Should Acetabular Retroversion Be Treated Arthroscopically? A Systematic Review of Open Versus Arthroscopic Techniques
Authors
Litrenta J, Mu B, Ortiz-Declet V, Chen AW, Perets I, Domb BG
Journal: Arthroscopy. 2018 Mar;34(3):953–966
DOI: 10.1016/j.arthro.2017.09.013
PMID: 29373292
Background
Acetabular retroversion can be treated with either arthroscopic or open procedures, but their comparative effectiveness remains under discussion.
Methods
A systematic review using PRISMA methodology was conducted, including 15 studies—11 on arthroscopic and 4 on open techniques. Outcomes assessed included patient-reported outcomes (PROs), radiographic arthritis progression, revision rates, and complications.
Key Findings
Both arthroscopic and open surgical techniques resulted in positive patient outcomes, low complication and revision rates, and minimal arthritis progression.
Conclusions
Both treatment approaches yield clinically significant improvements with comparable safety and efficacy. Surgical method should be selected based on individual patient pathology and surgeon experience.
What Does This Mean for Patients
Patients with acetabular retroversion may benefit from either arthroscopic or open surgery, with both options offering favorable outcomes and low risk of complications.