Combined Hip Arthroscopy and Periacetabular Osteotomy (PAO): Technical Focus on Arthroscopically Elevating the Iliocapsularis and Performing the Open PAO

Andrea M Spiker; Elizabeth H G Turner; Itai Gans; Haley I Sisel; Benjamin R Wiseley; David C Goodspeed

doi:10.1016/j.eats.2021.07.004

Combined Hip Arthroscopy and Periacetabular Osteotomy (PAO): Technical Focus on Arthroscopically Elevating the Iliocapsularis and Performing the Open PAO

Arthrosc Tech. 2021 Sep 21;10(10):e2293-e2302. doi: 10.1016/j.eats.2021.07.004. eCollection 2021 Oct.

Authors

Andrea M Spiker¹, Elizabeth H G Turner¹, Itai Gans², Haley I Sisel¹, Benjamin R Wiseley³, David C Goodspeed¹

Affiliations

¹ Department of Orthopedic Surgery, University of Wisconsin - Madison, Madison, Wisconsin.
² Premier Orthopaedics, Malvern, Pennsylvania.
³ Agnesian Healthcare, Fond du Lac Regional Clinic, Fond du Lac, Wisconsin, U.S.A.

Abstract

In this Technical Note, we discuss the combined hip arthroscopy and periacetabular osteotomy (PAO) for the treatment of symptomatic hip dysplasia, with a focus on the technique we use for the PAO. We identify modifications that can be made during the arthroscopic portion of the procedure to assist in the PAO dissection, including arthroscopic capsular closure and arthroscopic elevation of the iliocapsularis muscle off the capsule, which allows for expedited open exposure during the PAO.