The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia
Gespeichert in:
| Titel: | The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia |
|---|---|
| Autoren: | Fischer, Maximilian, Nonnenmacher, Lars, Zimmerer, Alexander, Reichert, Johannes C., Möller, Alexander, Hofer, Andre, Matziolis, Georg, Wassilew, Georgi I. |
| Quelle: | Arch Orthop Trauma Surg |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | Male, Adult, Acetabulum, Female [MeSH], Periacetabular osteotomy, Acetabulum/surgery [MeSH], Patient-reported outcome measure, Adult [MeSH], Humans [MeSH], Prospective Studies [MeSH], Radiographic assessment, Hip Dislocation/surgery [MeSH], Patient Satisfaction [MeSH], Patient Reported Outcome Measures [MeSH], Acetabulum/diagnostic imaging [MeSH], Developmental dysplasia of the hip, Hip preservation, Male [MeSH], Osteotomy/methods [MeSH], Young Adult [MeSH], Borderline hip dysplasia, Orthopaedic Surgery, PROMs, Hip Dislocation/diagnostic imaging [MeSH], Osteotomy, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Patient Satisfaction, Humans, Hip Dislocation, Female, Patient Reported Outcome Measures, Prospective Studies |
| Beschreibung: | Introduction The treatment option for borderline hip dysplasia (BHD) includes hip arthroscopy and periacetabular osteotomy (PAO). To the present day the controversial discussion remains, which intervention to prefer. Literature reports supporting an educated choice are scare, based on small patient cohorts and do not address the variability of acetabular morphology. Consequently, we intended to report PAO outcomes, from patients diagnosed with BHD, dependent on acetabular morphology, in a large patient cohort and aimed to define risk factors for poor clinical results and patient satisfaction. Materials and methods A prospective monocentre study was conducted. Patients enrolled underwent PAO for symptomatic BHD (LCEA, 18°–25°). A total of 107 hips were included with 94 complete data sets were available for evaluation with a minimum follow-up of 1 year and a mean follow-up of 2.3 years. The mean age was 31 ± 8.2 years, and 81.3% were female. As the primary outcome measure, we utilized the modified Harris hip score (mHHS) with minimal clinically important change (MCID) of eight to define clinical failure. Results were compared after a comprehensive radiographic assessment distinguishing between lateral deficient vs. anterior/posterolateral deficient acetabular and stable vs. unstable hip joints. Results Overall, clinical success was achieved in 91.5% of patients and the mHHS improved significantly (52 vs. 84.7, p Conclusions This study demonstrates that PAO is an effective means to treat symptomatic BHD with variable acetabular morphologies, achieving a clinical success in 91.5% of all patients. To maintain a high level of safety and patient satisfaction technical accuracy appears crucial. |
| Publikationsart: | Article Other literature type |
| Sprache: | English |
| ISSN: | 1434-3916 |
| DOI: | 10.1007/s00402-024-05432-0 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/38967778 https://repository.publisso.de/resource/frl:6523502 |
| Rights: | CC BY |
| Dokumentencode: | edsair.doi.dedup.....a17b438dd704f432277dfcace0bbc5fd |
| Datenbank: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Introduction The treatment option for borderline hip dysplasia (BHD) includes hip arthroscopy and periacetabular osteotomy (PAO). To the present day the controversial discussion remains, which intervention to prefer. Literature reports supporting an educated choice are scare, based on small patient cohorts and do not address the variability of acetabular morphology. Consequently, we intended to report PAO outcomes, from patients diagnosed with BHD, dependent on acetabular morphology, in a large patient cohort and aimed to define risk factors for poor clinical results and patient satisfaction. Materials and methods A prospective monocentre study was conducted. Patients enrolled underwent PAO for symptomatic BHD (LCEA, 18°–25°). A total of 107 hips were included with 94 complete data sets were available for evaluation with a minimum follow-up of 1 year and a mean follow-up of 2.3 years. The mean age was 31 ± 8.2 years, and 81.3% were female. As the primary outcome measure, we utilized the modified Harris hip score (mHHS) with minimal clinically important change (MCID) of eight to define clinical failure. Results were compared after a comprehensive radiographic assessment distinguishing between lateral deficient vs. anterior/posterolateral deficient acetabular and stable vs. unstable hip joints. Results Overall, clinical success was achieved in 91.5% of patients and the mHHS improved significantly (52 vs. 84.7, p Conclusions This study demonstrates that PAO is an effective means to treat symptomatic BHD with variable acetabular morphologies, achieving a clinical success in 91.5% of all patients. To maintain a high level of safety and patient satisfaction technical accuracy appears crucial. |
|---|---|
| ISSN: | 14343916 |
| DOI: | 10.1007/s00402-024-05432-0 |