Indications for Periacetabular Osteotomy Versus Hip Arthroscopy Alone for Borderline Hip Dysplasia R...

The management of borderline hip dysplasia (BHD) remains a topic of particular interest in the hip preservation world. While periacetabular osteotomy remains the gold standard for frank dysplasia, management of mild or borderline dysplasia is more nuanced, and in many cases, isolated hip arthroscopy with capsular plication can yield favorable and durable outcomes, avoiding morbidity associated with osteotomy. However, the benefit of avoiding the morbidity of a periacetabular osteotomy should be carefully weighed against the risk of undertreating this complex pathology.