Hallazgos artroscópicos de la cadera en pacientes con indicación de osteotomía periacetabular

Abstract

BackgroundDysplasia of the hip in development (DHD) produces anatomical changes that cause premature arthrosis. Within the surgical procedures indicated, Ganz periacetabular osteotomy has been described. It is designed to improve the architecture of the hip that, by itself, does not improve the damage to the articular cartilage, as well as possible lessions of the labrum. The objective was to describe the arthroscopic findings found in hips with dysplasia and indication of Ganz periacetabular osteotomy. MethodCase series type observational retrospective study based on the review of surgical descriptions and videos of all cases with diagnosis of hip dysplasia and indication of Ganz periacetabular osteotomy where arthroscopy of the hip was performed prior to the osteotomy. ResultsHip arthroscopy showed intra-articular compromise of 76.9% of the cases studied (10 of 13). Six cases had compromise of the articular cartilage in the 2, 3 and 4 geographic zones. In addition, compromise of the chondrolabral joint was observed in 6 cases and damage at the labrum level was detected in 5 cases. In regard to the femoral head-neck offset, it was found to be reduced in 5 cases. In one of the cases periacetabular osteotomy was contraindicated due to the level of compromise of the articular cartilage. ConclusionsDHD is a clinical condition that is very frequently predisposed to damage of the articular structures; they can be treated with arthroscopy with the aim of avoiding persistence of sypmtoms after a periacetabluar osteotomy or even contraindicating it.Level of Evidence: IV.