{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T19:49:21Z","timestamp":1792525761257,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess patient\u2010reported outcomes (PROs), clinically significant outcomes (CSOs), and survivorship after staged hip arthroscopy with labral repair, femoroplasty, and capsular plication followed by periacetabular osteotomy (PAO) for the management of femoroacetabular impingement syndrome and hip dysplasia (lateral center\u2010edge angle \u226425\u00b0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospectively maintained database was queried to retrospectively identify patients who underwent staged primary hip arthroscopy and PAO between January 2018 and October 2021 and had a minimum 2\u2010year follow\u2010up. PROs collected included Hip Outcome Score Activities of Daily Living\/Sports Subscale, international Hip Outcome Tool\u201012 item questionnaire, and visual analog scale for pain. CSO achievement for minimal clinical important difference and patient acceptable symptom state was determined through cohort\u2010specific thresholds. Rates of reoperation, including, revision hip arthroscopy, and conversion to total hip arthroplasty were evaluated to determine short\u2010term survivorship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010nine hips met criteria for inclusion, of which 35 hips had minimum 2\u2010year follow\u2010up (89.7% compliance). Mean age was 25 \u00b1 9.1 years, and 91.7% of patients were female. Respective pre\u2010 and postoperative radiographic outcomes were alpha angle 59.8\u00b0 \u00b1 5.9\u00b0 to 39.7\u00b0 \u00b1 2.6\u00b0, T\u00f6nnis angle 14.6\u00b0 \u00b1 5.6\u00b0 to \u20131.0\u00b0 \u00b1 2.9\u00b0, lateral center\u2010edge angle 16.6\u00b0 \u00b1 5.5\u00b0 to 36.6\u00b0 \u00b1 4.6\u00b0, and anterior center\u2010edge angle 15.6\u00b0 \u00b1 9.1\u00b0 to 36.1\u00b0 \u00b1 3.8\u00b0, with statistically significant differences pre\u2010 to postoperatively for all (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Patients demonstrated a significant improvement in all PROs pre\u2010 to postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      0. \u2264 .004). Minimal clinical important difference and patient acceptable symptom state achievement rates for any PRO were 93.9% and 78.8%, respectively. There were no revision hip surgeries or conversion to total hip arthroplasty at a mean 2.7 \u00b1 1.0\u2010year follow\u2010up. Four patients (11.1%) underwent hardware removal. One patient (2.8%) experienced a postoperative infection treated with incision and drainage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Staged hip arthroscopy and PAO for the management of hip dysplasia demonstrated improvement in PROs, high CSO achievement rates, and 100% survivorship at minimum 2\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.05.029","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T13:13:45Z","timestamp":1718198025000},"page":"981-989","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Staged Hip Arthroscopy With Labral Repair, Femoroplasty, and Capsular Plication Followed by Periacetabular Osteotomy for Hip Dysplasia Results in Improved Outcomes and 100% Survivorship at Minimum 2\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"41","author":[{"given":"Ron","family":"Gilat","sequence":"first","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omair","family":"Kazi","sequence":"additional","affiliation":[{"name":"Section of 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