Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
DDH | developmental dysplasia of the hip |
HHS | Harris Hip Score |
HLS | Hip Lag Sign |
CT | computed tomography |
AP | anteroposterior |
CEA | center-edge angle |
FHC | femoral head coverage |
PAO | periacetabular osteotomy |
References
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Number of Patients/Hips | 56/58 |
---|---|
Sex | Female: 51 Male: 5 |
Age (mean) | 35.5 years (18–48 years) |
Operated side | Left: 31 Right: 27 |
BMI (mean) | 23.8 |
Crowe classification | Type I: 30 Type II: 28 |
McKay classification | Good: 21 Fair: 19 Poor: 18 |
Variable (Mean) | Preoperative SD (95% CI) | Postoperative SD (95% CI) | Diff. | p-Value |
---|---|---|---|---|
CEA (°) | 5.4 ± 8.7 (3.1–7.6) | 21.7 ± 7.5 (19.7–23.6) | 16.3 | <0.0001 |
Medialization (mm) | 83.4 ± 5.4 (81.9–84.8) | 80 ± 6.9 (78.2–81.8) | −3.4 | <0.0005 |
Distalization (mm) | 53.9 ± 8.2 (51.8–56.1) | 50.4 ± 9.4 (48.0–52.9) | −3.5 | <0.0005 |
FHC (%) | 57.4 ± 9.2 (54.9–59.8) | 72.6 ± 7.2 (70.6–74.7) | 15.2 | <0.0001 |
Ilioischial angle (°) | 86.5 ± 2.9 (85.7–87.3) | 83.8 ± 2.9 (83.1–84.6) | −2.7 | <0.0005 |
HHS (points) | 58.8 ± 13.2 (55.3–62.3) | 80.8 ± 10.3 (78.1–83.5) | 22 | <0.0001 |
WOMAC (%) | 35.3 ± 17.9 (30.6–40.0) | 11.1 ± 11.8 (8.0–14.2) | −24.2 | <0.0001 |
M. Postel–d’Aubigne (points) | 12.9 ± 2.5 (12.2–13.6) | 16.1 ± 1.9 (15.6–16.6) | 3.5 | <0.0001 |
Hip flexion (°) | 120 ± 1.4 (119–122) | 118 ± 2.1 (117–122) | 2 | 0.35 |
HLS (%) | 75 | 8 | 67 | <0.001 |
Variable (Mean) | HHS | WOMAC | M. Postel–d’Aubigne | Improvement for All Scales (Mean) |
---|---|---|---|---|
CEA (deg.) | 15.5 | 10.4 | 9.4 | 11.7 |
FHC (%) | 3.6 | 20 | 9.2 | 11 |
Ilioischial angle (deg.) | 3 | 3 | 3.9 | 3.3 |
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Kołodziejczyk, K.; Czwojdziński, A.; Czubak-Wrzosek, M.; Czubak, J. Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study. J. Clin. Med. 2023, 12, 1837. https://doi.org/10.3390/jcm12051837
Kołodziejczyk K, Czwojdziński A, Czubak-Wrzosek M, Czubak J. Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study. Journal of Clinical Medicine. 2023; 12(5):1837. https://doi.org/10.3390/jcm12051837
Chicago/Turabian StyleKołodziejczyk, Kamil, Adam Czwojdziński, Maria Czubak-Wrzosek, and Jarosław Czubak. 2023. "Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study" Journal of Clinical Medicine 12, no. 5: 1837. https://doi.org/10.3390/jcm12051837
APA StyleKołodziejczyk, K., Czwojdziński, A., Czubak-Wrzosek, M., & Czubak, J. (2023). Radiologic Predictors for Clinical Improvement in PAO—A Perspective Study. Journal of Clinical Medicine, 12(5), 1837. https://doi.org/10.3390/jcm12051837