{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T22:00:15Z","timestamp":1776808815255,"version":"3.51.2"},"reference-count":57,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report preoperative and intraoperative variables as well as patient\u2010reported outcome measures (PROMs) of patients receiving either isolated periacetabular osteotomy (PAO) or combined hip arthroscopy with PAO (PAOHS) for the surgical management of acetabular dysplasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses was conducted to identify studies published between January 2014 and March 2025 that reported PROMs for combined arthroscopic hip surgery with PAO (PAOHS) or isolated PAO. Patient demographics, radiographic variables, surgical data, as well as postoperative PROMs and complications were recorded. Forest plots were used to identify heterogeneity using the\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 29 studies (13 PAOHS; 18 PAO) with 3,809 patients were included in the review. Rates of intra\u2010articular pathology for the PAOHS studies ranged from 68% to 100%. Level of evidence ranged from I\u2010IV. The most common PROMs used by both the PAO and PAOHS studies were the modified Harris Hip Score (53% vs 70%) and the International Hip Outcome Tool\u201012 (26% vs 40%), whereas other outcome scores were used more infrequently between the 2 groups. Postoperative PROM improvement was significant for all studies with significant heterogeneity for the modified Harris Hip Score (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0.95) and International Hip Outcome Tool\u201012 (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0.97). Five studies in the PAOHS group reported clinically relevant outcomes including the minimum clinically important difference (MCID) and patient acceptable symptomatic state (PASS), with MCID rates ranging 75.9\u201093.3% and PASS rates ranging from 56.4% to 91%. No studies in the isolated PAO group reported on the MCID or PASS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although there was sustained PROM improvement for both the PAO and PAOHS, there was significant heterogeneity and little comparability between the 2 groups of studies, limiting potential conclusions regarding the efficacy of intra\u2010articular intervention despite high levels of intra\u2010articular pathology identified in the PAOHS studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level I to IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.06.030","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T17:16:39Z","timestamp":1751562999000},"page":"4858-4873","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Significant Heterogeneity in Existing Literature Limits Both Indication and Outcome Comparability Between Studies Involving Periacetabular Osteotomy for Acetabular Dysplasia With or Without Arthroscopy Despite Improvement for Both: A Systematic Review"],"prefix":"10.1002","volume":"41","author":[{"given":"Benjamin D.","family":"Kuhns","sequence":"first","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Becker","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dharma","family":"Patel","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paras P.","family":"Shah","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin G.","family":"Domb","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation Chicago Illinois U.S.A."},{"name":"American Hip Institute Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00109"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967121989087"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520949179"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00532"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198807000-00006"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-5169-5"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00810"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.09.002"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3140-2"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00535"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231160559"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2024.05.035"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.06.005"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.2307\/2530706"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnae028"},{"key":"e_1_2_2_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001599"},{"key":"e_1_2_2_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231156189"},{"key":"e_1_2_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.03.008"},{"key":"e_1_2_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.02.017"},{"key":"e_1_2_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.05.029"},{"key":"e_1_2_2_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221117606"},{"key":"e_1_2_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.02.017"},{"key":"e_1_2_2_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.06.034"},{"key":"e_1_2_2_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hny022"},{"key":"e_1_2_2_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.11.064"},{"key":"e_1_2_2_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.08.044"},{"key":"e_1_2_2_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-024-06094-8"},{"key":"e_1_2_2_30_1","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.412.BJO-2023-0081.R1"},{"key":"e_1_2_2_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-022-05545-4"},{"key":"e_1_2_2_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnaa014"},{"key":"e_1_2_2_33_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.01387"},{"key":"e_1_2_2_34_1","first-page":"8303","article-title":"Acetabular dysplasia: A comparison of periacetabular osteotomy results of patients older and younger than 35 years","volume":"26","author":"Yilmaz M.","year":"2022","journal-title":"Eur Rev M\u00e9d Pharmacol Sci"},{"key":"e_1_2_2_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-04090-w"},{"key":"e_1_2_2_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-023-05160-x"},{"key":"e_1_2_2_37_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.106B5.BJJ-2023-0829.R1"},{"key":"e_1_2_2_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-023-05795-w"},{"key":"e_1_2_2_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-022-01666-0"},{"key":"e_1_2_2_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02858-9"},{"key":"e_1_2_2_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13119"},{"key":"e_1_2_2_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnz009"},{"key":"e_1_2_2_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4386-7"},{"key":"e_1_2_2_44_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0439.R1"},{"key":"e_1_2_2_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.02.032"},{"key":"e_1_2_2_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-022-04249-2"},{"key":"e_1_2_2_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0842-6"},{"key":"e_1_2_2_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_2_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2343-2"},{"key":"e_1_2_2_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2022.103283"},{"key":"e_1_2_2_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2024.100929"},{"key":"e_1_2_2_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnae016"},{"key":"e_1_2_2_53_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnad043"},{"key":"e_1_2_2_54_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnx048"},{"key":"e_1_2_2_55_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.00798"},{"key":"e_1_2_2_56_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00337"},{"key":"e_1_2_2_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516632743"},{"key":"e_1_2_2_58_1","first-page":"139","article-title":"Predictive factors for intraoperative determination for the need of femoral osteochondroplasty after periacetabular osteotomy for acetabular dysplasia","volume":"44","author":"Booth M.W.","year":"2024","journal-title":"Iowa Orthop J"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325004815?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325004815?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.06.030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.06.030","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.06.030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:18:02Z","timestamp":1773566282000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.06.030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":57,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1016\/j.arthro.2025.06.030"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.06.030","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Significant Heterogeneity in Existing Literature Limits Both Indication and Outcome Comparability Between Studies Involving Periacetabular Osteotomy for Acetabular Dysplasia With or Without Arthroscopy Despite Improvement for Both: A Systematic Review","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.06.030","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}