PMID- 34676101
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211023
IS  - 2054-8397 (Print)
IS  - 2054-8397 (Electronic)
IS  - 2054-8397 (Linking)
VI  - 8
IP  - 1
DP  - 2021 Jan
TI  - Addressing intraarticular pathology at the time of anteverting periacetabular 
      osteotomy for acetabular retroversion is associated with better short-term 
      patient-reported outcomes.
PG  - 90-104
LID - 10.1093/jhps/hnab040 [doi]
AB  - Periacetabular osteotomy (PAO) is effective in the management of developmental 
      dysplasia of the hip and femoroacetabular impingement secondary to acetabular 
      retroversion. During anteverting PAO for acetabular retroversion, the need for 
      both labral treatment and femoral head-neck junction osteochondroplasty remains 
      equivocal. Accordingly, this study evaluated patient-reported outcome measures 
      (PROM) and reoperation rates after anteverting PAO with or without intraarticular 
      intervention. Cases of anteverting PAO performed at a single institution between 
      November 2009 and January 2016 were retrospectively reviewed. Patients were 
      divided into three groups: no intervention and intraarticular intervention with 
      arthrotomy or arthroscopy. Subsequently, patients were reclassified by the 
      intraarticular procedure performed at surgery into major (labral repair, femoral 
      head-neck osteochondroplasty) and minor (labral debridement, femoral/acetabular 
      chondroplasty) groups. The cohort was 75% female, median age was 19.5 years and 
      mean body mass index was 25.0 kg/m(2). Preoperative to postoperative improvement 
      was compared to minimal clinically important differences (MCID) for eight PROM. 
      Patients receiving major interventions exceeded MCID in a greater proportion of 
      PROM compared to minor and no intervention groups (P < 0.007); major or minor 
      interventions did not increase the risk of reoperation over no intervention 
      (P >/= 0.39). Based on the current data, surgeons performing anteverting PAO for 
      acetabular retroversion should perform arthroscopic or open labral repair and 
      assess for impingement after the correction and perform a head-neck junction 
      osteochondroplasty if indicated.
CI  - (c) The Author(s) 2021. Published by Oxford University Press.
FAU - Panos, Joseph A
AU  - Panos JA
AUID- ORCID: 0000-0001-5499-0896
AD  - Mayo Clinic Alix School of Medicine, 200 1st St. SW, Rochester, MN 55905, USA.
FAU - Gutierrez, Claudia N
AU  - Gutierrez CN
AD  - Mayo Clinic Alix School of Medicine, 200 1st St. SW, Rochester, MN 55905, USA.
FAU - Wyles, Cody C
AU  - Wyles CC
AD  - Department of Orthopedic Surgery, Mayo Clinic, 200 1st St. SW, Rochester, MN 
      55905, USA.
FAU - Bingham, Joshua S
AU  - Bingham JS
AD  - Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ 85054, USA.
FAU - Mara, Kristin C
AU  - Mara KC
AD  - Division of Biomedical Statistics and Informatics, Mayo Clinic, 200 1st St. SW, 
      Rochester, MN 55905, USA.
FAU - Trousdale, Robert T
AU  - Trousdale RT
AD  - Department of Orthopedic Surgery, Mayo Clinic, 200 1st St. SW, Rochester, MN 
      55905, USA.
FAU - Sierra, Rafael J
AU  - Sierra RJ
AD  - Department of Orthopedic Surgery, Mayo Clinic, 200 1st St. SW, Rochester, MN 
      55905, USA.
LA  - eng
PT  - Journal Article
DEP - 20210620
PL  - England
TA  - J Hip Preserv Surg
JT  - Journal of hip preservation surgery
JID - 101643347
PMC - PMC8527802
EDAT- 2021/10/23 06:00
MHDA- 2021/10/23 06:01
PMCR- 2021/06/20
CRDT- 2021/10/22 06:51
PHST- 2020/09/21 00:00 [received]
PHST- 2021/03/06 00:00 [revised]
PHST- 2021/10/22 06:51 [entrez]
PHST- 2021/10/23 06:00 [pubmed]
PHST- 2021/10/23 06:01 [medline]
PHST- 2021/06/20 00:00 [pmc-release]
AID - hnab040 [pii]
AID - 10.1093/jhps/hnab040 [doi]
PST - epublish
SO  - J Hip Preserv Surg. 2021 Jun 20;8(1):90-104. doi: 10.1093/jhps/hnab040. 
      eCollection 2021 Jan.