Table 2.

Advantages, Risks, and Limitations

Advantages

Combining hip arthroscopy with PAO allows all intra-articular pathology to be addressed in the same surgical setting as acetabular reorientation.

The authors’ preferred technique of performing arthroscopic cam decompression, capsule closure, and dissection of the iliocapsularis off the capsule allows for time saved during the open PAO portion of the procedure.

Risks

Arthroscopic surgery can result in extra fluid extravasation and additional time of the procedure.

The patient must be transferred from the traction table to a radiolucent table, unless a single table technique is used.

Limitations:

The ability to perform the combined hip arthroscopy and open PAO requires a team of surgeons or a surgeon who can perform both the hip arthroscopy and open PAO.

PAO, periacetabular osteotomy.