September 21, 2026 · The American journal of sports medicine · DOI: 10.1177/03635465261476760

Periacetabular Osteotomy and Combined Open Femoral Head-Neck Junction Osteochondroplasty: A Concise Follow-up of a Previous Report at a Mean 10-Year Follow-up

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The authors aimed to compare the long-term outcomes, reoperation rates, and survivorship of periacetabular osteotomy (PAO) with and without concurrent open femoral head-neck junction osteochondroplasty (OCP) in patients with hip dysplasia. Their findings indicate that while both procedures resulted in similar clinical improvements after a mean follow-up of 10 years, the PAO-only group experienced significantly higher reoperation rates due to residual impingement, suggesting that adding OCP may reduce the need for secondary interventions without compromising overall outcomes. Further research is recommended to explore the long-term effects of residual impingement on joint health following PAO.

Vivek P Shah, Kyle P O'Connor, Michael Harris, Jeffrey J Nepple, Cecilia Pascual-Garrido, John C Clohisy

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