PDF(Pubmed)
Abstract：
The optimal surgical approach in patients with borderline hip dysplasia (BHD) remains controversial. Both hip arthroscopy and periacetabular osteotomy (PAO) are commonly employed in this patient population. Those who participate in sports want to resume and maintain sports activities after surgery, and the ability to do so plays an important role in the choice of a treatment method. To our knowledge, no previous study has assessed return-to-sports rates and activity levels in patients with BHD after PAO.
To assess return-to-sports rates and postoperative activity levels as measured by the University of California, Los Angeles (UCLA), activity scale as well as patient-reported outcome measures. Also to assess changes in sports activity both qualitatively and quantitatively as well as underlying reasons for these changes.
Case series; Level of evidence, 4.
We conducted a retrospective analysis of prospectively collected data from 55 hips in 52 patients with BHD who underwent PAO between January 2015 and June 2017. Return-to-sports rates, UCLA activity scores, International Hip Outcome Tool-12 scores, Subjective Hip Value scores, Hip disability and Osteoarthritis Outcome Score subscores, sports practiced, frequency and duration of sports activity, and postoperative changes as well as underlying reasons were recorded.
The mean follow-up was 62.8 ± 9.0 months. The return-to-sports rate among preoperatively active patients was 92.5%. Most patients resumed sports activity after 6 months (50%) or after 3 to 6 months (37.5%). The UCLA activity score improved significantly (from 5.2 ± 2.4 to 7.0 ± 1.8; P < .001). The International Hip Outcome Tool-12, Subjective Hip Value, and Hip disability and Osteoarthritis Outcome Score scores also improved significantly (all, P < .001). Changes in sports activity occurred in 34.5% of cases after PAO. Significantly more patients engaged in low-impact sports postoperatively. Participation in high-impact sports did not decrease significantly. Reasons for changes were both hip related and non-hip related. Quantitatively, patients were able to significantly increase both the frequency (P = .007) and duration (P = .007) of sports activity.
The return-to-sports rate in patients with BHD after PAO was high at over 92%. Most patients returned to sports after a period of 6 months or 3 to 6 months. Overall, activity levels and hip function improved after PAO. A number of patients adjusted their sports activity after PAO. Although more patients engaged in low-impact sports, participation in high-impact sports was maintained postoperatively. The results of this study may help both patients and orthopaedic surgeons in deciding on the best surgical procedure in the setting of BHD.
To assess return-to-sports rates and postoperative activity levels as measured by the University of California, Los Angeles (UCLA), activity scale as well as patient-reported outcome measures. Also to assess changes in sports activity both qualitatively and quantitatively as well as underlying reasons for these changes.
Case series; Level of evidence, 4.
We conducted a retrospective analysis of prospectively collected data from 55 hips in 52 patients with BHD who underwent PAO between January 2015 and June 2017. Return-to-sports rates, UCLA activity scores, International Hip Outcome Tool-12 scores, Subjective Hip Value scores, Hip disability and Osteoarthritis Outcome Score subscores, sports practiced, frequency and duration of sports activity, and postoperative changes as well as underlying reasons were recorded.
The mean follow-up was 62.8 ± 9.0 months. The return-to-sports rate among preoperatively active patients was 92.5%. Most patients resumed sports activity after 6 months (50%) or after 3 to 6 months (37.5%). The UCLA activity score improved significantly (from 5.2 ± 2.4 to 7.0 ± 1.8; P < .001). The International Hip Outcome Tool-12, Subjective Hip Value, and Hip disability and Osteoarthritis Outcome Score scores also improved significantly (all, P < .001). Changes in sports activity occurred in 34.5% of cases after PAO. Significantly more patients engaged in low-impact sports postoperatively. Participation in high-impact sports did not decrease significantly. Reasons for changes were both hip related and non-hip related. Quantitatively, patients were able to significantly increase both the frequency (P = .007) and duration (P = .007) of sports activity.
The return-to-sports rate in patients with BHD after PAO was high at over 92%. Most patients returned to sports after a period of 6 months or 3 to 6 months. Overall, activity levels and hip function improved after PAO. A number of patients adjusted their sports activity after PAO. Although more patients engaged in low-impact sports, participation in high-impact sports was maintained postoperatively. The results of this study may help both patients and orthopaedic surgeons in deciding on the best surgical procedure in the setting of BHD.
摘要：
■临界髋关节发育不良（BHD）患者的最佳手术方法仍存在争议。髋关节镜检查和髋臼周围截骨术（PAO）通常用于该患者人群。参加体育运动的人希望在手术后恢复和保持体育活动，这样做的能力在选择治疗方法中起着重要作用。据我们所知,之前没有研究评估PAO后BHD患者的恢复运动率和活动水平.
■为了评估加州大学测量的恢复运动率和术后活动水平，洛杉矶（UCLA）活动量表以及患者报告的结果指标。还评估体育活动的定性和定量变化以及这些变化的根本原因。
■案例系列；证据级别，4.
■我们对2015年1月至2017年6月期间接受PAO的52例BHD患者的55髋前瞻性数据进行了回顾性分析。体育回归率，UCLA活动得分,国际髋关节结果工具-12得分，主观髋关节值得分，髋关节残疾和骨关节炎结果评分子评分，运动实践，体育活动的频率和持续时间，记录术后变化以及潜在原因。
■平均随访62.8±9.0个月。术前活跃患者的恢复运动率为92.5％。大多数患者在6个月后（50％）或3至6个月后（37.5％）恢复运动。UCLA活动评分显著提高（从5.2±2.4提高到7.0±1.8；P<.001）。国际髋关节结果工具-12，主观髋关节值，髋关节残疾和骨关节炎结果评分也显著改善(所有，P<.001)。PAO后34.5％的病例发生了体育活动的变化。术后从事低冲击运动的患者明显增多。高影响力运动的参与并未显着减少。改变的原因是髋关节相关和非髋关节相关。定量地,患者能够显着增加运动活动的频率（P=.007）和持续时间（P=.007）。
■PAO后BHD患者的恢复运动率很高，超过92％。大多数患者在6个月或3至6个月后恢复运动。总的来说,PAO后活动水平和髋关节功能改善。许多患者在PAO后调整了运动活动。虽然更多的患者从事低冲击运动，术后保持对高影响力运动的参与。这项研究的结果可能有助于患者和整形外科医生在BHD的背景下决定最佳的手术程序。
■为了评估加州大学测量的恢复运动率和术后活动水平，洛杉矶（UCLA）活动量表以及患者报告的结果指标。还评估体育活动的定性和定量变化以及这些变化的根本原因。
■案例系列；证据级别，4.
■我们对2015年1月至2017年6月期间接受PAO的52例BHD患者的55髋前瞻性数据进行了回顾性分析。体育回归率，UCLA活动得分,国际髋关节结果工具-12得分，主观髋关节值得分，髋关节残疾和骨关节炎结果评分子评分，运动实践，体育活动的频率和持续时间，记录术后变化以及潜在原因。
■平均随访62.8±9.0个月。术前活跃患者的恢复运动率为92.5％。大多数患者在6个月后（50％）或3至6个月后（37.5％）恢复运动。UCLA活动评分显著提高（从5.2±2.4提高到7.0±1.8；P<.001）。国际髋关节结果工具-12，主观髋关节值，髋关节残疾和骨关节炎结果评分也显著改善(所有，P<.001)。PAO后34.5％的病例发生了体育活动的变化。术后从事低冲击运动的患者明显增多。高影响力运动的参与并未显着减少。改变的原因是髋关节相关和非髋关节相关。定量地,患者能够显着增加运动活动的频率（P=.007）和持续时间（P=.007）。
■PAO后BHD患者的恢复运动率很高，超过92％。大多数患者在6个月或3至6个月后恢复运动。总的来说,PAO后活动水平和髋关节功能改善。许多患者在PAO后调整了运动活动。虽然更多的患者从事低冲击运动，术后保持对高影响力运动的参与。这项研究的结果可能有助于患者和整形外科医生在BHD的背景下决定最佳的手术程序。
