Abstract：
BACKGROUND: Guidelines have been proposed for post-operative rehabilitation following periacetabular osteotomy (PAO). However, the perspectives of individuals undergoing PAO have not been considered.
OBJECTIVE: The present study aimed to explore the perceived challenges of everyday life and hopes for and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia living in Denmark and Australia.
METHODS: In this qualitative study, we used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16-43 years, who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks and undergoing post-operative rehabilitation. Inductive content analysis was adopted to code and analyse interviews.
RESULTS: The analysis of the interview transcripts revealed four major themes: different expectations, self-confidence, tailored rehabilitation and aligning expectations. Several subthemes emerged within each theme, and similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.
CONCLUSIONS: Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.
OBJECTIVE: The present study aimed to explore the perceived challenges of everyday life and hopes for and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia living in Denmark and Australia.
METHODS: In this qualitative study, we used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16-43 years, who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks and undergoing post-operative rehabilitation. Inductive content analysis was adopted to code and analyse interviews.
RESULTS: The analysis of the interview transcripts revealed four major themes: different expectations, self-confidence, tailored rehabilitation and aligning expectations. Several subthemes emerged within each theme, and similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.
CONCLUSIONS: Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.
摘要：
背景：已经提出了髋臼周围截骨术（PAO）术后康复指南。然而,没有考虑接受PAO的个人的观点。
目的：本研究旨在从生活在丹麦和澳大利亚的髋臼发育不良患者的角度探讨日常生活的挑战以及对PAO后康复的希望和期望。
方法：在这项定性研究中，我们使用解释学现象学方法和半结构化访谈来探索25名参与者(4名男性)的观点，16-43岁,谁接受了PAO。使用有目的的采样来提供年龄和性别的变化。纳入标准是年龄在15岁以上，髋臼发育不良的影像学证据,PAO在过去七周内接受手术后康复。采用归纳内容分析对访谈进行编码和分析。
结果：对访谈记录的分析揭示了四个主要主题：不同的期望，自信,量身定制的康复和调整期望。每个主题中都出现了几个次主题，在不同的国家中发现了相似的模式，差异很小。然而,自费手术和康复的经济负担挑战了一些澳大利亚参与者，而丹麦的参与者都没有提到这个挑战。
结论：我们的发现阐明了接受PAO的个体的不同范围的希望和期望，以及这些与他们感知到的挑战有何关系。特别是,研究结果强调了在设计康复治疗方案时,调整个体和临床医生之间期望的重要性.
目的：本研究旨在从生活在丹麦和澳大利亚的髋臼发育不良患者的角度探讨日常生活的挑战以及对PAO后康复的希望和期望。
方法：在这项定性研究中，我们使用解释学现象学方法和半结构化访谈来探索25名参与者(4名男性)的观点，16-43岁,谁接受了PAO。使用有目的的采样来提供年龄和性别的变化。纳入标准是年龄在15岁以上，髋臼发育不良的影像学证据,PAO在过去七周内接受手术后康复。采用归纳内容分析对访谈进行编码和分析。
结果：对访谈记录的分析揭示了四个主要主题：不同的期望，自信,量身定制的康复和调整期望。每个主题中都出现了几个次主题，在不同的国家中发现了相似的模式，差异很小。然而,自费手术和康复的经济负担挑战了一些澳大利亚参与者，而丹麦的参与者都没有提到这个挑战。
结论：我们的发现阐明了接受PAO的个体的不同范围的希望和期望，以及这些与他们感知到的挑战有何关系。特别是,研究结果强调了在设计康复治疗方案时,调整个体和临床医生之间期望的重要性.
