PMID- 37972667
OWN - NLM
STAT- MEDLINE
DCOM- 20240422
LR  - 20240422
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 39
IP  - 5
DP  - 2024 May
TI  - Retroverting Periacetabular Osteotomy for Symptomatic Acetabular Anteversion.
PG  - 1235-1239
LID - S0883-5403(23)01136-1 [pii]
LID - 10.1016/j.arth.2023.11.013 [doi]
AB  - BACKGROUND: Acetabular dysplasia has traditionally been defined using the lateral 
      center edge angle and treated with periacetabular osteotomy (PAO). However, the 
      recently described Ottawa classification further quantifies dysplasia in 
      3-dimensional terms, categorizing Ottawa A as dysplasia due to isolated, 
      excessive acetabular anteversion or anterior acetabular under-coverage. We sought 
      to determine if patients who have Ottawa A dysplasia can expect similar outcomes 
      when undergoing a PAO compared to a traditional dysplasia cohort. METHODS: 
      Patients who had undergone PAO with Ottawa A hip dysplasia were selected and 
      compared to a control group of patients who had lateral acetabular undercoverage. 
      The modified Harris Hip Score and International Hip Outcome Tool-33 were 
      collected preoperatively and at various follow-up points for a final follow-up 
      average of 2.3 years (range, 0.9 to 6.2). RESULTS: The 17 patients (21 hips) who 
      had Ottawa A dysplasia were compared to a control cohort of 69 patients (88 
      hips). Both groups saw significant improvements in modified Harris Hip Score and 
      International Hip Outcome Tool-33 at final follow-up, P < .001. There were no 
      differences between groups in any of the outcome measures or rates of achieving 
      minimal clinically important difference (MCID) or substantial clinical benefit. 
      Rates of MCID ranged from 82.4 to 100%, and rates of achieving substantial 
      clinical benefit ranged from 47.1 to 52.9%. CONCLUSIONS: In patients undergoing a 
      PAO for Ottawa A hip dysplasia, a significant improvement in patient-reported 
      outcomes can be expected with high rates of MCID achievement. This is not 
      significantly different for patients undergoing PAO for more traditional 
      dysplasia parameters.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Selley, Ryan S
AU  - Selley RS
AD  - Department of Orthopedic Surgery, Northwestern Memorial Hospital, Chicago, 
      Illinois.
FAU - Peck, Jeffrey B
AU  - Peck JB
AD  - Department of Orthopaedic Surgery, Children's National Hospital, Washington, 
      District of Columbia.
FAU - Trotzky, Zachary A
AU  - Trotzky ZA
AD  - Department of Hip Preservation, Hospital for Special Surgery, New York, New York.
FAU - Robustelli, Stacy B
AU  - Robustelli SB
AD  - Department of Hip Preservation, Hospital for Special Surgery, New York, New York.
FAU - Sink, Ernest L
AU  - Sink EL
AD  - Department of Hip Preservation, Hospital for Special Surgery, New York, New York.
LA  - eng
PT  - Journal Article
DEP - 20231114
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Humans
MH  - *Hip Dislocation/surgery
MH  - Treatment Outcome
MH  - Acetabulum/surgery
MH  - *Hip Dislocation, Congenital/surgery
MH  - Osteotomy/methods
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Ottawa A
OT  - acetabular anteversion
OT  - hip dysplasia
OT  - hip pain
OT  - periacetabular osteotomy
EDAT- 2023/11/17 15:25
MHDA- 2024/04/22 06:45
CRDT- 2023/11/16 19:24
PHST- 2023/08/02 00:00 [received]
PHST- 2023/11/07 00:00 [revised]
PHST- 2023/11/09 00:00 [accepted]
PHST- 2024/04/22 06:45 [medline]
PHST- 2023/11/17 15:25 [pubmed]
PHST- 2023/11/16 19:24 [entrez]
AID - S0883-5403(23)01136-1 [pii]
AID - 10.1016/j.arth.2023.11.013 [doi]
PST - ppublish
SO  - J Arthroplasty. 2024 May;39(5):1235-1239. doi: 10.1016/j.arth.2023.11.013. Epub 
      2023 Nov 14.