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The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy

The purpose of this study was to compare the pre and postoperative radiographic findings and analyze the complication rate with respect to the laterality in periacetabular osteotomy in right-handed surgeons. Satisfaction rate and radiographic findings were prospectively collected between 2017 and 20...

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Autores principales: Heimer, Carsten Y. W., Wu, Chia H., Perka, Carsten, Hardt, Sebastian, Göhler, Friedemann, Bäcker, Henrik C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322743/
https://www.ncbi.nlm.nih.gov/pubmed/35887568
http://dx.doi.org/10.3390/jpm12071072
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author Heimer, Carsten Y. W.
Wu, Chia H.
Perka, Carsten
Hardt, Sebastian
Göhler, Friedemann
Bäcker, Henrik C.
author_facet Heimer, Carsten Y. W.
Wu, Chia H.
Perka, Carsten
Hardt, Sebastian
Göhler, Friedemann
Bäcker, Henrik C.
author_sort Heimer, Carsten Y. W.
collection PubMed
description The purpose of this study was to compare the pre and postoperative radiographic findings and analyze the complication rate with respect to the laterality in periacetabular osteotomy in right-handed surgeons. Satisfaction rate and radiographic findings were prospectively collected between 2017 and 2019 and retrospectively reviewed. For analysis, all measurements of the CT scans were performed by a musculoskeletal fellowship-trained radiologist. Complications were classified into two categories: perioperative or postoperative. All surgeries were performed by three right-hand dominant hip surgeons. A total of 41 dysplastic hips (25 right and 16 left hips) in 33 patients were included. Postoperatively, a significantly lower acetabular index angle on the left side was observed at −2.6 ± 4.3 as compared to the right side at 1.6 ± 6.5 (p < 0.05). The change in Center edge (CE) angle was significantly lower for the left side 13.7 ± 5.5° than on the right side, measured at 18.4 ± 7.3 (p < 0.001); however, the overall CE angle was comparable at 38.5 ± 8.9° without any significant difference between the operated hips (left side at 37.8 ± 6.1° versus right side at 39.0 ± 10.3; p = 0.340). No significant differences in other radiographic measurements or surgical time were observed. For complications, the right side was more commonly affected, which may also explain a higher satisfaction rate in patients who were operated on the left hip with 92.3%. The change in lateral CE angle was significantly lower for the left side and the right hip seems to be predisposed to complications, which correlate with a lower satisfaction rate in right-handed surgeons.
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spelling pubmed-93227432022-07-27 The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy Heimer, Carsten Y. W. Wu, Chia H. Perka, Carsten Hardt, Sebastian Göhler, Friedemann Bäcker, Henrik C. J Pers Med Article The purpose of this study was to compare the pre and postoperative radiographic findings and analyze the complication rate with respect to the laterality in periacetabular osteotomy in right-handed surgeons. Satisfaction rate and radiographic findings were prospectively collected between 2017 and 2019 and retrospectively reviewed. For analysis, all measurements of the CT scans were performed by a musculoskeletal fellowship-trained radiologist. Complications were classified into two categories: perioperative or postoperative. All surgeries were performed by three right-hand dominant hip surgeons. A total of 41 dysplastic hips (25 right and 16 left hips) in 33 patients were included. Postoperatively, a significantly lower acetabular index angle on the left side was observed at −2.6 ± 4.3 as compared to the right side at 1.6 ± 6.5 (p < 0.05). The change in Center edge (CE) angle was significantly lower for the left side 13.7 ± 5.5° than on the right side, measured at 18.4 ± 7.3 (p < 0.001); however, the overall CE angle was comparable at 38.5 ± 8.9° without any significant difference between the operated hips (left side at 37.8 ± 6.1° versus right side at 39.0 ± 10.3; p = 0.340). No significant differences in other radiographic measurements or surgical time were observed. For complications, the right side was more commonly affected, which may also explain a higher satisfaction rate in patients who were operated on the left hip with 92.3%. The change in lateral CE angle was significantly lower for the left side and the right hip seems to be predisposed to complications, which correlate with a lower satisfaction rate in right-handed surgeons. MDPI 2022-06-29 /pmc/articles/PMC9322743/ /pubmed/35887568 http://dx.doi.org/10.3390/jpm12071072 Text en © 2022 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
Heimer, Carsten Y. W.
Wu, Chia H.
Perka, Carsten
Hardt, Sebastian
Göhler, Friedemann
Bäcker, Henrik C.
The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
title The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
title_full The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
title_fullStr The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
title_full_unstemmed The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
title_short The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
title_sort impact of the laterality on radiographic outcomes of the bernese periacetabular osteotomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322743/
https://www.ncbi.nlm.nih.gov/pubmed/35887568
http://dx.doi.org/10.3390/jpm12071072
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