The Bernese periacetabular osteotomy for treatment of adult hip dysplasia

McKinley, Todd O.

doi:10.1007/s00256-010-0985-2

Cited by 13 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study the mean total time of surgery was 96 minutes. This is lower compared to previous papers reporting a mean duration of surgery of 120 minutes, and a range from 144 to 348 minutes, respectively (21, 22).…”

Section: Discussioncontrasting

confidence: 67%

Clinical and Radiological Outcome after Periacetabular Osteotomy: A Cross-Sectional Study of 127 Hips Operated on from 1999-2008

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 67%

Clinical and Radiological Outcome after Periacetabular Osteotomy: A Cross-Sectional Study of 127 Hips Operated on from 1999-2008

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Clinical studies have demonstrated positive outcomes after PAO [15–17], but 40% of these patients eventually require hip arthroplasty [18]. Measurements of chondrolabral mechanics, including quantification of stress, contact area, and load sharing, before and after PAO, would establish the biomechanical efficacy of this procedure.…”

Section: Introductionmentioning

confidence: 99%

Patient-specific chondrolabral contact mechanics in patients with acetabular dysplasia following treatment with peri-acetabular osteotomy

Abraham

Knight

Peters

et al. 2017

Osteoarthritis and Cartilage

View full text Add to dashboard Cite

PAO was efficacious at medializing cartilage contact and reducing cartilage contact stresses, and therefore may minimize deleterious loading to focal cartilage lesions, subchondral cysts, and cartilage delaminations often observed in the lateral acetabulum of dysplastic hips. However, the excessively prominent, hypertrophied labrum of dysplastic hips remains in contact with the femoral head, which continues to load the labrum following PAO. The clinical ramifications of continued labral loading following PAO are not known. However, it is plausible that failure to reduce the load experienced by the labrum could result in end-stage hip OA following PAO.

show abstract

“…using previously described techniques. 13,14 Correction of femoral head-neck offset deformity (cam deformity) and labral repair was typically not done during this study period. Coumadin was used for venous thromboembolism prophylaxis.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors for Composite Failure of Hip Dysplasia Treated With Periacetabular Osteotomy: A Minimum 10-Year Follow-up

Willey

Westermann

Glass

et al. 2022

J Am Acad Orthop Surg

Self Cite

View full text Add to dashboard Cite

Introduction: Periacetabular osteotomy (PAO) is a common surgical treatment of prearthritic hip dysplasia in young adults, but there are few long-term studies of clinical outcomes. The purpose of this investigation was to report a minimum 10-year clinical follow-up of hip dysplasia treated with PAO and identify risk factors for composite failure.Methods: We identified 151 patients (198 hips) who underwent PAO to treat hip dysplasia at a single institution. Enrolled subjects completed a series of six patient-reported outcome instruments and provided information about subsequent surgeries. We defined composite failure as conversion to total hip arthroplasty or modified Harris Hip Score #70. Logistic regression with generalized estimating equations was used to evaluate the relationships between odds of failure and potential predictor variables in univariate and multivariate analyses.Results: A total of 124 subjects (167 hips) with a minimum 10-year follow-up were enrolled. The median time from PAO to the final followup was 13 years (range 10-18 years). There were 71 hips that met criteria for failure: 32 with total hip arthroplasty and 39 with modified Harris Hip Score #70. Univariate logistic regression analyses revealed multiple preoperative factors that predicted composite failure: increased age and body mass index, osteoarthritis (OA), and more severe acetabular dysplasia. Postoperative factors that predicted failure included lateral undercoverage and formation of heterotopic ossification (HO). The final multivariate model identified body mass index $30 kg/m 2 (odds ratio [OR], 3.84 [95% confidence interval (CI), 1.68-8.78], P = 0.001), higher preoperative To ¨nnis grade OA (OR, 2.65 [95% CI,.66], P , 0.001), and HO formation (OR, 16.52 [95% CI,], P = 0.009) as independent predictors of failure.

show abstract

The Bernese periacetabular osteotomy for treatment of adult hip dysplasia

Cited by 13 publications

References 25 publications

Clinical and Radiological Outcome after Periacetabular Osteotomy: A Cross-Sectional Study of 127 Hips Operated on from 1999-2008

Clinical and Radiological Outcome after Periacetabular Osteotomy: A Cross-Sectional Study of 127 Hips Operated on from 1999-2008

Patient-specific chondrolabral contact mechanics in patients with acetabular dysplasia following treatment with peri-acetabular osteotomy

Risk Factors for Composite Failure of Hip Dysplasia Treated With Periacetabular Osteotomy: A Minimum 10-Year Follow-up

Contact Info

Product

Resources

About