Endoscopic shelf acetabuloplasty can improve clinical outcomes and achieve return to sports-related activity in active patients with hip dysplasia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-10

AUTHORS

Soshi Uchida, Akihisa Hatakeyama, Shiho Kanezaki, Hajime Utsunomiya, Hitoshi Suzuki, Toshiharu Mori, Angela Chang, Dean K. Matsuda, Akinori Sakai

ABSTRACT

PURPOSE: To investigate clinical outcomes and return to sports-related activity following endoscopic shelf acetabuloplasty combined with labral repair in the treatment of the active patients with developmental dysplasia of the hip (DDH). METHODS: Between 2011 and 2013, 32 patients (36 hips; 11 males and 21 females; 11 right 17 left 4 bilateral; median age 28.5, range 12-51 years), who underwent endoscopic shelf acetabuloplasty combined with labral repair and met the inclusion criteria were enrolled in this study. There was a minimum follow-up of 2 years (average 32.3 ± 3 months, range 24-48 months). Patient-reported outcome (PRO) scores including the modified Harris Hip Score (MHHS) and Non-Arthritis Hip Score (NAHS) were obtained preoperatively and at final follow-up for the assessment of surgical outcomes. RESULTS: The mean MHHS significantly improved from 68.4 ± 14.3 (range 23.1-95.7) preoperatively to 94.5 ± 8.5 (range 66-100) at final follow-up (p = 0.001). Similarly, the NAHS also significantly improved from 51.3 ± 11.9 (range 23-76) preoperatively to 73.0 ± 7.4 (range 44-80) at final follow-up (p = 0.001). The mean LCE angle significantly increased postoperatively but partially decreased at final follow-up (mean preoperative versus postoperative versus final follow-up: 16.0 range 5-24, versus 40.1 range 27-58, versus 30.1 range 20-41. p = 0.001, respectively). There were 3 patients who returned to a higher activity level, 20 patients who returned to the same activity level, and 6 patients who returned to a lower activity level. The mean period from surgery to return to play was 9.0 ± 3.5 months (range 5-18). CONCLUSION: Endoscopic shelf acetabuloplasty provides promising clinical outcomes and return to sports-related activity for active patients with DDH. LEVEL OF EVIDENCE: Level IV. More... »

PAGES

3165-3177

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-017-4787-0

DOI

http://dx.doi.org/10.1007/s00167-017-4787-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1093060185

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29185006


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    "description": "PURPOSE: To investigate clinical outcomes and return to sports-related activity following endoscopic shelf acetabuloplasty combined with labral repair in the treatment of the active patients with developmental dysplasia of the hip (DDH).\nMETHODS: Between 2011 and 2013, 32 patients (36 hips; 11 males and 21 females; 11 right 17 left 4 bilateral; median age 28.5, range 12-51\u00a0years), who underwent endoscopic shelf acetabuloplasty combined with labral repair and met the inclusion criteria were enrolled in this study. There was a minimum follow-up of 2\u00a0years (average 32.3\u2009\u00b1\u20093 months, range 24-48\u00a0months). Patient-reported outcome (PRO) scores including the modified Harris Hip Score (MHHS) and Non-Arthritis Hip Score (NAHS) were obtained preoperatively and at final follow-up for the assessment of surgical outcomes.\nRESULTS: The mean MHHS significantly improved from 68.4\u2009\u00b1\u200914.3 (range 23.1-95.7) preoperatively to 94.5\u2009\u00b1\u20098.5 (range 66-100) at final follow-up (p\u2009=\u20090.001). Similarly, the NAHS also significantly improved from 51.3\u2009\u00b1\u200911.9 (range 23-76) preoperatively to 73.0\u2009\u00b1\u20097.4 (range 44-80) at final follow-up (p\u2009=\u20090.001). The mean LCE angle significantly increased postoperatively but partially decreased at final follow-up (mean preoperative versus postoperative versus final follow-up: 16.0 range 5-24, versus 40.1 range 27-58, versus 30.1 range 20-41. p\u2009=\u20090.001, respectively). There were 3 patients who returned to a higher activity level, 20 patients who returned to the same activity level, and 6 patients who returned to a lower activity level. The mean period from surgery to return to play was 9.0\u2009\u00b1\u20093.5\u00a0months (range 5-18).\nCONCLUSION: Endoscopic shelf acetabuloplasty provides promising clinical outcomes and return to sports-related activity for active patients with DDH.\nLEVEL OF EVIDENCE: Level IV.", 
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