Acetabular retroversion is a form of dysplasia where the acetabulum is tilted excessively in the anterior plane with a loss of posterior coverage. Excessive anterior coverage may cause impingement, and reduced acetabular coverage may increase cartilage contact pressures in the posteroinferior region, thereby causing hip osteoarthritis (OA). Treatment of retroversion is controversial: patients receive debridement of the anterior acetabular rim or posteriorly directed reorientation of the acetabulum via peri-acetabular osteotomy (PAO). Improved methods to quantify pre- and post-operative cartilage mechanics could be used to standardize treatment.

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