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We intended to determine whether a concomitant hip arthroscopy with peri-acetabular rotational osteotomy could identify and treat intra-articular pathology associated with dysplasia and thereby produce a favourable outcome. We prospectively evaluated 43 consecutive hips treated by combined arthroscopy and acetabular osteotomy. Intra-operative arthroscopic examination revealed labral lesions in 38 hips. At a mean follow-up of 74 months (60 to 97) the mean Harris hip score improved from 72.4 to 94.0 (p &lt; 0.001), as did all the radiological parameters (p &lt; 0.001). Complications included penetration of the joint by the osteotome in one patient, a fracture of the posterior column in another and deep-vein thrombosis in one further patient. This combined surgical treatment gave good results in the medium term. <\/jats:p><jats:p> We suggest that arthroscopy of the hip can be performed in conjunction with peri-acetabular osteotomy to provide good results in patients with symptomatic dysplasia of the hip, and the arthroscopic treatment of intra-articular pathology may alter the progression of osteoarthritis. <\/jats:p>","DOI":"10.1302\/0301-620x.93b6.25809","type":"journal-article","created":{"date-parts":[[2011,5,17]],"date-time":"2011-05-17T23:53:26Z","timestamp":1305676406000},"page":"732-737","source":"Crossref","is-referenced-by-count":88,"title":["Peri-acetabular rotational osteotomy with concomitant hip arthroscopy for treatment of hip dysplasia"],"prefix":"10.1302","volume":"93-B","author":[{"given":"K.-I.","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, 892 Dongnam-ro, Gangdong-gu, Seoul 134-727, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.-J.","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kyung Hee University Hospital, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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