EP1.12 Predictors of Failure Following Hip Arthroscopy in Borderline Hip Dysplasia

Clicks: 8
ID: 331004
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Popular

Ranked #362 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background There is no consensus regarding the optimal surgical management of borderline hip dysplasia (BHD), with treatment options including hip arthroscopy (HA), periacetabular osteotomy (PAO), or combined procedures. Although HA is less invasive and associated with faster recovery, failure rates remain considerable. This study aimed to identify patient-specific and radiographic predictors of failure following HA in BHD to guide surgical decision-making. Methods A retrospective review was performed of patients undergoing HA for BHD at a single academic institution. Patients were stratified into two groups: (1) HA failure, defined as persistent or recurrent symptoms requiring revision surgery, and (2) successful HA with a minimum 2-year follow-up. Collected variables included demographics (sex, age, BMI), Beighton hypermobility score, smoking status, activity level (Tegner scale), and preoperative hip range of motion measured in supine and prone positions. Radiographic parameters included Tönnis grade, lateral center-edge angle, Tönnis angle, femoral neck–shaft angle, neck–acetabular distance, Shenton line integrity, posterior wall sign, ischial spine sign, femoral version, and acetabular torsion (measured by CT using the Murphy method). Statistical significance was set at p < 0.05. Results A total of 69 patients (76 hips) were included: 32 patients (33 hips) in the failure group and 37 patients (43 hips) in the successful group. Mean age was 30.3 years. The failure group demonstrated a significantly higher proportion of female patients (87.9% vs. 60.5%, p = 0.01) and higher Beighton scores (3.4 vs. 1.4, p < 0.01). Additionally, the failure group demonstrated greater preoperative hip flexion (109.8° vs. 104.2°, p = 0.02), external rotation (51.6° vs. 47.3°, p = 0.01), and abduction (43.1° vs. 36.8°, p < 0.001) in the supine position. No significant differences were observed in radiographic parameters or intraoperative variables. Conclusion Female sex, increased generalized ligamentous laxity, and greater preoperative hip range of motion in the supine position are associated with higher risk of failure following HA in BHD. These findings highlight the importance of careful patient selection and suggest that instability-related factors should be considered when choosing surgical treatment. Further studies with larger cohorts are warranted to promote surgical decision making in this group of patients.
Reference Key
openalex_W7220380703 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Erel Ben-Ari, Christopher Orear, Kyle Jamar, Sindhu Veeranki, Jack Strotbek, Jessica Lee, Omer Mei-Dan
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.196
URL
https://doi.org/10.1093/jhps/hnag043.196
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.