دورية أكاديمية
أعرض في EDS

The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia.

التفاصيل البيبلوغرافية
العنوان: The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia.
المؤلفون: Fischer M; Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany. maximilian.fischer@med.uni-greifswald.de., Nonnenmacher L; Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany., Zimmerer A; Diakonieklinikum Stuttgart, Department of Orthopaedic and Trauma Surgery, Orthopädische Klinik Paulinenhilfe, Stuttgart, Germany., Reichert JC; Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany., Möller A; Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany., Hofer A; Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany., Matziolis G; Orthopaedic Department, Jena University Hospital, Campus Eisenberg, Eisenberg, Germany., Wassilew GI; Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany.
المصدر: Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2024 Jul; Vol. 144 (7), pp. 3073-3081. Date of Electronic Publication: 2024 Jul 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 9011043 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-3916 (Electronic) Linking ISSN: 09368051 NLM ISO Abbreviation: Arch Orthop Trauma Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin : Springer International, c1989-
مواضيع طبية MeSH: Osteotomy*/methods , Acetabulum*/surgery , Acetabulum*/diagnostic imaging , Patient Reported Outcome Measures*, Humans ; Female ; Male ; Adult ; Prospective Studies ; Hip Dislocation/surgery ; Hip Dislocation/diagnostic imaging ; Young Adult ; Patient Satisfaction
مستخلص: 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 < 0.001). Eight hips failed to achieve the MCID and four had radiographic signs of overcorrection. Comparing variable joint morphologies, the rate of clinical success was higher in patients with an anterior/posterolateral deficient acetabular covarage compared to lateral deficient acetabular (95.2% vs. 90.4%). tThe highest rate of clinical failure was recorded in unstable hip joints (85.7% vs. 92.5% in stable hips).
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.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Borderline hip dysplasia; Developmental dysplasia of the hip; Hip preservation; PROMs; Patient-reported outcome measure; Periacetabular osteotomy; Radiographic assessment
تواريخ الأحداث: Date Created: 20240705 Date Completed: 20240812 Latest Revision: 20240815
رمز التحديث: 20240815
مُعرف محوري في PubMed: PMC11319516
DOI: 10.1007/s00402-024-05432-0
PMID: 38967778
قاعدة البيانات: MEDLINE
الوصف
تدمد:1434-3916
DOI:10.1007/s00402-024-05432-0