Periacetabular Osteotomy With and Without Arthroscopic Treatment of Hip Joint Abnormalities: A Multicenter Randomized Controlled Trial

What this Trial Is About

Researchers are studying hip dysplasia, a condition where the hip socket develops abnormally causing joint stress and early arthritis. This trial aims to find out if adding a hip arthroscopy procedure to a periacetabular osteotomy (PAO) surgery improves patient outcomes compared to PAO alone. Patients with symptomatic acetabular dysplasia will be randomly assigned to receive either treatment and followed for two years to assess differences in symptoms and recovery. The study compares two groups: one receiving only the PAO surgery, which repositions the hip socket to reduce joint stress, and another receiving PAO combined with hip arthroscopy, a minimally invasive procedure to address additional joint abnormalities like labral tears. Both treatments are surgical, and the decision to operate is made by the patient and surgeon. The study will evaluate the added benefit of performing hip arthroscopy alongside PAO. Participants will undergo assessments before surgery and at 6, 12, and 24 months after surgery, including questionnaires measuring hip function and quality of life. Researchers will also track operative time, hospital stay length, adverse events, and cost-effectiveness. Follow-up visits will monitor recovery over two years, focusing on patient-reported outcomes and safety.

Periacetabular Osteotomy With and Without Arthroscopic Management of Central Compartment Pathology