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Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study

The aim of this study was to evaluate the results of surgical treatment of developmental dysplasia of the hip (DDH) with periacetabular osteotomy (PAO) and determine the values of radiological parameters that would allow us to obtain an optimal clinical result. Radiological evaluation included deter...

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Autores principales: Kołodziejczyk, Kamil, Czwojdziński, Adam, Czubak-Wrzosek, Maria, Czubak, Jarosław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10003375/
https://www.ncbi.nlm.nih.gov/pubmed/36902624
http://dx.doi.org/10.3390/jcm12051837
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author Kołodziejczyk, Kamil
Czwojdziński, Adam
Czubak-Wrzosek, Maria
Czubak, Jarosław
author_facet Kołodziejczyk, Kamil
Czwojdziński, Adam
Czubak-Wrzosek, Maria
Czubak, Jarosław
author_sort Kołodziejczyk, Kamil
collection PubMed
description The aim of this study was to evaluate the results of surgical treatment of developmental dysplasia of the hip (DDH) with periacetabular osteotomy (PAO) and determine the values of radiological parameters that would allow us to obtain an optimal clinical result. Radiological evaluation included determining the center-edge angle (CEA), medialization, distalization, femoral head coverage (FHC), and ilioischial angle as measured on a standardized AP radiograph of the hip joints. Clinical evaluation was based on the HHS, WOMAC, Merle d’Aubigne–Postel scales and Hip Lag Sign. The results of PAO presented decreased medialization (mean 3.4 mm), distalization (mean 3.5 mm), and ilioischial angle (mean 2.7°); improvement in femoral head bone cover; an increased CEA (mean 16.3°) and FHC (mean 15.2%); clinically increased HHS (mean 22 points) and M. Postel–d’Aubigne (mean 3.5 points) scores; and a decrease in WOMAC (mean 24%). HLS improved in 67% of patients after surgery. Qualification of patients with DDH for PAO should be based on the following values of three parameters: CEA < 26°, FHC < 75%, and ilioischial angle >85.9°. To achieve better clinical results, it is necessary to increase the average CEA value by 11° and the average FHC by 11% and reduce the average ilioischial angle by 3°.
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spelling pubmed-100033752023-03-11 Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study Kołodziejczyk, Kamil Czwojdziński, Adam Czubak-Wrzosek, Maria Czubak, Jarosław J Clin Med Article The aim of this study was to evaluate the results of surgical treatment of developmental dysplasia of the hip (DDH) with periacetabular osteotomy (PAO) and determine the values of radiological parameters that would allow us to obtain an optimal clinical result. Radiological evaluation included determining the center-edge angle (CEA), medialization, distalization, femoral head coverage (FHC), and ilioischial angle as measured on a standardized AP radiograph of the hip joints. Clinical evaluation was based on the HHS, WOMAC, Merle d’Aubigne–Postel scales and Hip Lag Sign. The results of PAO presented decreased medialization (mean 3.4 mm), distalization (mean 3.5 mm), and ilioischial angle (mean 2.7°); improvement in femoral head bone cover; an increased CEA (mean 16.3°) and FHC (mean 15.2%); clinically increased HHS (mean 22 points) and M. Postel–d’Aubigne (mean 3.5 points) scores; and a decrease in WOMAC (mean 24%). HLS improved in 67% of patients after surgery. Qualification of patients with DDH for PAO should be based on the following values of three parameters: CEA < 26°, FHC < 75%, and ilioischial angle >85.9°. To achieve better clinical results, it is necessary to increase the average CEA value by 11° and the average FHC by 11% and reduce the average ilioischial angle by 3°. MDPI 2023-02-24 /pmc/articles/PMC10003375/ /pubmed/36902624 http://dx.doi.org/10.3390/jcm12051837 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kołodziejczyk, Kamil
Czwojdziński, Adam
Czubak-Wrzosek, Maria
Czubak, Jarosław
Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
title Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
title_full Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
title_fullStr Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
title_full_unstemmed Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
title_short Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
title_sort radiologic predictors for clinical improvement in pao—a perspective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10003375/
https://www.ncbi.nlm.nih.gov/pubmed/36902624
http://dx.doi.org/10.3390/jcm12051837
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