubMed  Google Scholar 

  49. Kraeutler MJ, Garabekyan T, Pascual-Garrido C, Mei-Dan O. Hip instability: a review of hip dysplasia and other contributing factors. Muscles Ligaments Tendons J. 2016a;6(3):343–53. https://doi.org/10.11138/mltj/2016.6.3.343.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Kraeutler MJ, Garabekyan T, Pascual-Garrido C, Mei-Dan O. Ligamentum teres tendinopathy and tears. Muscles Ligaments Tendons J. 2016b;6(3):337–42. https://doi.org/10.11138/mltj/2016.6.3.337.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Kraeutler MJ, Chadayammuri V, Garabekyan T, Mei-Dan O. Femoral version abnormalities significantly outweigh effect of cam impingement on hip internal rotation. J Bone Joint Surg Am. 2018;100(3):205–10. https://doi.org/10.2106/JBJS.17.00376.

    Article  PubMed  Google Scholar 

  52. Kraeutler MJ, Goodrich JA, Ashwell ZR, Garabekyan T, Jesse MK, Mei-Dan O. Combined lateral osseolabral coverage is normal in hips with acetabular dysplasia. Arthroscopy. 2019a;35(3):800–6. https://doi.org/10.1016/j.arthro.2018.10.133.

    Article  PubMed  Google Scholar 

  53. Kraeutler MJ, Goodrich JA, Fioravanti MJ, Garabekyan T, Mei-Dan O. The “outside-in” lesion of hip impingement and the “inside-out” lesion of hip dysplasia: two distinct patterns of acetabular chondral injury. Am J Sports Med. 2019b;47(12):2978–84. https://doi.org/10.1177/0363546519871065.

    Article  PubMed  Google Scholar 

  54. Kraeutler MJ, Safran MR, Scillia AJ, Ayeni OR, Garabekyan T, Mei-Dan O. A contemporary look at the evaluation and treatment of adult borderline and frank hip dysplasia. Am J Sports Med. 2019c. https://doi.org/10.1177/0363546519881411.

  55. Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH. Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy. 2013;29(1):46–53. https://doi.org/10.1016/j.arthro.2012.07.011.

    Article  PubMed  Google Scholar 

  56. Krych AJ, King AH, Berardelli RL, Sousa PL, Levy BA. Is subchondral acetabular edema or cystic change on MRI a contraindication for hip arthroscopy in patients with femoroacetabular impingement? Am J Sports Med. 2016;44(2):454–9. https://doi.org/10.1177/0363546515612448.

    Article  PubMed  Google Scholar 

  57. Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Arthroscopy. 2009;25(4):369–76. https://doi.org/10.1016/j.arthro.2008.12.014.

    Article  PubMed  Google Scholar 

  58. Larson CM, Ross JR, Stone RM, Samuelson KM, Schelling EF, Giveans MR, et al. Arthroscopic management of dysplastic hip deformities: predictors of success and failures with comparison to an arthroscopic FAI cohort. Am J Sports Med. 2016;44(2):447–53. https://doi.org/10.1177/0363546515613068.

    Article  PubMed  Google Scholar 

  59. Lavigne M, Parvizi J, Beck M, Siebenrock KA, Ganz R, Leunig M. Anterior femoroacetabular impingement: part I. Techniques of joint preserving surgery. Clin Orthop Relat Res. 2004;418:61–6.

    Article  Google Scholar 

  60. Lebus GF, Briggs KK, Dornan GJ, McNamara S, Philippon MJ. Acetabular labral reconstruction: development of a tool to predict outcomes. Am J Sports Med. 2018;46(13):3119–26. https://doi.org/10.1177/0363546518796838.

    Article  PubMed  Google Scholar 

  61. Lee GS, Hwang DS, Kang C, Lee JB, Noh CK. Arthroscopic treatment of subchondral bony cyst in early osteoarthritis of the hip joint using allogeneic bone graft: a report of two cases. Hip Pelvis. 2015a;27(2):110–4. https://doi.org/10.5371/hp.2015.27.2.110.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Lee S, Wuerz TH, Shewman E, McCormick FM, Salata MJ, Philippon MJ, et al. Labral reconstruction with iliotibial band autografts and semitendinosus allografts improves hip joint contact area and contact pressure: an in vitro analysis. Am J Sports Med. 2015b;43(1):98–104. https://doi.org/10.1177/0363546514553089.

    Article  PubMed  Google Scholar 

  63. Lertwanich P, Ejnisman L, Torry MR, Giphart JE, Philippon MJ. Defining a safety margin for labral suture anchor insertion using the acetabular rim angle. Am J Sports Med. 2011;39(Suppl):111S–6S. https://doi.org/10.1177/0363546511413746.

    Article  PubMed  Google Scholar 

  64. Leunig M, Beck M, Stauffer E, Hertel R, Ganz R. Free nerve endings in the ligamentum capitis femoris. Acta Orthop Scand. 2000;71(5):452–4. https://doi.org/10.1080/000164700317381117.

    Article  CAS  PubMed  Google Scholar 

  65. Lindner D, Sharp KG, Trenga AP, Stone J, Stake CE, Domb BG. Arthroscopic ligamentum teres reconstruction. Arthrosc Tech. 2013;2(1):e21–5. https://doi.org/10.1016/j.eats.2012.10.002.

    Article  PubMed  Google Scholar 

  66. Maldonado DR, Perets I, Mu BH, Ortiz-Declet V, Chen AW, Lall AC, et al. Arthroscopic capsular plication in patients with labral tears and borderline dysplasia of the hip: analysis of risk factors for failure. Am J Sports Med. 2018;46(14):3446–53. https://doi.org/10.1177/0363546518808033.

    Article  PubMed  Google Scholar 

  67. Maldonado DR, Lall AC, Walker-Santiago R, Rosinsky P, Shapira J, Chen JW, et al. Hip labral reconstruction: consensus study on indications, graft type and technique among high-volume surgeons. J Hip Preserv Surg. 2019;6(1):41–9. https://doi.org/10.1093/jhps/hnz008.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Martin RL, Palmer I, Martin HD. Ligamentum teres: a functional description and potential clinical relevance. Knee Surg Sports Traumatol Arthrosc. 2012;20(6):1209–14. https://doi.org/10.1007/s00167-011-1663-1.

    Article  PubMed  Google Scholar 

  69. Matsuda DK, Burchette RJ. Arthroscopic hip labral reconstruction with a gracilis autograft versus labral refixation: 2-year minimum outcomes. Am J Sports Med. 2013;41(5):980–7. https://doi.org/10.1177/0363546513482884.

    Article  PubMed  Google Scholar 

  70. McConkey MO, Moreira B, Mei-Dan O. Arthroscopic hip labral reconstruction and augmentation using knotless anchors. Arthrosc Tech. 2015;4(6):e701–5. https://doi.org/10.1016/j.eats.2015.07.016.

    Article  PubMed  PubMed Central  Google Scholar 

  71. McCormick F, Slikker W 3rd, Harris JD, Gupta AK, Abrams GD, Frank J, et al. Evidence of capsular defect following hip arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2014;22(4):902–5. https://doi.org/10.1007/s00167-013-2591-z.

    Article  PubMed  Google Scholar 

  72. Mei-Dan O, McConkey MO. A novel technique for ligamentum teres reconstruction with “all-suture” anchors in the medial acetabular wall. Arthrosc Tech. 2014;3(2):e217–21. https://doi.org/10.1016/j.eats.2013.10.003.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Mei-Dan O, Young DA. A novel technique for capsular repair and labrum refixation in hip arthroscopy using the SpeedStitch. Arthrosc Tech. 2012;1(1):e107–12. https://doi.org/10.1016/j.eats.2012.05.001.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Mei-Dan O, Pascual-Garrido C, Kark JA, McConkey MO. Inside out: a novel labral repair and advancement technique. Arthrosc Tech. 2014;3(2):e241–4. https://doi.org/10.1016/j.eats.2013.11.002.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Mei-Dan O, Garabekyan T, McConkey M, Pascual-Garrido C. Arthroscopic anterior capsular reconstruction of the hip for recurrent instability. Arthrosc Tech. 2015;4(6):e711–5. https://doi.org/10.1016/j.eats.2015.07.019.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Nepple JJ, Philippon MJ, Campbell KJ, Dornan GJ, Jansson KS, LaPrade RF, et al. The hip fluid seal–part II: the effect of an acetabular labral tear, repair, resection, and reconstruction on hip stability to distraction. Knee Surg Sports Traumatol Arthrosc. 2014;22(4):730–6. https://doi.org/10.1007/s00167-014-2875-y.

    Article  PubMed  Google Scholar 

  77. Paliobeis CP, Villar RN. The prevalence of dysplasia in femoroacetabular impingement. Hip Int. 2011;21(2):141–5. https://doi.org/10.5301/HIP.2011.7422.

    Article  PubMed  Google Scholar 

  78. Perumal V, Woodley SJ, Nicholson HD. Neurovascular structures of the ligament of the head of femur. J Anat. 2019;234(6):778–86. https://doi.org/10.1111/joa.12979.

    Article  CAS  PubMed  Google Scholar 

  79. Petersen BD, Wolf B, Lambert JR, Clayton CW, Glueck DH, Jesse MK, et al. Lateral acetabular labral length is inversely related to acetabular coverage as measured by lateral center edge angle of Wiberg. J Hip Preserv Surg. 2016;3(3):190–6. https://doi.org/10.1093/jhps/hnv084.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br. 2009;91(1):16–23. https://doi.org/10.1302/0301-620X.91B1.21329.

    Article  CAS  PubMed  Google Scholar 

  81. Philippon MJ, Pennock A, Gaskill TR. Arthroscopic reconstruction of the ligamentum teres: technique and early outcomes. J Bone Joint Surg Br. 2012;94(11):1494–8. https://doi.org/10.1302/0301-620X.94B11.28576.

    Article  CAS  PubMed  Google Scholar 

  82. Philippon MJ, Nepple JJ, Campbell KJ, Dornan GJ, Jansson KS, LaPrade RF, et al. The hip fluid seal–part I: the effect of an acetabular labral tear, repair, resection, and reconstruction on hip fluid pressurization. Knee Surg Sports Traumatol Arthrosc. 2014;22(4):722–9. https://doi.org/10.1007/s00167-014-2874-z.

    Article  PubMed  Google Scholar 

  83. Philippon MJ, Bolia IK, Locks R, Briggs KK. Labral preservation: outcomes following labrum augmentation versus labrum reconstruction. Arthroscopy. 2018;34(9):2604–11. https://doi.org/10.1016/j.arthro.2018.04.021.

    Article  PubMed  Google Scholar 

  84. Rahl MD, LaPorte C, Steinl GK, O’Connor M, Lynch TS, Menge TJ. Outcomes after arthroscopic hip labral reconstruction: a systematic review and meta-analysis. Am J Sports Med. 2019. https://doi.org/10.1177/0363546519878147.

  85. Rathi R, Mazek J. Arthroscopic acetabular labral reconstruction with fascia lata allograft: clinical outcomes at minimum one-year follow-up. Open Orthop J. 2017;11:554–61. https://doi.org/10.2174/1874325001611010554.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Rathi R, Mazek J. Arthroscopic acetabular labral reconstruction with rectus femoris tendon autograft: our experiences and early results. J Orthop. 2018;15(3):783–6. https://doi.org/10.1016/j.jor.2018.05.048.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Register B, Pennock AT, Ho CP, Strickland CD, Lawand A, Philippon MJ. Prevalence of abnormal hip findings in asymptomatic participants: a prospective, blinded study. Am J Sports Med. 2012;40(12):2720–4. https://doi.org/10.1177/0363546512462124.

    Article  PubMed  Google Scholar 

  88. Reimann I, Christensen SB. A histological demonstration of nerves in subchondral bone. Acta Orthop Scand. 1977;48(4):345–52.

    Article  CAS  Google Scholar 

  89. Rosinsky PJ, Shapira J, Lall AC, Domb BG. All about the ligamentum teres: from biomechanical role to surgical reconstruction. J Am Acad Orthop Surg. 2019. https://doi.org/10.5435/JAAOS-D-19-00352.

  90. Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC. Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med. 2011;39(Suppl): 72S–8S. https://doi.org/10.1177/0363546511412320.

    Article  PubMed  Google Scholar 

  91. Ross JR, Clohisy JC, Baca G, Sink E, Investigators A. Patient and disease characteristics associated with hip arthroscopy failure in acetabular dysplasia. J Arthroplast. 2014;29(9 Suppl):160–3. https://doi.org/10.1016/j.arth.2014.03.054.

    Article  Google Scholar 

  92. Schilders E, Dimitrakopoulou A, Bismil Q, Marchant P, Cooke C. Arthroscopic treatment of labral tears in femoroacetabular impingement: a comparative study of refixation and resection with a minimum two-year follow-up. J Bone Joint Surg Br. 2011;93(8):1027–32. https://doi.org/10.1302/0301-620X.93B8.26065.

    Article  CAS  PubMed  Google Scholar 

  93. Schmalzried TP, Akizuki KH, Fedenko AN, Mirra J. The role of access of joint fluid to bone in periarticular osteolysis. A report of four cases. J Bone Joint Surg Am. 1997;79(3):447–52.

    Article  CAS  Google Scholar 

  94. Shah A, Kay J, Memon M, Simunovic N, Uchida S, Bonin N, et al. Clinical and radiographic predictors of failed hip arthroscopy in the management of dysplasia: a systematic review and proposal for classification. Knee Surg Sports Traumatol Arthrosc. 2019. https://doi.org/10.1007/s00167-019-05416-3.

  95. Simpson JM, Field RE, Villar RN. Arthroscopic reconstruction of the ligamentum teres. Arthroscopy. 2011;27(3):436–41. https://doi.org/10.1016/j.arthro.2010.09.016.

    Article  PubMed  Google Scholar 

  96. Stafford G, Witt J. The anatomy, diagnosis and pathology of femoroacetabular impingement. Br J Hosp Med (Lond). 2009;70(2):72–7. https://doi.org/10.12968/hmed.2009.70.2.38904.

    Article  Google Scholar 

  97. Stelzeneder D, Mamisch TC, Kress I, Domayer SE, Werlen S, Bixby SD, et al. Patterns of joint damage seen on MRI in early hip osteoarthritis due to structural hip deformities. Osteoarthr Cartil. 2012;20(7):661–9. https://doi.org/10.1016/j.joca.2012.03.014.

    Article  CAS  Google Scholar 

  98. Suslak AG, Mather RC 3rd, Kelly BT, Nho SJ. Improved arthroscopic visualization of peripheral compartment. Arthrosc Tech. 2012;1(1):e57–62. https://doi.org/10.1016/j.eats.2012.02.001.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Tang HC, Dienst M. Surgical outcomes in the treatment of concomitant mild acetabular dysplasia and femoroacetabular impingement: a systematic review. Arthroscopy. 2019. https://doi.org/10.1016/j.arthro.2019.11.122.

  100. Trindade CA, Sawyer GA, Fukui K, Briggs KK, Philippon MJ. Arthroscopic capsule reconstruction in the hip using iliotibial band allograft. Arthrosc Tech. 2015;4(1):e71–4. https://doi.org/10.1016/j.eats.2014.11.008.

    Article  PubMed  PubMed Central  Google Scholar 

  101. Waterman BR, Chen A, Neal WH, Beck EC, Ukwuani G, Clapp IM, et al. Intra-articular volume reduction with arthroscopic plication for capsular laxity of the hip: a cadaveric comparison of two surgical techniques. Arthroscopy. 2019;35(2):471–7. https://doi.org/10.1016/j.arthro.2018.09.023.

    Article  PubMed  Google Scholar 

  102. White BJ, Stapleford AB, Hawkes TK, Finger MJ, Herzog MM. Allograft use in arthroscopic labral reconstruction of the hip with front-to-back fixation technique: minimum 2-year follow-up. Arthroscopy. 2016;32(1):26–32. https://doi.org/10.1016/j.arthro.2015.07.016.

    Article  PubMed  Google Scholar 

  103. Wong TY, Jesse MK, Jensen A, Kraeutler MJ, Coleman C, Mei-Dan O. Upsloping lateral sourcil: a radiographic finding of hip instability. J Hip Preserv Surg. 2018;5(4):435–42. https://doi.org/10.1093/jhps/hny042.

    Article  PubMed  PubMed Central  Google Scholar 

  104. Yamada K, Matsuda DK, Suzuki H, Sakai A, Uchida S. Endoscopic shelf acetabuloplasty for treating acetabular large bone cyst in patient with dysplasia. Arthrosc Tech. 2018;7(7):e691–e7. https://doi.org/10.1016/j.eats.2018.03.005.

    Article  PubMed  PubMed Central  Google Scholar 

  105. Yeung M, Kowalczuk M, Simunovic N, Ayeni OR. Hip arthroscopy in the setting of hip dysplasia: a systematic review. Bone Joint Res. 2016;5(6):225–31. https://doi.org/10.1302/2046-3758.56.2000533.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Banner Medical Group, Phoenix, AZ, USA

    Laura A. Vogel

  2. Southern California Hip Institute, Los Angeles, CA, USA

    Tigran Garabekyan

  3. Department of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Omer Mei-Dan

Authors
  1. Laura A. Vogel
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  2. Tigran Garabekyan
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  3. Omer Mei-Dan
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Corresponding author

Correspondence to Omer Mei-Dan .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Bedi Asheesh

  3. Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopedic Surgery, Weill Medical College of Cornell Univers, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Hospital for Special Surgery, New York, USA

    Benedict U. Nwachukwu

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Vogel, L.A., Garabekyan, T., Mei-Dan, O. (2021). Surgical Technique: Hip Arthroscopy for Hip Dysplasia. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_169-1

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