{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:14:34Z","timestamp":1777677274306,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T00:00:00Z","timestamp":1484179200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>to report our initial experience with adjunctive hip arthroscopy and periacetabular osteotomy (PAO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective review of patients who underwent PAO and ipsilateral hip arthroscopy between 2003 and 2013. Indications for arthroscopy were mechanical symptoms and\/or positive magnetic resonance imaging to suggest intra-articular pathology including chondrolabral lesions, ligamentum teres tears and hypertrophy, and synovitis. Preoperative T\u00f6nnis arthritis grades, age, sex, operative findings and treatment, complications, and, if available, hip survival were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 78 patients (95 hips) included, 64 (82%) were female and 14 (18%) male, average age was 30.6 (14-63) years. T\u00f6nnis grades were 0 in 40 hips (42%), 1 in 45 hips (47%), and 2 in 10 hips (11%). No T\u00f6nnis 3 hips were included. 84% of hips demonstrated labral pathology. 92% had chondromalacia, which was severe enough in 4 patients to warrant cancellation of PAO; all 4 have subsequently required total hip replacement at short-term follow-up. Labral debridement was performed in 73 hips and refixation in 7. 5 postoperative complications occurred \u2013 none major, including 1 fluid extravasation, 1 case of heterotopic ossification, and 3 transient neuropraxias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Intraarticular pathology is highly prevalent in patients undergoing PAO with mechanical symptoms, and can be safely managed by adjunctive arthroscopy. Complications were minimal in our series and are comparable to reports of PAO without arthroscopy. Arthroscopy can treat pathology that is inaccessible during standalone PAO and permits avoidance of routine arthrotomy, surgical dislocation, rectus release, and futile PAO in cases with severe articular damage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/hipint.5000564","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T05:20:00Z","timestamp":1512105600000},"page":"278-283","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Operative findings and complications associated with adjunctive hip arthroscopy in 95 hips undergoing periacetabular osteotomy"],"prefix":"10.1177","volume":"28","author":[{"given":"Gregory Maxwell","family":"Gosey","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery, San Diego Hip Preservation Center, San Diego, California - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P","family":"Muldoon","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, San Diego Hip Preservation Center, San Diego, California - USA"},{"name":"Orthopaedic Surgery, Sharp Memorial Hospital, San Diego, California - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert M","family":"Healey","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, San Diego Hip Preservation Center, San Diego, California - USA"},{"name":"Orthopaedic Surgery, Sharp Memorial Hospital, San Diego, California - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard F","family":"Santore","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, San Diego Hip Preservation Center, San Diego, California - USA"},{"name":"Orthopaedic Surgery, Sharp Memorial Hospital, San Diego, California - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,12]]},"reference":[{"key":"bibr1-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198807000-00006"},{"key":"bibr2-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00994"},{"key":"bibr3-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00143"},{"key":"bibr4-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199906000-00003"},{"key":"bibr5-hipint.5000564","first-page":"239","volume":"50","author":"Siebenrock KA","year":"2001","journal-title":"Instr Course Lect"},{"key":"bibr6-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0242-3"},{"key":"bibr7-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B3.1670443"},{"key":"bibr8-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-2799-8"},{"key":"bibr9-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2602-2"},{"key":"bibr10-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnv037"},{"key":"bibr11-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.09.002"},{"key":"bibr12-hipint.5000564","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199906000-00005"},{"key":"bibr13-hipint.5000564","volume-title":"Safety of combined hip arthroscopy and periacetabular osteotomy compared to periacetabular osteotomy alone. 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