Use of oblique view in periacetabular osteotomy and delayed postoperative weight bearing reduce delayed union in the ischium after one year.
Hip
Image intensifier
Periacetabular osteotomy
Post-operative
Rehabilitation
Weight-bearing
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
10 10 2024
10 10 2024
Historique:
received:
09
07
2024
accepted:
07
10
2024
medline:
11
10
2024
pubmed:
11
10
2024
entrez:
10
10
2024
Statut:
epublish
Résumé
This study aimed to determine the efficacy of using both the postero-anterior and oblique image intensifier views intra-operatively and late start of post-operative partial weight-bearing (PWB) in reducing the incidence of delayed union in the ischium at one year after curved periacetabular osteotomy. We evaluated computed tomography images to clarify the incidence of delayed union at the osteotomy sites at one year post-operatively for 117 hips in 104 patients. Fifty-eight hips in 54 patients with use of both the postero-anterior and oblique image intensifier views intra-operatively and late start of post-operative PWB were assigned to the oblique view and late PWB group (OL group) and 59 hips in 50 patients with use of only the postero-anterior image intensifier view intra-operatively and early start of post-operative PWB were assigned to the control group (C group). In univariate analyses, the incidence of delayed union in the ischium at one year post-operatively was significantly lower in the OL group (3.5%) than in the C group (22%). Use of both the postero-anterior and oblique image intensifier views during curved periacetabular osteotomy and late start of PWB were effective for reducing delayed union of the ischium at one year post-operatively.
Identifiants
pubmed: 39390253
doi: 10.1038/s41598-024-75593-w
pii: 10.1038/s41598-024-75593-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
23720Informations de copyright
© 2024. The Author(s).
Références
Naito, M., Shiramizu, K., Akiyoshi, Y., Ezoe, M. & Nakamura, Y. Curved periacetabular osteotomy for treatment of dysplastic hip. Clin. Orthop. Relat. Res.433, 129–135 (2005).
doi: 10.1097/01.blo.0000153281.75265.1d
Ganz, R., Klaue, K., Vinh, T. S. & Mast, J. W. A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. Clin. Orthop. Relat. Res.232, 26–36 (1998).
Matsuo, A. et al. Transposition osteotomy of the acetabulum for advanced-stage osteoarthritis of the hips. J. Orthop. Sci.14 (3), 266–273 (2009).
doi: 10.1007/s00776-009-1327-x
pubmed: 19499292
Ninomiya, S. & Tagawa, H. Rotational acetabular osteotomy for the dysplastic hip. J. Bone Joint Surg. Am.66 (3), 430–436 (1984).
doi: 10.2106/00004623-198466030-00017
pubmed: 6699061
Hasegawa, Y. et al. Eccentric rotational acetabular osteotomy for acetabular dysplasia: follow-up of one hundred and thirty-two hips for five to ten years. J. Bone Joint Surg. Am.84 (3), 404–410 (2002).
doi: 10.2106/00004623-200203000-00011
pubmed: 11886910
Hara, T. et al. Spherical periacetabular osteotomy. J. B J. S Essent. Surg. Tech.12(3), e21.00048 (2022).
Akiho, S. et al. Incidence of delayed union one year after peri-acetabular osteotomy based on computed tomography. Int. Orthop.42 (5), 1029–1034 (2018).
doi: 10.1007/s00264-017-3656-2
pubmed: 29018910
Matsunaga, A., Akiho, S., Kinoshita, K., Naito, M. & Yamamoto, T. The prevalence and risk factors for delayed union of the superior pubic ramus at one year after curved periacetabular osteotomy: its risk factor and outcome. Int. Orthop.42 (6), 1253–1258 (2018).
doi: 10.1007/s00264-017-3706-9
pubmed: 29209742
Thawrani, D., Sucato, D. J., Podeszwa, D. A. & DeLaRocha, A. Complications associated with the Bernese periacetabular osteotomy for hip dysplasia in adolescents. J. Bone Joint Surg. Am.92 (8), 1707–1714 (2010).
doi: 10.2106/JBJS.I.00829
pubmed: 20660233
Clohisy, J. C., Nunley, R. M., Curry, M. C. & Schoenecker, P. L. Periacetabular osteotomy for the treatment of acetabular dysplasia associated with major aspherical femoral head deformities. J. Bone Joint Surg. Am.89 (7), 1417–1723 (2007).
doi: 10.2106/00004623-200707000-00002
pubmed: 17606777
Peters, C. L., Erickson, J. A. & Hines, J. L. Early results of the Bernese periacetabular osteotomy: the learning curve at an academic medical center. J. Bone Joint Surg. Am.88 (9), 1920–1926 (2006).
pubmed: 16951106
Davey, J. P. & Santore, R. F. Complications of periacetabular osteotomy. Clin. Orthop. Relat. Res.363, 33–37 (1999).
doi: 10.1097/00003086-199906000-00005
Biedermann, R. et al. Complications and patient satisfaction after periacetabular pelvic osteotomy. Int. Orthop.32 (5), 611–617 (2008).
doi: 10.1007/s00264-007-0372-3
pubmed: 17579861
Garras, D. N., Santangelo, J. R., Wang, D. W. & Easley, M. E. Medium-term results of the Bernese periacetabular osteotomy in the treatment of symptomatic developmental dysplasia of the hip. J. Bone Joint Surg. Br.89 (6), 721–724 (2007).
doi: 10.1302/0301-620X.89B6.18805
pubmed: 17613493
Matta, J. M., Stover, M. D. & Siebenrock, K. Periacetabular osteotomy through the Smith-Petersen approach. Clin. Orthop. Relat. Res.363, 21–32 (1999).
Crockarell, J. Jr., Trousdale, R. T., Cabanela, M. E. & Berry, D. J. Early experience and results with the periacetabular osteotomy. The Mayo Clinic experience. Clin. Orthop. Relat. Res.363, 45–53 (1999).
doi: 10.1097/00003086-199906000-00007
Murphy, S. & Deshmukh, R. Periacetabular osteotomy: preoperative radiographic predictors of outcome. Clin. Orthop. Relat. Res.405, 168–174 (2002).
doi: 10.1097/00003086-200212000-00021
Hussell, J. G., Rodriguez, J. A. & Ganz, R. Technical complications of the Bernese periacetabular osteotomy. Clin. Orthop. Relat. Res.363, 81–92 (1999).
doi: 10.1097/00003086-199906000-00011
Clohisy, J. C., Barrett, S. E., Gordon, J. E., Delgado, E. D. & Schoenecker, P. L. Periacetabular osteotomy in the treatment of severe acetabular dysplasia. Surgical technique. J. Bone Joint Surg. Am.88(Suppl (1 Pt), 65–83 (2006).
Espinosa, N., Strassberg, J., Belzile, E. L., Millis, M. B. & Kim, Y. J. Extraarticular fractures after periacetabular osteotomy. Clin. Orthop. Relat. Res.466, 1645–1651 (2008).
doi: 10.1007/s11999-008-0280-x
pubmed: 18465184
pmcid: 2505263
Tsuboi, M., Hasegawa, Y., Fujita, K. & Kawabe, K. Pubic/ischial stress fractures after eccentric rotational acetabular osteotomy. J. Orthop. Sci.16 (1), 38–43 (2011).
doi: 10.1007/s00776-010-0010-6
pubmed: 21290153
Malviya, A., Dandachli, W., Beech, Z., Bankes, M. J. & Witt, J. D. The incidence of stress fracture following peri-acetabular osteotomy: an under-reported complication. Bone Joint J.97-B (1), 24–28 (2015).
doi: 10.1302/0301-620X.97B1.34525
pubmed: 25568409
Doi, N. et al. Incidence and clinical outcome of lateral femoral cutaneous nerve injury after periacetabular osteotomy. Bone Joint J.103-B (4), 659–664 (2021).
doi: 10.1302/0301-620X.103B4.BJJ-2020-0990.R2
pubmed: 33789480
Mei-Dan, O. et al. The CU PAO: a minimally invasive, 2-incision, interlocking periacetabular osteotomy: technique and early results. J. Bone Joint Surg. Am.101 (16), 1495–1504 (2019).
doi: 10.2106/JBJS.19.00005
pubmed: 31436658
Kamachi, Y., Kinoshita, K., Sakamoto, T., Matsunaga, T. & Yamamoto, T. Bone union status of all osteotomy sites one year after curved periacetabular osteotomy based on computed tomography. Orthop. Traumatol. Surg. Res.107 (8), 102955 (2021).
doi: 10.1016/j.otsr.2021.102955
pubmed: 33945851
Kinoshita, K. et al. Results of curved periacetabular osteotomy in patients over 60 years. Hip Joint. 34, 215–217 (2008). [in Japanese].
Kashima, N., Shiramizu, K., Nakamura, Y., Shigeaki, M. & Masatoshi, N. Biomechanical comparison of the fixation after curved periacetabular osteotomy using titanium and bioabsorbable screws. Hip Int.25 (2), 164–167 (2015).
doi: 10.5301/hipint.5000214
pubmed: 25633759
Yasunaga, Y. et al. Rotational acetabular osteotomy in patients forty-six years of age or older comparison with younger patients. J. Bone Joint Surg. Am.85 (12), 266–272 (2003).
doi: 10.2106/00004623-200302000-00013
pubmed: 12571304
Tönnis, D. & Heinecke, A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J. Bone Joint Surg. Am.81 (12), 1747–1770 (1999).
doi: 10.2106/00004623-199912000-00014
pubmed: 10608388
Doi, K. et al. Mechanical influence of pubic nonunion on the stress distribution after curved periacetabular osteotomy: patient-specific three-dimensional finite element analysis. J. Arthroplasty. 37 (7), 1390–1395 (2022).
doi: 10.1016/j.arth.2022.02.071
pubmed: 35217183
Casanova, M., Schindeler, A., Little, D., Müller, R. & Schneider, P. Quantitative phenotyping of bone fracture repair: a review. Bonekey Rep.3, 550 (2014).
doi: 10.1038/bonekey.2014.45
pubmed: 25120907
pmcid: 4119206
Lerch, T. D., Steppacher, S. D., Liechti, E. F., Tannast, M. & Siebenrock, K. A. Clin. Orthop. Relat. Res.475(4), 1154–1168 doi: https://doi.org/10.1007/s11999-016-5169-5 . (2017).
doi: 10.1007/s11999-016-5169-5
pubmed: 27905061
Tanaka, S. et al. Bone Joint J.106–B(8), 783–791 doi: https://doi.org/10.1302/0301-620X.106B8 . (2024).
doi: 10.1302/0301-620X.106B8
pubmed: 39084631