Arthroscopy - 2026-09-09 - Journal Article
High Rate of Return to Sport in Competitive Athletes Undergoing Periacetabular Osteotomy With Concomitant Hip Arthroscopy.
Mansour A, Lemaster N, Jelmini J, Sheedy P, Adekunle A, Aboulafia A
Topics
Key Takeaway
Competitive athletes undergoing combined hip arthroscopy and periacetabular osteotomy for dysplasia achieved a 93.2% return-to-sport rate, with 86.4% returning to the same or higher level of competition at mean 47.8 months follow-up.
Summary Depth
Choose how much analysis to show on this article page.
Summary
This single-surgeon retrospective series examined return-to-sport outcomes in competitive athletes with hip dysplasia treated with combined HA + PAO between 2016 and 2023. Of 44 included patients, 41 (93.2%) returned to sport; 80.5% returned to their preoperative level and 12.2% returned to a higher level. Three patients (6.8%) did not return to sport, and three required reoperation.
Key Limitation
Single-surgeon, single-institution series of 44 patients without a control group or standardized functional outcome scores limits generalizability and prevents determination of which component of the combined procedure drives the return-to-sport benefit.
Original Abstract
PURPOSE
To report the return-to-sport rate of competitive athletes with hip dysplasia, in relation to their preoperative level of competition, who underwent hip arthroscopy with concomitant periacetabular osteotomy (HA + PAO).
METHODS
Patients participating in competitive sports who underwent HA + PAO for the correction of hip dysplasia between January 2016 and December 2023 by a single orthopaedic surgeon were retrospectively reviewed. Patients who underwent periacetabular osteotomy-alone or were classified as participating in recreational sports were excluded. Patients without documentation of attempted RTS or interest in RTS were also excluded. Pre- and postoperative level and type of sport were assessed. Sport level was categorized as high school, competitive club (regional, national, or international competition), college, and/or professional level. The level of RTS was classified as lower, same, or higher than preoperative status. A minimum 2-year follow-up was attempted for all patients.
RESULTS
Forty-eight patients (56 hips) were identified. Four patients were lost to follow-up. Forty-four patients (37 women, 7 men) and 52 hips were included in the analysis. Eight patients underwent bilateral HA + PAO. Athletes from high school (n = 16), high school and competitive club (n = 6), competitive club (n = 12), college (n = 9), and professional (n = 1) levels were included. Of the 44, 41 returned (93.18%) to sport and 3 did not (6.82%). Of the 41 athletes who returned to sport, 33 (80.49%) returned to their preoperative level, 5 (12.19%) returned to a higher level of competition, and 3 (7.32%) returned to a lower level of competition. Data on subsequent surgeries after HA + PAO were available for 88.63% (39/44) of patients, with a minimum 2-year follow-up and a mean follow-up duration of 47.78 months (range = 24-120 months). Three patients sustained complications that required a return to the operating room.
CONCLUSIONS
This study reported an overall RTS rate of 93.1% in competitive athletes who underwent an HA + PAO, with an 86.36% (38/44) rate of return to the same or higher level of competition.
LEVEL OF EVIDENCE
Level IV, retrospective case series.