PMID- 32769597
OWN - NLM
STAT- MEDLINE
DCOM- 20210218
LR  - 20210218
IS  - 1535-1386 (Electronic)
IS  - 0021-9355 (Linking)
VI  - 102
IP  - 15
DP  - 2020 Aug 5
TI  - Periacetabular Osteotomy for Developmental Dysplasia of the Hip and 
      Femoroacetabular Impingement: A Study Using the U.K. Non-Arthroplasty Hip 
      Registry (NAHR) Data Set.
PG  - 1312-1320
LID - 10.2106/JBJS.18.01387 [doi]
AB  - BACKGROUND: Periacetabular osteotomy (PAO) is a well-recognized procedure for the 
      treatment of hip dysplasia in young adults and can be used for the surgical 
      management of femoroacetabular impingement (FAI) with acetabular retroversion. 
      The aim of this study was to use a national database to assess the outcomes of 
      PAO for developmental dysplasia of the hip (DDH) and for FAI. METHODS: All 
      patients in whom an isolated PAO had been performed between January 2012 and 
      February 2019 were identified in the Non-Arthroplasty Hip Registry (NAHR). Their 
      outcomes were assessed using the EuroQol-5 Dimensions (EQ-5D) index and the 
      International Hip Outcome Tool (iHOT)-12 preoperatively and then at 6 months, 12 
      months, and 2 years postoperatively. RESULTS: Six hundred and thirty (630) PAOs 
      were identified, with 558 (89%) performed for DDH and 72 (11%) performed for FAI. 
      Most patients (90%) were female. The mean age in the DDH group (31.2 years) was 
      significantly higher (p < 0.0001) than that in the FAI group (26.5 years). There 
      were no other significant between-group demographic differences. Preoperatively 
      and at each follow-up time-period, iHOT-12 scores were better in the DDH group 
      than in the FAI group; however, only the preoperative scores differed 
      significantly. There was significant improvement between the preoperative and 
      6-month iHOT-12 and EQ-5D index scores in both the DDH and the FAI group. This 
      improvement was maintained at 12 months postoperatively, by which time almost 90% 
      of the patients had achieved the minimum clinically important difference (MCID) 
      in their iHOT-12 score. CONCLUSIONS: This study shows that PAO is a successful 
      surgical intervention for DDH and FAI in the short term, with significant 
      improvement in patient-reported outcome scores that is maintained up to 2 years 
      postoperatively. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for 
      Authors for a complete description of levels of evidence.
FAU - Holleyman, Richard
AU  - Holleyman R
AUID- ORCID: 0000-0001-9748-7932
AD  - Health Education North East England, Newcastle upon Tyne, England.
AD  - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, 
      England.
FAU - Sohatee, Mark Andrew
AU  - Sohatee MA
AUID- ORCID: 0000-0002-3074-1446
AD  - Health Education North East England, Newcastle upon Tyne, England.
FAU - Witt, Johan
AU  - Witt J
AUID- ORCID: 0000-0003-3855-7763
AD  - University College London Hospitals NHS Foundation Trust, London, England.
FAU - Bankes, Marcus J K
AU  - Bankes MJK
AUID- ORCID: 0000-0001-6713-2137
AD  - Guy's and St Thomas' NHS Foundation Trust, London, England.
FAU - Andrade, Tony J
AU  - Andrade TJ
AUID- ORCID: 0000-0002-9574-2247
AD  - Royal Berkshire NHS Foundation Trust, Reading, England.
FAU - Board, Tim
AU  - Board T
AUID- ORCID: 0000-0002-3295-2087
AD  - Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, England.
FAU - Lee Conroy, Jonathan
AU  - Lee Conroy J
AUID- ORCID: 0000-0002-2096-5470
AD  - Harrogate and District NHS Foundation Trust, Harrogate, England.
FAU - Wilson, Matthew
AU  - Wilson M
AUID- ORCID: 0000-0002-8520-9596
AD  - Royal Devon and Exeter NHS Foundation Trust, Exeter, England.
FAU - McBryde, Callum
AU  - McBryde C
AUID- ORCID: 0000-0002-2500-5313
AD  - The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, England.
FAU - Khanduja, Vikas
AU  - Khanduja V
AUID- ORCID: 0000-0001-9454-3978
AD  - Addenbrooke's Hospital-The Cambridge University Hospitals NHS Foundation Trust, 
      Cambridge, England.
FAU - Malviya, Ajay
AU  - Malviya A
AUID- ORCID: 0000-0001-8053-1853
AD  - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, 
      England.
AD  - Northumbria NHS Foundation Trust, Newcastle upon Tyne, England.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Bone Joint Surg Am
JT  - The Journal of bone and joint surgery. American volume
JID - 0014030
SB  - IM
MH  - Acetabulum/abnormalities/*surgery
MH  - Adult
MH  - Databases, Factual/statistics & numerical data
MH  - Developmental Dysplasia of the Hip/epidemiology/*surgery
MH  - Female
MH  - Femoracetabular Impingement/epidemiology/*surgery
MH  - Hip Joint/abnormalities/surgery
MH  - Humans
MH  - Male
MH  - Minimal Clinically Important Difference
MH  - Osteoarthritis, Hip/etiology/prevention & control
MH  - *Osteotomy/methods/statistics & numerical data
MH  - Patient Reported Outcome Measures
MH  - Registries/statistics & numerical data
MH  - Retrospective Studies
MH  - United Kingdom/epidemiology
EDAT- 2020/08/10 06:00
MHDA- 2021/02/20 06:00
CRDT- 2020/08/10 06:00
PHST- 2020/08/10 06:00 [entrez]
PHST- 2020/08/10 06:00 [pubmed]
PHST- 2021/02/20 06:00 [medline]
AID - 00004623-202008050-00008 [pii]
AID - 10.2106/JBJS.18.01387 [doi]
PST - ppublish
SO  - J Bone Joint Surg Am. 2020 Aug 5;102(15):1312-1320. doi: 10.2106/JBJS.18.01387.