V-shaped capsular plication for treating cam-type femoroacetabular impingement with hip instability in borderline dysplastic hips: a retrospective cohort study - Summary - MDSpire
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V-shaped capsular plication for treating cam-type femoroacetabular impingement with hip instability in borderline dysplastic hips: a retrospective cohort study
To evaluate the clinical outcomes of arthroscopic T-capsulotomy combined with V-shaped capsular plication for managing cam-type femoroacetabular impingement (FAI) in patients with borderline developmental dysplasia of the hip (BDDH) and associated instability risk factors.
Key Findings:
All patients completed follow-up with a minimum duration of 12 months (mean 18.2 months).
No major complications occurred.
Significant improvements were observed in all outcome measures at final follow-up: mHHS improved from 57.33 to 86.07 (P < 0.01); VAS decreased from 5.73 to 1.07 (P < 0.001); HOS-ADL improved from 50.09 to 89.31; HOS-SSS improved from 41.66 to 85.92 (both P < 0.01).
Interpretation:
The arthroscopic technique appears to be a promising approach for addressing cam-type FAI in BDDH patients with instability risk factors, demonstrating short-term clinical outcomes that may influence future treatment protocols.
Limitations:
Small sample size of 15 patients.
Short follow-up duration (mean 18.2 months).
Retrospective design may introduce bias affecting generalizability.
Conclusion:
Further studies with larger cohorts and longer follow-up are warranted.
