Periacetabular osteotomy for symptomatic hip dysplasia in middle aged patients: does age alone matter?
Arch Orthop Trauma Surg
; 144(3): 1065-1070, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38133805
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Luxação do Quadril
Limite:
Adult
/
Humans
/
Middle aged
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Alemanha