Arthroscopy Confers Favorable Clinical Outcomes in Asian Patients with Borderline Developmental Dysplasia of the Hip

Abstract

Objective Hip arthroscopy has recently appeared as a successful therapy in treating borderline developmental dysplasia of the hip (BDDH). This study aimed to describe the minimal 2‐year follow‐up after hip arthroscopy for patients with BDDH in the Asian population and use the combination of lateral center edge angle (LCEA) and alpha angles to detect the appearance of impingement in the BDDH population. Methods This retrospective investigation was conducted utilizing information from arthroscopically treated BDDH patients in 2018 and 2019. The following patient‐reported outcomes were reported: modified Harris Hip Score, Hip Outcome Score‐Activities of Daily Living, International Hip Outcome Tool 12‐component form, and Visual Analog Scale. We also considered the clinical data regarding radiological measurements, intraoperative findings, interventions, complications, and subsequent surgical revisions, in the analysis of combination angles in detecting the occurrence of impingement. Patients with asymptomatic contralateral hips from traumatic hip injury (pelvic fracture) served as the control group. A 2:1 propensity score matching was based on age, sex, and BMI. A receiver operating characteristic curve (ROC) was used to identify the thresholds of combination angles and their accuracies. Results A total of 77 hips met the inclusion and exclusion requirements. After the follow‐up period, most patients showed a considerable improvement in patient‐reported outcomes compared to their preoperative values (P 80.5° could be a reliable predictive factor of impingement in BDDH populations.

Keywords

• Developmental Dysplasia of the Hip
• Femoroacetabular Impingement Syndrome
• Hip Arthroscopy
• Patient‐Reported Outcomes