2023 Specialty Day All-Access Pass-Decision-Making in Borderline Dysplasia: What Is the Evidence?

Decision-Making in Borderline Dysplasia: What Is the Evidence?

Video Transcription

Video Summary

In this video, the speaker discusses borderline hip dysplasia and the need for better definitions and outcomes for surgical treatments. They propose using instability versus stable hips as a classification instead of borderline dysplasia. The speaker also explains various measurements taken on x-rays to assess dysplasia, including the lateral center edge angle and acetabular inclination. They mention the importance of understanding ligamentous instability and calculating the Baden score. Arthroscopic treatment for borderline dysplasia is discussed, with capsular plication being the most consistent factor in improving outcomes. However, the speaker raises questions about the actual success rate of these surgeries and highlights the possibility of failure, reoperation, and the need for combined approaches involving both arthroscopic and open procedures. Further study is necessary for better understanding and treatment of these patients.

Asset Caption

Michael J. Salata, M.D.

Keywords

borderline hip dysplasia

surgical treatments

instability versus stable hips

x-ray measurements

arthroscopic treatment