Komplikationen und deren Behandlung nach PAO

Nonnenmacher, Lars; Zimmerer, Alexander; Hofer, André; Bohorc, Manuela; Matziolis, Georg; Wassilew, Georgi I.

doi:10.1007/s00132-023-04359-5

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…Several factors have been identified as potential risk factors for poor outcomes after PAO, including advanced age, advanced osteoarthritis, obesity and intra-articular lesions [9,10]. Psychological factors, such as anxiety, depression and general health perception, have been identified as potential risk contributors promoting suboptimal outcomes after orthopedic procedures, particularly in knee and hip arthroplasty [11,12]. Other hip pathologies, such as hip dysplasia, are closely associated with various psychological comorbidities that have been reported.…”

Section: Introductionmentioning

confidence: 99%

Psychological Factors as Risk Contributors for Poor Hip Function after Periacetabular Osteotomy

Fischer

Nonnenmacher

Möller

et al. 2023

JCM

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Psychologic comorbidities have been identified as risk factors for poor outcomes in orthopedic procedures, but their influence on the outcome of hip-preserving periacetabular osteotomy (PAO) remains uncertain. This retrospective cohort study aimed to assess the impact of patients’ psychological health on the outcome of PAO in patients with hip dysplasia (HD) and acetabular retroversion (AR). The study included 110 patients undergoing PAO for HD or AR between 2019 and 2021. Standardized questionnaires were administered to assess psychological factors, postoperative hip function, and activity level (mean follow-up: 25 months). Linear regression analyses were used to examine the associations between psychological factors and postoperative hip function and activity level. Both HD and AR patients showed improved postoperative hip function and activity levels. Linear regression analyses revealed that depression significantly impaired postoperative outcomes in both groups, whereas somatization negatively influenced the outcome in AR patients. General health perceptions significantly contributed to an improved postoperative outcome. These findings highlight the importance of concomitantly addressing psychologically relevant factors in order to improve patient outcomes after PAO procedures. Future prospective studies should continue to investigate the impact of various psychological factors and explore possibilities of incorporating psychological support into routine postoperative care for these patient cohorts.

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Section: Introductionmentioning

confidence: 99%

Psychological Factors as Risk Contributors for Poor Hip Function after Periacetabular Osteotomy

Fischer

Nonnenmacher

Möller

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

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The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia

Fischer,

Nonnenmacher,

Zimmerer

et al. 2024

Arch Orthop Trauma Surg

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Introduction The treatment option for borderline hip dysplasia (BHD) includes hip arthroscopy and periacetabular osteotomy (PAO). To the present day the controversial discussion remains, which intervention to prefer. Literature reports supporting an educated choice are scare, based on small patient cohorts and do not address the variability of acetabular morphology. Consequently, we intended to report PAO outcomes, from patients diagnosed with BHD, dependent on acetabular morphology, in a large patient cohort and aimed to define risk factors for poor clinical results and patient satisfaction. Materials and methods A prospective monocentre study was conducted. Patients enrolled underwent PAO for symptomatic BHD (LCEA, 18°–25°). A total of 107 hips were included with 94 complete data sets were available for evaluation with a minimum follow-up of 1 year and a mean follow-up of 2.3 years. The mean age was 31 ± 8.2 years, and 81.3% were female. As the primary outcome measure, we utilized the modified Harris hip score (mHHS) with minimal clinically important change (MCID) of eight to define clinical failure. Results were compared after a comprehensive radiographic assessment distinguishing between lateral deficient vs. anterior/posterolateral deficient acetabular and stable vs. unstable hip joints. Results Overall, clinical success was achieved in 91.5% of patients and the mHHS improved significantly (52 vs. 84.7, p < 0.001). Eight hips failed to achieve the MCID and four had radiographic signs of overcorrection. Comparing variable joint morphologies, the rate of clinical success was higher in patients with an anterior/posterolateral deficient acetabular covarage compared to lateral deficient acetabular (95.2% vs. 90.4%). tThe highest rate of clinical failure was recorded in unstable hip joints (85.7% vs. 92.5% in stable hips). Conclusions This study demonstrates that PAO is an effective means to treat symptomatic BHD with variable acetabular morphologies, achieving a clinical success in 91.5% of all patients. To maintain a high level of safety and patient satisfaction technical accuracy appears crucial.

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Komplikationen und deren Behandlung nach PAO

Cited by 2 publications

References 38 publications

Psychological Factors as Risk Contributors for Poor Hip Function after Periacetabular Osteotomy

Psychological Factors as Risk Contributors for Poor Hip Function after Periacetabular Osteotomy

The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia

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