Sexual function and pregnancy outcomes after periacetabular osteotomy: a systematic review.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Journal of Hip Preservation Surgery Pub Date : 2024-12-05 eCollection Date: 2025-01-01 DOI:10.1093/jhps/hnae039
Katie Hutchinson, Khurram Baig, Christian Smith, Ajay Malviya
{"title":"Sexual function and pregnancy outcomes after periacetabular osteotomy: a systematic review.","authors":"Katie Hutchinson, Khurram Baig, Christian Smith, Ajay Malviya","doi":"10.1093/jhps/hnae039","DOIUrl":null,"url":null,"abstract":"<p><p>Periacetabular osteotomy (PAO) is a surgical treatment of developmental dysplasia of the hip (DDH). This systematic review investigates the impact PAO has on sexual function and pregnancy through changes in patient-reported outcomes. A literature search of Medline, PubMed, EMBASE, and the Cochrane Library from 1996 to November 2023 was performed. Search terms included: 'periacetabular osteotomy', 'pelvic osteotomy', 'outcomes', 'sexual function', 'pregnancy', and 'childbirth'. Assessment of methodological quality was performed using the methodological index for nonrandomized studies (MINORS) criteria and Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system. The search returned 560 papers, with 5 meeting the inclusion criteria. Sexual function improved over both short- and longer-term follow-up periods. 48.2% of patients had improved sexual function following PAO. Female patients reported greater improvement than males, who had a higher baseline score. No complications were documented in pregnancy or delivery compared to patients who had not had a PAO. Increased rates of caesarean sections (CSs) were seen in all studies (37.4%) compared to the European average. All five papers were calculated to be of low quality according to the MINORS criteria and low certainty according to the GRADE level of evidence. Patients receiving a PAO due to symptomatic DDH had improved sexual dysfunction due to a reduction in hip pain, but almost half of these patients may not appreciate any benefit. There is an increased likelihood of CS in patients post-PAO, with no reliable evidence for its necessity. Limitations of this review included poor quality and availability of evidence, as all studies were retrospective cohort studies. Further larger powered studies are required to assess the full impact of PAO on both sexual function and pregnancy.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"74-80"},"PeriodicalIF":1.4000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051862/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hip Preservation Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/jhps/hnae039","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Periacetabular osteotomy (PAO) is a surgical treatment of developmental dysplasia of the hip (DDH). This systematic review investigates the impact PAO has on sexual function and pregnancy through changes in patient-reported outcomes. A literature search of Medline, PubMed, EMBASE, and the Cochrane Library from 1996 to November 2023 was performed. Search terms included: 'periacetabular osteotomy', 'pelvic osteotomy', 'outcomes', 'sexual function', 'pregnancy', and 'childbirth'. Assessment of methodological quality was performed using the methodological index for nonrandomized studies (MINORS) criteria and Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system. The search returned 560 papers, with 5 meeting the inclusion criteria. Sexual function improved over both short- and longer-term follow-up periods. 48.2% of patients had improved sexual function following PAO. Female patients reported greater improvement than males, who had a higher baseline score. No complications were documented in pregnancy or delivery compared to patients who had not had a PAO. Increased rates of caesarean sections (CSs) were seen in all studies (37.4%) compared to the European average. All five papers were calculated to be of low quality according to the MINORS criteria and low certainty according to the GRADE level of evidence. Patients receiving a PAO due to symptomatic DDH had improved sexual dysfunction due to a reduction in hip pain, but almost half of these patients may not appreciate any benefit. There is an increased likelihood of CS in patients post-PAO, with no reliable evidence for its necessity. Limitations of this review included poor quality and availability of evidence, as all studies were retrospective cohort studies. Further larger powered studies are required to assess the full impact of PAO on both sexual function and pregnancy.

髋臼周围截骨术后的性功能和妊娠结局:一项系统综述。
髋臼周围截骨术(PAO)是一种治疗髋关节发育不良(DDH)的手术。本系统综述通过改变患者报告的结果来调查PAO对性功能和妊娠的影响。检索Medline、PubMed、EMBASE和Cochrane图书馆1996年至2023年11月的文献。搜索词包括:“髋臼周围截骨术”、“骨盆截骨术”、“结果”、“性功能”、“怀孕”和“分娩”。采用非随机研究方法学指标(未成年人)标准和推荐、评估、发展和评价分级(GRADE)系统进行方法学质量评估。检索到560篇论文,其中5篇符合纳入标准。性功能在短期和长期随访期间均有所改善。48.2%的患者术后性功能改善。女性患者比男性患者报告的改善更大,男性患者的基线评分更高。与未做PAO的患者相比,在妊娠或分娩中没有并发症记录。与欧洲平均水平相比,所有研究中剖腹产率(37.4%)都有所增加。根据minor标准计算所有5篇论文为低质量,根据GRADE证据水平计算为低确定性。由于症状性DDH而接受PAO的患者由于髋部疼痛的减轻而改善了性功能障碍,但几乎一半的患者可能没有感受到任何好处。pao后患者发生CS的可能性增加,但没有可靠的证据证明其必要性。本综述的局限性包括证据的质量和可得性较差,因为所有的研究都是回顾性队列研究。需要更大规模的研究来评估PAO对性功能和怀孕的全面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
20.00%
发文量
45
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信