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- Title
Periacetabular osteotomy for symptomatic hip dysplasia in middle aged patients: does age alone matter?
- Authors
Leopold, Vincent J.; Hipfl, Christian; Perka, Carsten; Hardt, Sebastian; Becker, Luis
- Abstract
Background: Conflicting evidence exists regarding outcomes in middle-aged patients undergoing periacetabular osteotomy (PAO) for symptomatic developmental dysplasia of the hip (DDH). Aims: To compare patient reported outcomes (PROMs) of middle-aged PAO patients with younger patient groups. Methods: Retrospective analysis of prospectively collected data of PAO patients between 01/2015 and 06/2017 at a single orthopedic university center with a primary diagnosis of symptomatic DDH. The cohort was divided into four age groups and compared: < 20, 20–30, 30–40 and > 40 years. Joint function was assessed using iHOT-12, mHHS and SHV. Activity level was assessed using UCLA Activity score. Patient satisfaction and pain were assessed on the numerical rating scale 0–10. Conversion rates to THA were assessed. Results: Out of 202 PAOs, 120 cases with complete data were included. Mean follow-up was 63 months (range 47–81 months). Eighteen patients were < 20 years old, 54 were 20–30 years, 37 were 30–40 years, 11 patients were older than 40. No significant differences were observed for preoperative or postoperative iHOT-12 (p = 0.898; p = 0.087), mHHS (p = 0.878; p = 0.103), SHV (p = 0.602; p = 0.352) or UCLA (p = 0.539; p = 0.978) between groups. Improvement deltas were also not significantly different for all PROMs. Postoperative patient satisfaction was similar between groups (p = 0.783). Conclusion: Patients with symptomatic DDH may benefit from PAO even at middle age with similar outcomes and pre- to postoperative improvements as younger age groups. Indication should be based on biological age and preoperative joint condition rather than age.
- Subjects
UNIVERSITY of California, Los Angeles; OLDER patients; CONGENITAL hip dislocation; ACETABULUM surgery; DYSPLASIA; PATIENT reported outcome measures; PATIENT satisfaction; OSTEOTOMY
- Publication
Archives of Orthopaedic & Trauma Surgery, 2024, Vol 144, Issue 3, p1065
- ISSN
0936-8051
- Publication type
Article
- DOI
10.1007/s00402-023-05160-x