What factors predict failure 4 to 12 years after periacetabular osteotomy?

Clinical Orthopaedics and Related Research
Charlotte Hartig-AndreasenKjeld Søballe

Abstract

The goal of periacetabular osteotomy (PAO) is to delay or prevent osteoarthritic development in dysplastic hips. However, it is unclear whether the surgical goals are achieved and if so in which patients. This information is essential to select appropriate patients for a durable PAO that achieves its goals. We therefore (1) determined hip survival rates; (2) determined how many preserved hips were functionally unsuccessful after PAO; and (3) identified demographic, clinical, and radiographic factors predicting failure after PAO. We retrospectively reviewed 316 patients (401 hips) who had PAO between December 1998 and May 2007. We evaluated radiographic parameters of dysplasia and osteoarthritis and obtained WOMAC scores. Through inquiry to the National Registry of Patients, we identified conversions to THA. Risk factors for conversion to THA were assessed. Minimum followup was 4 years (mean, 8 years; range, 4-12 years). The overall Kaplan-Meier hip survival rate was 74.8% at 12.4 years. A WOMAC pain score of 10 or more, suggesting clinical failure, was observed in 13% of preserved hips at last followup. Higher age, preoperative Tönnis grade of 2, incongruent hip, postoperative joint space width of 3 mm or less, and postoperativ...Continue Reading

References

May 1, 1991·The Journal of Bone and Joint Surgery. British Volume·K KlaueR Ganz
Jan 1, 1991·Journal of Computer Assisted Tomography·S AndaS Svenningsen
Jan 1, 1995·The Journal of Bone and Joint Surgery. American Volume·R T TrousdaleS L Wallrichs
Apr 16, 1999·The Journal of Bone and Joint Surgery. British Volume·D ReynoldsK Klaue
Aug 27, 1999·The Journal of Bone and Joint Surgery. British Volume·M D Bircher
Feb 5, 2003·Clinical Orthopaedics and Related Research·K A SiebenrockR Ganz
Jun 17, 2003·Acta Orthopaedica Scandinavica·Kjeld Søballe
Jun 17, 2003·Acta Orthopaedica Scandinavica·Robert T Trousdale, Miguel E Cabanela
Jul 15, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J M Bland, D G Altman
Feb 3, 2005·The Journal of Bone and Joint Surgery. American Volume·John C ClohisyPerry L Schoenecker
Mar 3, 2006·The Journal of Bone and Joint Surgery. American Volume·John C ClohisyPerry L Schoenecker
Mar 15, 2006·Acta Orthopaedica·Olle Svensson
Sep 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Christopher L PetersJerod L Hines
Mar 9, 2007·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Amir A JamaliMichael Leunig
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·John C ClohisyPerry L Schoenecker
Jul 7, 2007·The Journal of Bone and Joint Surgery. British Volume·D N GarrasS A Olson
Nov 14, 2007·International Orthopaedics·Tsuyoshi ShinodaTakahiko Kiyama
Feb 12, 2008·Clinical Orthopaedics and Related Research·Anders TroelsenKjeld Søballe
Mar 4, 2008·The Journal of Bone and Joint Surgery. American Volume·A TroelsenK Søballe
Mar 13, 2008·Clinical Orthopaedics and Related Research·Anders TroelsenKjeld Søballe
May 2, 2008·Clinical Orthopaedics and Related Research·Simon D SteppacherKlaus A Siebenrock
Sep 5, 2008·Clinical Orthopaedics and Related Research·Kunihiko OkanoHiroyuki Shindo
Feb 5, 2009·The Journal of Bone and Joint Surgery. British Volume·K-A JanssonP Blomqvist
Jul 1, 2006·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·C DoraR Ganz
May 8, 2009·Clinical Orthopaedics and Related Research·Michael B MillisJohn C Clohisy
Sep 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Travis MatheneyMichael Millis
Sep 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Anders TroelsenKjeld Søballe
Jan 6, 2010·The Journal of Bone and Joint Surgery. American Volume·Takeshi TerataniAkira Maeyama
Jul 28, 2011·The Journal of Bone and Joint Surgery. American Volume·Hiroshi ItoTakeo Matsuno

❮ Previous
Next ❯

Citations

Apr 10, 2013·International Orthopaedics·Bungo OtsukiShuichi Matsuda
Mar 1, 2013·Journal of Biomechanical Engineering·Corinne R HenakJeffrey A Weiss
Mar 25, 2016·Journal of Hip Preservation Surgery·Charlotte Hartig-AndreasenKjeld Søballe
Jan 8, 2014·The Bone & Joint Journal·M Leunig, R Ganz
Oct 27, 2016·International Journal of Computer Assisted Radiology and Surgery·Masaki TakaoNobuhiko Sugano
Jan 7, 2017·The Journal of Bone and Joint Surgery. American Volume·John C ClohisyIra Zaltz
Jun 28, 2017·The American Journal of Sports Medicine·George GrammatopoulosAntonio J Andrade
Mar 21, 2017·The Journal of Arthroplasty·Cecilia Pascual-GarridoJohn C Clohisy
Dec 3, 2016·Clinical Orthopaedics and Related Research·Till Dominic LerchKlaus Arno Siebenrock
Nov 6, 2018·Journal of Hip Preservation Surgery·Søren Reinhold JakobsenStig Storgaard Jakobsen
Nov 22, 2018·Clinical Orthopaedics and Related Research·Daud Tai Shan ChouDonald William Howie
May 17, 2019·The Journal of Bone and Joint Surgery. American Volume·Cody C WylesRafael J Sierra
Aug 8, 2019·Clinical Orthopaedics and Related Research·Tetsuya TachibanaYasuharu Nakashima
Nov 16, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Navid ZiranJoel Matta
Jan 29, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hidetoshi HamadaNobuhiko Sugano
Feb 29, 2020·Acta Orthopaedica·Josefine Beck LarsenKjeld Søballe
Apr 1, 2016·Journal of Orthopaedic Surgery and Research·Ryan J MurphyMehran Armand
May 14, 2016·Clinical Orthopaedics and Related Research·Joel WellsTravis Matheney
Feb 1, 2015·Clinical Orthopaedics and Related Research·Stephen T DuncanJohn C Clohisy
Oct 8, 2014·Clinical Orthopaedics and Related Research·Paul E BeauléJae-Jin Ryu
Sep 14, 2016·Clinical Orthopaedics and Related Research·James D WylieChristopher L Peters
Sep 21, 2016·Clinical Orthopaedics and Related Research·Eduardo N NovaisJohn C Clohisy
Jul 19, 2014·The Nurse Practitioner·Nadine M Aktan
Aug 13, 2015·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hidetoshi HamadaNobuhiko Sugano
Sep 26, 2013·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Jakob KlitAnders Troelsen
Feb 12, 2015·Clinical Orthopaedics and Related Research·Hiroshi Ito
Jun 2, 2017·The Bone & Joint Journal·J D Witt, F S Haddad
Nov 10, 2016·Journal of Hip Preservation Surgery·Etienne L BelzileUNKNOWN Academic Network of Conservation Hip Outcome Research (ANCHOR) Members
Oct 30, 2019·Journal of Hip Preservation Surgery·Adam I EdelsteinMichael D Stover
Jun 13, 2015·Clinical Orthopaedics and Related Research·George GrammatopoulosTim Theologis
Jun 8, 2018·International Journal of Computer Assisted Radiology and Surgery·Sepp De RaedtKjeld Søballe
Feb 6, 2020·Journal of Hip Preservation Surgery·Alexander J AcuñaAtul F Kamath
Jan 1, 2015·SICOT-J·Claudio MellaClaudio Díaz-Ledezma
Jun 27, 2020·The Journal of Bone and Joint Surgery. American Volume·Cody C WylesRafael J Sierra

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.