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Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips

BACKGROUND AND PURPOSE: Previous studies on hip survival following periacetabular osteotomy (PAO) have reported isolated data for the treatment of 1 underlying condition, making comparison between patient groups difficult. We report the hip survival after PAO in patients with acetabular dysplasia (A...

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Autores principales: ROSENDAHL KRISTIANSEN, Anne, HOLSGAARD-LARSEN, Anders, BØGEHØJ, Morten, OVERGAARD, Søren, LINDBERG-LARSEN, Martin, OVESEN, Ole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden, on behalf of the Nordic Orthopedic Federation 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176202/
https://www.ncbi.nlm.nih.gov/pubmed/37170805
http://dx.doi.org/10.2340/17453674.2023.12403
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author ROSENDAHL KRISTIANSEN, Anne
HOLSGAARD-LARSEN, Anders
BØGEHØJ, Morten
OVERGAARD, Søren
LINDBERG-LARSEN, Martin
OVESEN, Ole
author_facet ROSENDAHL KRISTIANSEN, Anne
HOLSGAARD-LARSEN, Anders
BØGEHØJ, Morten
OVERGAARD, Søren
LINDBERG-LARSEN, Martin
OVESEN, Ole
author_sort ROSENDAHL KRISTIANSEN, Anne
collection PubMed
description BACKGROUND AND PURPOSE: Previous studies on hip survival following periacetabular osteotomy (PAO) have reported isolated data for the treatment of 1 underlying condition, making comparison between patient groups difficult. We report the hip survival after PAO in patients with acetabular dysplasia (AD), acetabular retroversion (AR), congenital dislocation of the hip (CDH), and Legg-Calvé-Perthes disease (LCPD) with total hip arthroplasty (THA) as primary endpoint and secondarily the risk of subsequent hip-related operations other than THA. PATIENTS AND METHODS: From 1997 to December 2021, 1,501 hips (1,203 patients) underwent PAO in a single center (Odense University Hospital). We identified conversions to THA and other subsequent hip-related operations through patient files and the Danish National Patient Registry (DNPR). RESULTS: 123 (8.2%) of the total cohort of 1,501 hips were converted to THA within the study period. The overall Kaplan–Meier hip survival rate was 71% (95% confidence interval [CI] 61–79) at 24 years with a mean follow-up of 7.6 years (range 0.02–25). The individual Kaplan–Meier hip survival rates at 15 years were 81% (CI 76–86) for AD, 94% (CI 91–96) for AR, 84% (CI 66–93) for CDH, and 66% (CI 49–79) for LCPD. In total, the overall risk of additional hip-related operations was 48% (of which 92% were screw removal). CONCLUSION: Encouragingly, 71% of hips were preserved 24 years after PAO. We found that AR patients had the highest (94%) PAO survivorship at 15 years compared with the other underlying hip conditions. Almost half of PAO patients may undergo later additional surgery, of which screw removal is the primary intervention. Overall long-term survival, risk factors for conversion to THA, and risk of additional surgery are relevant information for shared decision-making.
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spelling pubmed-101762022023-05-13 Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips ROSENDAHL KRISTIANSEN, Anne HOLSGAARD-LARSEN, Anders BØGEHØJ, Morten OVERGAARD, Søren LINDBERG-LARSEN, Martin OVESEN, Ole Acta Orthop Article BACKGROUND AND PURPOSE: Previous studies on hip survival following periacetabular osteotomy (PAO) have reported isolated data for the treatment of 1 underlying condition, making comparison between patient groups difficult. We report the hip survival after PAO in patients with acetabular dysplasia (AD), acetabular retroversion (AR), congenital dislocation of the hip (CDH), and Legg-Calvé-Perthes disease (LCPD) with total hip arthroplasty (THA) as primary endpoint and secondarily the risk of subsequent hip-related operations other than THA. PATIENTS AND METHODS: From 1997 to December 2021, 1,501 hips (1,203 patients) underwent PAO in a single center (Odense University Hospital). We identified conversions to THA and other subsequent hip-related operations through patient files and the Danish National Patient Registry (DNPR). RESULTS: 123 (8.2%) of the total cohort of 1,501 hips were converted to THA within the study period. The overall Kaplan–Meier hip survival rate was 71% (95% confidence interval [CI] 61–79) at 24 years with a mean follow-up of 7.6 years (range 0.02–25). The individual Kaplan–Meier hip survival rates at 15 years were 81% (CI 76–86) for AD, 94% (CI 91–96) for AR, 84% (CI 66–93) for CDH, and 66% (CI 49–79) for LCPD. In total, the overall risk of additional hip-related operations was 48% (of which 92% were screw removal). CONCLUSION: Encouragingly, 71% of hips were preserved 24 years after PAO. We found that AR patients had the highest (94%) PAO survivorship at 15 years compared with the other underlying hip conditions. Almost half of PAO patients may undergo later additional surgery, of which screw removal is the primary intervention. Overall long-term survival, risk factors for conversion to THA, and risk of additional surgery are relevant information for shared decision-making. Medical Journals Sweden, on behalf of the Nordic Orthopedic Federation 2023-05-10 /pmc/articles/PMC10176202/ /pubmed/37170805 http://dx.doi.org/10.2340/17453674.2023.12403 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
spellingShingle Article
ROSENDAHL KRISTIANSEN, Anne
HOLSGAARD-LARSEN, Anders
BØGEHØJ, Morten
OVERGAARD, Søren
LINDBERG-LARSEN, Martin
OVESEN, Ole
Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips
title Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips
title_full Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips
title_fullStr Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips
title_full_unstemmed Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips
title_short Hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or Legg-Calvé-Perthes disease: a cohort study on 1,501 hips
title_sort hip survival after periacetabular osteotomy in patients with acetabular dysplasia, acetabular retroversion, congenital dislocation of the hip, or legg-calvé-perthes disease: a cohort study on 1,501 hips
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176202/
https://www.ncbi.nlm.nih.gov/pubmed/37170805
http://dx.doi.org/10.2340/17453674.2023.12403
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