Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia

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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Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03625-3 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Yoshiki Takahashi ◽

Naonobu Takahira ◽

Katsufumi Uchiyama ◽

Kensuke Fukushima ◽

Mitsutoshi Moriya ◽

...

Keyword(s):

Physical Function ◽

Acetabular Dysplasia ◽

Periacetabular Osteotomy ◽

Weight Bearing ◽

Activity Participation ◽

Full Weight Bearing ◽

Sports Activity ◽

Before And After ◽

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 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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Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia

10.21203/rs.3.rs-22059/v2 ◽

2020 ◽

Author(s):

Yoshiki Takahashi ◽

Naonobu Takahira ◽

Katsufumi Uchiyama ◽

Kensuke Fukushima ◽

Mitsutoshi Moriya ◽

...

Keyword(s):

Physical Function ◽

Acetabular Dysplasia ◽

Periacetabular Osteotomy ◽

Weight Bearing ◽

Activity Participation ◽

Full Weight Bearing ◽

Sports Activity ◽

Before And After ◽

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 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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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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Sports activities before and after medial unicompartmental knee arthroplasty using the new Heidelberg Sports Activity Score

International Orthopaedics ◽

10.1007/s00264-014-2524-6 ◽

2014 ◽

Vol 39 (3) ◽

pp. 449-454 ◽

Cited By ~ 9

Author(s):

Alexander Jahnke ◽

Johannes Karl Mende ◽

Gerrit Steffen Maier ◽

Gafar Adam Ahmed ◽

Bernd Alexander Ishaque ◽

...

Keyword(s):

Knee Arthroplasty ◽

Unicompartmental Knee Arthroplasty ◽

Activity Score ◽

Sports Activity ◽

Unicompartmental Knee ◽

Before And After ◽

Medial Unicompartmental Knee Arthroplasty ◽

Sports Activities

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Early gait analysis after curved periacetabular osteotomy for acetabular dysplasia

Orthopedic Research and Reviews ◽

10.2147/orr.s75943 ◽

2015 ◽

pp. 25 ◽

Cited By ~ 1

Author(s):

Masamichi Nishimura ◽

Naonobu Takahira ◽

Kensuke Fukushima ◽

Takeaki Yamamoto ◽

Mitsutoshi Moriya ◽

...

Keyword(s):

Gait Analysis ◽

Acetabular Dysplasia ◽

Periacetabular Osteotomy ◽

Curved Periacetabular Osteotomy

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Hindlimb Locomotor and Postural Training Modulates Glycinergic Inhibition in the Spinal Cord of the Adult Spinal Cat

Journal of Neurophysiology ◽

10.1152/jn.1999.82.1.359 ◽

1999 ◽

Vol 82 (1) ◽

pp. 359-369 ◽

Cited By ~ 117

Author(s):

R. D. de Leon ◽

H. Tamaki ◽

J. A. Hodgson ◽

R. R. Roy ◽

V. R. Edgerton

Keyword(s):

Spinal Cord ◽

Weight Bearing ◽

Activity Patterns ◽

Motor Task ◽

Full Weight Bearing ◽

Electromyographic Activity ◽

Hindlimb Muscle ◽

Before And After ◽

Glycinergic Inhibition ◽

Locomotor Ability

Adult spinal cats were trained initially to perform either bipedal hindlimb locomotion on a treadmill or full-weight-bearing hindlimb standing. After 12 wk of training, stepping ability was tested before and after the administration (intraperitoneal) of the glycinergic receptor antagonist, strychnine. Spinal cats that were trained to stand after spinalization had poor locomotor ability as reported previously, but strychnine administration induced full-weight-bearing stepping in their hindlimbs within 30–45 min. In the cats that were trained to step after spinalization, full-weight-bearing stepping occurred and was unaffected by strychnine. Each cat then was retrained to perform the other task for 12 wk and locomotor ability was retested. The spinal cats that were trained initially to stand recovered the ability to step after they received 12 wk of treadmill training and strychnine was no longer effective in facilitating their locomotion. Locomotor ability declined in the spinal cats that were retrained to stand and strychnine restored the ability to step to the levels that were acquired after the step-training period. Based on analyses of hindlimb muscle electromyographic activity patterns and kinematic characteristics, strychnine improved the consistency of the stepping and enhanced the execution of hindlimb flexion during full-weight-bearing step cycles in the spinal cats when they were trained to stand but not when they were trained to step. The present findings provide evidence that 1) the neural circuits that generate full-weight-bearing hindlimb stepping are present in the spinal cord of chronic spinal cats that can and cannot step; however, the ability of these circuits to interpret sensory input to drive stepping is mediated at least in part by glycinergic inhibition; and 2) these spinal circuits adapt to the specific motor task imposed, and that these adaptations may include modifications in the glycinergic pathways that provide inhibition.

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Curved periacetabular osteotomy via a novel intermuscular approach between the sartorius and iliac muscles

Hip International ◽

10.1177/1120700018772047 ◽

2018 ◽

Vol 28 (6) ◽

pp. 642-648 ◽

Cited By ~ 1

Author(s):

Toru Nishiwaki ◽

Akihito Oya ◽

Shinsuke Fukuda ◽

Satoshi Nakamura ◽

Masaya Nakamura ◽

...

Keyword(s):

Operative Time ◽

Perioperative Complications ◽

Periacetabular Osteotomy ◽

Weight Bearing ◽

Harris Hip Score ◽

Walking Ability ◽

Early Weight Bearing ◽

Incision Length ◽

Curved Periacetabular Osteotomy ◽

The Mean

Introduction: Herein, we describe and evaluate a curved periacetabular osteotomy (CPO) via an intermuscular approach (IM-CPO) between the sartorius and iliac muscles. Methods: Between January 2009 and January 2016, IM-CPO was performed in 17 joints (16 patients), and a traditional CPO was performed in 17 joints. The length of incision at wound closure, operative time, intraoperative blood loss, serum creatinine kinase (CK) level the day after surgery, correctional angle, walking ability assessed using the gait items of the Harris Hip Score (at 3 and 6 months after surgery), and perioperative complications were evaluated. Group differences were assessed using t-tests. Results: The IM-CPO and CPO groups did not differ in the mean operative time (130 minutes and 124 minutes, respectively), mean serum CK the day after surgery (349 IU/L and 425 IU/L, respectively), or mean correctional angle (24.9° and 24.6°, respectively). The mean incision length was significantly shorter in the IM-CPO group (8.3 cm) compared to that in the CPO group (9.5 cm). The mean walking ability was significantly higher in the IM-CPO group (24.2 points) compared to that in the CPO group (20.9 points) at 3 months after surgery, but not at 6 months after surgery (26.4 points and 24.9 points, respectively). No serious complications were observed in either group. Conclusion: In addition to demonstrating a similarly satisfactory correctional angle, IM-CPO is anticipated to enable early weight-bearing and recovery of walking ability. Thus, IM-CPO is considered a superior surgical technique.

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FULL WEIGHT BEARING KINEMATIC MRI STUDY OF TT-TG DISTANCE: COMPARING PATIENTS WITH PATELLOFEMORAL PAIN TO HEALTHY INDIVIDUALS

Medicinos teorija ir praktika ◽

10.15591/mtp.2015.100 ◽

2015 ◽

Vol 21 (4.1) ◽

pp. 638-642

Author(s):

Andrius Brazaitis ◽

Algirdas Tamosiunas ◽

Janina Tutkuviene

Keyword(s):

Patellar Instability ◽

Weight Bearing ◽

Patellofemoral Pain ◽

Full Weight Bearing ◽

Trochlear Groove ◽

Patellar Tilt ◽

Full Extension ◽

Low Degrees ◽

Mri Study ◽

Kinematic Magnetic Resonance Imaging

Purpose. The aim of the present study was to investigate tibial tuberosity-trochlear groove (TT-TG) distance dynamics in patients with patellofemoral pain (PFP) and pain free individuals by using full weight bearing kinematic magnetic resonance imaging (MRI) And correlation with patellar instability. Materials and methods. 51 female individuals with PFP and 26 pain free female individuals participated in the study. The kinematic MRI was performed with 1,5 T MRI unit and full-weight bearing. TT-TG distance, bissect offset (BSO) and patellar tilt angle (PTA) were measured in steps of 10° between 50° of flexion to full extension. Results. The TT–TG was higher in PFP patients compared to volunteers’ from 40° to full extension. This difference was statistically significant (p<0.01). PFP patients demonstrated statistically significantly greater TT-TG distance increase from 30° to full extension. BSO and PTA were moderately correlated to TT-TG from 20° of flexion to full extension. Conclusion. TT-TG distance is dynamic and increases significantly during extension in patients with PFP and pain free individuals, depending on knee flexion angle. It shows different pattern of dynamics in PFP group. TT-TG distance is associated with patellar instability (BSO and PTA) at low degrees of flexion.

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Differences in femoral component subsidence rate after THA using an uncemented collarless femoral stem: full weight-bearing with an enhanced recovery rehabilitation versus partial weight-bearing

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-03913-0 ◽

2021 ◽

Author(s):

Franziska Leiss ◽

Julia Sabrina Götz ◽

Matthias Meyer ◽

Günther Maderbacher ◽

Jan Reinhard ◽

...

Keyword(s):

Risk Factors ◽

Enhanced Recovery ◽

Weight Bearing ◽

Femoral Stem ◽

Full Weight Bearing ◽

Partial Weight Bearing ◽

Fill Ratio ◽

Stem Subsidence ◽

Partial Weight

Abstract Background Femoral component subsidence is a known risk factor for early failure of total hip arthroplasty (THA) using cementless stems. The aim of the study was to compare an enhanced recovery concept with early full weight-bearing rehabilitation and partial weight-bearing on stem subsidence. In addition, the influence of patient-related and anatomical risk factors on subsidence shall be assessed. Methods One hundred and fourteen patients underwent primary cementless THA and were retrospectively analyzed. Sixty-three patients had an enhanced recovery rehabilitation with early full weight-bearing and 51 patients had rehabilitation with partial weight-bearing (20 kg) for 6 weeks. Postoperative subsidence was analyzed on standing pelvic anterior–posterior radiographs after 4 weeks and 1 year. Subsidence was measured in mm. Anatomical and prosthetic risk factors (stem size, canal flare index, canal fill ratio as well as BMI and demographic data) were correlated. Results Femoral stem subsidence rate was significantly higher for the group with an enhanced recovery concept compared to the group with partial weight-bearing at the first radiological follow up after 4 weeks [2.54 mm (SD ± 1.86) vs. 1.55 mm (SD ± 1.80)] and the second radiological follow up after 1 year [3.43 mm (SD ± 2.24) vs. 1.94 (SD ± 2.16)] (p < 0.001, respectively). Stem angulation > 3° had a significant influence on subsidence. Canal flare index and canal fill ratio showed no significant correlation with subsidence as well as BMI and age. Conclusion In the present study, cementless stem subsidence was significantly higher in the group with enhanced recovery rehabilitation compared to partial weight-bearing. Small absolute values and differences were demonstrated and therefore possibly below clinical relevance. Anatomical radiological parameters and anthropometric data did not appear to be risk factors for stem subsidence.

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