Comparison of contemporary periacetabular osteotomy for hip dysplasia with total hip arthroplasty for hip osteoarthritis
| Autor: | Geneva Baca, Jeffrey B. Stambough, B. L. Gray, John C. Clohisy, Perry L. Schoenecker |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Adolescent Arthroplasty Replacement Hip medicine.medical_treatment Pain Osteotomy Osteoarthritis Hip Postoperative Complications medicine Hip osteoarthritis Hip Dislocation Humans Orthopedics and Sports Medicine Hip dysplasia Periacetabular osteotomy business.industry medicine.disease Acetabular dysplasia Surgery Treatment Outcome Cohort Female Hip Joint business Complication Follow-Up Studies Total hip arthroplasty |
| Zdroj: | The Bone & Joint Journal. :1322-1327 |
| ISSN: | 2049-4408 2049-4394 |
| DOI: | 10.1302/0301-620x.97b10.35741 |
| Popis: | We report patient-reported outcomes and complications associated with contemporary periacetabular osteotomy (PAO) surgery in treating symptomatic acetabular dysplasia and compare these outcomes with total hip arthroplasty (THA) in patients with similar demographic details. Two consecutive cohorts included patients between aged 18 to 40 years who had undergone either PAO (100 hips; 24 male, 76 female) or THA (55 hips; 18 male, 37 female). At a mean follow-up of 5.9 years (2 to 13), there was significant improvement in the modified Harris hip pain (p < 0.001, PAO and p < 0.001, THA), function (p < 0.001, PAO and p = 0.001, THA), and total scores (p < 0.001, PAO and p < 0.001, THA) within each cohort. There were no significant differences in the clinical outcome scores between the groups. Complication rates were low and similar in each cohort (p = 0.68). Similar to THA, contemporary PAO surgery is a clinically effective procedure that improves function and activity levels, provides pain relief and is associated with an acceptable complication rate.Cite this article: Bone Joint J 2015;97-B:1322–7. |
| Databáze: | OpenAIRE |
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