Promising Functional and Patient-reported Clinical outcomes after Periacetabular Osteotomy for Advanced Osteoarthritis Due to Hip Dysplasia

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Promising Functional and Patient-reported Clinical outcomes after Periacetabular Osteotomy for Advanced Osteoarthritis Due to Hip Dysplasia

Satoshi Hamai and colleagues conducted a study to assess at least 10-year clinical outcomes, including patient-reported and functional outcomes, after periacetabular osteotomy in patients with advanced osteoarthritis (OA). The investigators found the survival rates of 80% and 59% at 15 and 20 years after surgery.

Forty-Six hips in 44 advanced OA patients who experienced periacetabular osteotomy between 1992 and 2006 were retrospectively analyzed. The mean follow-up was of 16.9±4.7 years. The conversion to total hip arthroplasty less than 15 years after surgery was taken as the study endpoint. Survivorship was estimated using the Kaplan-Meier method and the correlated risk factors for the endpoint, i.e., conversion to total hip arthroplasty less than 15 years after surgery were assessed. The University of California, Los Angeles activity score and the Oxford Hip Score were evaluated at the final follow-up.

The Oxford Hip Score and the University of California, Los Angeles score averaged 41±5 and 5.2±1.8, respectively, equivalent (P=.28 and P=.215, respectively) to the scores of 14 hips of 13 patients with conversion to total hip arthroplasty (38±8.7 and 5.8±1.4, respectively) for 32 hips of 31 patients with preserved native joints at final follow-up. The study outcomes could be beneficial in surgical decision-making in advanced OA patients who want to preserve native hip joints.

Source

Orthopedics

Link to the source:

https://www.healio.com/orthopedics/journals/ortho/%7Bf275fb1b-81de-40e2-8279-fc237a50cffc%7D/minimum-10-year-clinical-outcomes-after-periacetabular-osteotomy-for-advanced-osteoarthritis-due-to-hip-dysplasia#divReadThis

Original title of the article:

Minimum 10-Year Clinical Outcomes After Periacetabular Osteotomy for Advanced Osteoarthritis Due to Hip Dysplasia

Authors:

Satoshi Hamai et al.

SearchTags: 
Exploratory, Osteoarthritis, Hip Joints, University of California, Los Angeles Activity Score and Oxford Hip Score
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