Return to Play After Periacetabular Osteotomy for Treatment of Acetabular Dysplasia in Adolescent and Young Adult Athletes

• DOI: 10.1177/0363546516632743
• Publication Date: 2016-03-12T04:33:16Z
• Authors: Benton E. Heyworth; Eduardo N. Novais; Kerri Murray; Gregory Cvetanovich; David Zurakowski; Michael B. Millis; Young-jo Kim
• Keywords: Harris Hip Score; Hip Dysplasia; Hip surgery

The Bernese periacetabular osteotomy (PAO) is an effective surgical treatment option for symptomatic acetabular dysplasia. Little evidence exists regarding the results of PAO and rates return to play (RTP) in athletic population.The majority athletes will demonstrate improvements functional outcome measures, such as modified Harris Hip Score Disability Osteoarthritis Outcome Score, be able sports after PAO.Case series; Level evidence, 4.A comprehensive hip database at academic referral center was used identify a subpopulation on whom performed. Data analyzed included preceding surgeries, reoperations, RTP timing features. Standard pre- postoperative radiologic parameters validated measures were assessed, regression model assessed risk factors prolonged time RTP.Of 245 PAOs performed over 5-year study period, 46 41 patients who met inclusion criteria being athlete (mean age, 26.2 years; range, 13-41 36 females; 19% all PAOs), representing variety sports. Prior surgery had been 9 hips (20%). Only 1 post-PAO procedure (2%), excision heterotopic ossification, during period. At final follow-up (median, 3.1 1.2-4.4 years), significant mean observed (from 71 90; P < .001) 64 89; .001). University California-Los Angeles Activity Scale scores maintained high level (range, 8.0-8.2; = .28). reported 80% (37 46) median months postoperatively, with increased pain only independent predictor longer RTP. Of these 37 athletes, 27 (73%) returned same level, although this significantly less common (P .06) competitive (11 19; 58%) than recreational (16 18; 89%). Among those did 23 (85%) maintain time, but not different between (8 11; 73%) (15 16; 94%) .27).Most undergoing are female show function play. However, there no decline overall activity 3 years, self-assessed performance attained approximately one-half population.