Cargando…

Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes

Periacetabular osteotomy (PAO) is effective in the management of developmental dysplasia of the hip and femoroacetabular impingement secondary to acetabular retroversion. During anteverting PAO for acetabular retroversion, the need for both labral treatment and femoral head–neck junction osteochondr...

Descripción completa

Detalles Bibliográficos
Autores principales: Panos, Joseph A, Gutierrez, Claudia N, Wyles, Cody C, Bingham, Joshua S, Mara, Kristin C, Trousdale, Robert T, Sierra, Rafael J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8527802/
https://www.ncbi.nlm.nih.gov/pubmed/34676101
http://dx.doi.org/10.1093/jhps/hnab040
_version_ 1784586143071731712
author Panos, Joseph A
Gutierrez, Claudia N
Wyles, Cody C
Bingham, Joshua S
Mara, Kristin C
Trousdale, Robert T
Sierra, Rafael J
author_facet Panos, Joseph A
Gutierrez, Claudia N
Wyles, Cody C
Bingham, Joshua S
Mara, Kristin C
Trousdale, Robert T
Sierra, Rafael J
author_sort Panos, Joseph A
collection PubMed
description Periacetabular osteotomy (PAO) is effective in the management of developmental dysplasia of the hip and femoroacetabular impingement secondary to acetabular retroversion. During anteverting PAO for acetabular retroversion, the need for both labral treatment and femoral head–neck junction osteochondroplasty remains equivocal. Accordingly, this study evaluated patient-reported outcome measures (PROM) and reoperation rates after anteverting PAO with or without intraarticular intervention. Cases of anteverting PAO performed at a single institution between November 2009 and January 2016 were retrospectively reviewed. Patients were divided into three groups: no intervention and intraarticular intervention with arthrotomy or arthroscopy. Subsequently, patients were reclassified by the intraarticular procedure performed at surgery into major (labral repair, femoral head–neck osteochondroplasty) and minor (labral debridement, femoral/acetabular chondroplasty) groups. The cohort was 75% female, median age was 19.5 years and mean body mass index was 25.0 kg/m(2). Preoperative to postoperative improvement was compared to minimal clinically important differences (MCID) for eight PROM. Patients receiving major interventions exceeded MCID in a greater proportion of PROM compared to minor and no intervention groups (P < 0.007); major or minor interventions did not increase the risk of reoperation over no intervention (P ≥ 0.39). Based on the current data, surgeons performing anteverting PAO for acetabular retroversion should perform arthroscopic or open labral repair and assess for impingement after the correction and perform a head–neck junction osteochondroplasty if indicated.
format Online
Article
Text
id pubmed-8527802
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-85278022021-10-20 Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes Panos, Joseph A Gutierrez, Claudia N Wyles, Cody C Bingham, Joshua S Mara, Kristin C Trousdale, Robert T Sierra, Rafael J J Hip Preserv Surg Research Articles Periacetabular osteotomy (PAO) is effective in the management of developmental dysplasia of the hip and femoroacetabular impingement secondary to acetabular retroversion. During anteverting PAO for acetabular retroversion, the need for both labral treatment and femoral head–neck junction osteochondroplasty remains equivocal. Accordingly, this study evaluated patient-reported outcome measures (PROM) and reoperation rates after anteverting PAO with or without intraarticular intervention. Cases of anteverting PAO performed at a single institution between November 2009 and January 2016 were retrospectively reviewed. Patients were divided into three groups: no intervention and intraarticular intervention with arthrotomy or arthroscopy. Subsequently, patients were reclassified by the intraarticular procedure performed at surgery into major (labral repair, femoral head–neck osteochondroplasty) and minor (labral debridement, femoral/acetabular chondroplasty) groups. The cohort was 75% female, median age was 19.5 years and mean body mass index was 25.0 kg/m(2). Preoperative to postoperative improvement was compared to minimal clinically important differences (MCID) for eight PROM. Patients receiving major interventions exceeded MCID in a greater proportion of PROM compared to minor and no intervention groups (P < 0.007); major or minor interventions did not increase the risk of reoperation over no intervention (P ≥ 0.39). Based on the current data, surgeons performing anteverting PAO for acetabular retroversion should perform arthroscopic or open labral repair and assess for impingement after the correction and perform a head–neck junction osteochondroplasty if indicated. Oxford University Press 2021-06-20 /pmc/articles/PMC8527802/ /pubmed/34676101 http://dx.doi.org/10.1093/jhps/hnab040 Text en © The Author(s) 2021. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Panos, Joseph A
Gutierrez, Claudia N
Wyles, Cody C
Bingham, Joshua S
Mara, Kristin C
Trousdale, Robert T
Sierra, Rafael J
Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
title Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
title_full Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
title_fullStr Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
title_full_unstemmed Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
title_short Addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
title_sort addressing intraarticular pathology at the time of anteverting periacetabular osteotomy for acetabular retroversion is associated with better short-term patient-reported outcomes
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8527802/
https://www.ncbi.nlm.nih.gov/pubmed/34676101
http://dx.doi.org/10.1093/jhps/hnab040
work_keys_str_mv AT panosjosepha addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes
AT gutierrezclaudian addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes
AT wylescodyc addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes
AT binghamjoshuas addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes
AT marakristinc addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes
AT trousdalerobertt addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes
AT sierrarafaelj addressingintraarticularpathologyatthetimeofantevertingperiacetabularosteotomyforacetabularretroversionisassociatedwithbettershorttermpatientreportedoutcomes