Curved Periacetabular Osteotomy for Treatment of Dysplastic Hip

Abstract Background: Curved periacetabular osteotomy (CPO) was developed to treat acetabular dysplasia. Given that CPO can improve physical function in the early post-operative period, patients might be able to participate in sports activities post-operatively. Therefore, this study examined the post-operative sports activity participation and characteristics of acetabular dysplasia patients who have undergone CPO.Methods: A total of 52 patients who underwent CPO for acetabular dysplasia were given a questionnaire on pre- and post-operative sports activities; 43 patients responded. We surveyed patients’ sports activities, satisfaction, and physical function. Patients were divided according to whether they participated in sports activities after CPO. Physical function was compared before and after CPO.Results: The pre- and post-operative sports activity participation rates were 55.8% and 72.1%, respectively. Patients mostly performed low-impact sports activities. Moreover, patients who participated in sports activities post-operatively had smaller pre-operative range of motion of hip flexion and returned to full weight bearing earlier.Conclusions: Among acetabular dysplasia patients who underwent CPO, 72.1% participated in sports activities post-operatively. Post-operatively, patients participated not only in low-impact sports activities, but also in high-impact ones. These findings might be useful for advising patients who are concerned about participating in sports activities after CPO.

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Management of Recurrent Posterior Hip Dislocation in a Down Syndrome Patient with Dysplastic Hip Using Ganz Periacetabular Osteotomy: Follow Up After 4 Years

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120s00036 ◽

2020 ◽

Vol 8 (5_suppl5) ◽

pp. 2325967120S0003

Author(s):

Ismail H. Dilogo ◽

Jessica Fiolin

Keyword(s):

Down Syndrome ◽

Periacetabular Osteotomy ◽

Weight Bearing ◽

Hip Dislocation ◽

Harris Hip Score ◽

Syndrome Patient ◽

Down Syndrome Patient ◽

Dysplastic Hip ◽

Posterior Hip Dislocation

Recurrent hip dislocation in a Down Syndrome patient with dysplastic hip is a very challenging case to treat even for an expert orthopaedic hip surgeon. Least compliant patient and family, lowly educated with low socioeconomic status and the dysplastic hip forces limited option as a treatment. This is the first case world wide reporting 4 year follow up of dysplastic hip with Down Syndrome treated successfully with PAO technique. Methods: An eighteen years old female with history of Down Syndrome had multiple posterior hip dislocation episodes since 3 years prior. Several attempts of close reduction and hip spica applications were performed upon dislocation despite no successful retaining of reduction. Acetabular index of right hip were 550 and epiphyseal plate hasclosed. PatientwasperformedopenreductionusingSouthern-Mooreposteriorapproachand osteotomy of ischium, continued with capsulorrhaphy followed with Smith-Peterson anterior approach and osteotomy of superior ramus pubis and iliac bone. Then, derotation maneuver was performed under image intensifier to obtain adequate coveragefollowedwithbonegraftandfixationusing2cannulatedscrewandhipspica castapplication. Results: Within four years after surgery, the hip has never been dislocated again, patient could sit without pain and walk with full weight bearing although Harris Hip Score could not be performed due to Down Syndrome. Leg length discrepancy was negligible,fracture has fully united and acetabularin dex was300. Conclusions: Ganz periacetabular osteotomy, although a technically demanding surgery, is a preferable treatment in recurrent hip dislocation for Down Syndrome patient with good to excellent clinical and radiological ou tcome

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The prevalence and risk factors for delayed union of the superior pubic ramus at one year after curved periacetabular osteotomy: its risk factor and outcome

International Orthopaedics ◽

10.1007/s00264-017-3706-9 ◽

2017 ◽

Vol 42 (6) ◽

pp. 1253-1258 ◽

Cited By ~ 2

Author(s):

Ayumi Matsunaga ◽

Shunsuke Akiho ◽

Koichi Kinoshita ◽

Masatoshi Naito ◽

Takuaki Yamamoto

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Periacetabular Osteotomy ◽

Delayed Union ◽

Pubic Ramus ◽

Superior Pubic Ramus ◽

Curved Periacetabular Osteotomy ◽

One Year

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Arthroscopic labral repair concomitantly performed with curved periacetabular osteotomy

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-013-2362-x ◽

2013 ◽

Vol 22 (4) ◽

pp. 938-941 ◽

Cited By ~ 4

Author(s):

Hiroshi Nakayama ◽

Shigeo Fukunishi ◽

Tomokazu Fukui ◽

Shinichi Yoshiya

Keyword(s):

Periacetabular Osteotomy ◽

Labral Repair ◽

Curved Periacetabular Osteotomy

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Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia

10.21203/rs.3.rs-22059/v1 ◽

2020 ◽

Author(s):

Yoshiki Takahashi ◽

Naonobu Takahira ◽

Katsufumi Uchiyama ◽

Kensuke Fukushima ◽

Mitsutoshi Moriya ◽

...

Keyword(s):

Physical Function ◽

Acetabular Dysplasia ◽

Clinical Decision Making ◽

Periacetabular Osteotomy ◽

Weight Bearing ◽

Activity Participation ◽

Full Weight Bearing ◽

Sports Activity ◽

Curved Periacetabular Osteotomy ◽

Sports Activities

Abstract Background: Curved periacetabular osteotomy (CPO) was developed to treat acetabular dysplasia. Given that CPO can improve physical function in the early post-operative period, patients might be able to participate in sports activities post-operatively. Therefore, this study examined the post-operative sports activity participation and characteristics of acetabular dysplasia patients who have undergone CPO. Methods: A total of 52 patients who underwent CPO for acetabular dysplasia were given a questionnaire on pre- and post-operative sports activities; 43 patients responded. We surveyed patients’ sports activities, satisfaction, and physical function. Patients were divided according to whether they participated in sports activities after CPO. Physical function was compared before and after CPO. Results: The pre- and post-operative sports activity participation rates were 55.8% and 72.1%, respectively. Patients mostly performed low-impact sports activities. Moreover, patients who participated in sports activities post-operatively returned to full weight-bearing earlier. Conclusions: Among acetabular dysplasia patients who underwent CPO, 72.1% participated in sports activities post-operatively. Post-operatively, patients participated not only in low-impact sports activities, but also in high-impact ones. These findings are important for clinical decision-making for CPO and should be communicated to patients.

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