PMID- 35414950
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220414
IS  - 2054-8397 (Print)
IS  - 2054-8397 (Electronic)
IS  - 2054-8397 (Linking)
VI  - 8
IP  - 3
DP  - 2021 Aug
TI  - Tonnis Grade 1 dysplastic hips have improved patient-reported outcome scores when 
      intraarticular pathology is treated during periacetabular osteotomy.
PG  - 282-292
LID - 10.1093/jhps/hnab077 [doi]
AB  - It is unclear whether treatment of intraarticular pathology should be performed 
      during periacetabular osteotomy (PAO) to improve outcomes. Therefore, we asked: 
      (i) What are the clinical results of PAO in patients with and without 
      intraarticular intervention? (ii) Is there a difference in reoperations with and 
      without intraarticular intervention? and (iii) Is there a difference in clinical 
      results and reoperations depending on preoperative Tonnis Grade if intraarticular 
      intervention is performed? Prospective evaluation of 161 PAO in 146 patients was 
      performed. The cohort was 84.5% female, mean age was 26.7 +/- 7.9 years and mean 
      follow-up was 2.4 years; 112 hips had Grade 0 changes and 49 hips had Grade 1 
      changes. Patients were classified into three groups based on treatments during 
      PAO: major (labral repair, femoral head-neck osteochondroplasty), minor (labral 
      debridement, femoral/acetabular chondroplasty) or no intervention. A subset of 
      eight patient-reported outcome measures (PROMs) was analyzed to determine whether 
      the minimal clinically important difference (MCID) was achieved. Major, minor and 
      no intervention groups exceeded the MCID in 5, 8 and 8, of 8 PROMs (P >/= 0.20), 
      respectively; intraarticular interventions did not influence reoperation-free 
      survival (P >/= 0.35). By Tonnis Grade, PROMs exceeding MCID decreased in Grade 1 
      versus 0 receiving no intervention (P < 0.001) but did not decrease for either 
      intervention (P >/= 0.14); intraarticular interventions did not influence 
      reoperation-free survival (P >/= 0.38). Overall, intraarticular intervention was 
      associated with excellent PROMs and reoperation-free survival. Although Grade 1 
      patients had fewer PROM which achieved MCID, intraarticular interventions 
      attenuated this decrease, suggesting a therapeutic advantage of intraarticular 
      procedures for more advanced pathology.
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, 5777 E Mayo Blvd, 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 - 20211028
PL  - England
TA  - J Hip Preserv Surg
JT  - Journal of hip preservation surgery
JID - 101643347
PMC - PMC8994101
EDAT- 2022/04/14 06:00
MHDA- 2022/04/14 06:01
PMCR- 2021/10/28
CRDT- 2022/04/13 05:35
PHST- 2021/07/13 00:00 [received]
PHST- 2021/09/16 00:00 [revised]
PHST- 2021/10/12 00:00 [accepted]
PHST- 2022/04/13 05:35 [entrez]
PHST- 2022/04/14 06:00 [pubmed]
PHST- 2022/04/14 06:01 [medline]
PHST- 2021/10/28 00:00 [pmc-release]
AID - hnab077 [pii]
AID - 10.1093/jhps/hnab077 [doi]
PST - epublish
SO  - J Hip Preserv Surg. 2021 Oct 28;8(3):282-292. doi: 10.1093/jhps/hnab077. 
      eCollection 2021 Aug.