Change in Early Patient-Reported Sexual Function After Periacetabular Osteotomy: A Study Utilizing the UK Non-Arthroplasty Hip Registry.

IF 2.4 3区 医学 Q2 ORTHOPEDICS
Orthopaedic Journal of Sports Medicine Pub Date : 2025-06-25 eCollection Date: 2025-06-01 DOI:10.1177/23259671251341475
Richard James Holleyman, Christian Smith, Khurram Baig, Marcus Bankes, Johan Witt, Andy Judge, Vikas Khanduja, Ajay Malviya
{"title":"Change in Early Patient-Reported Sexual Function After Periacetabular Osteotomy: A Study Utilizing the UK Non-Arthroplasty Hip Registry.","authors":"Richard James Holleyman, Christian Smith, Khurram Baig, Marcus Bankes, Johan Witt, Andy Judge, Vikas Khanduja, Ajay Malviya","doi":"10.1177/23259671251341475","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Periacetabular osteotomy (PAO) is an established treatment for symptomatic developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI; principally acetabular retroversion) in adults who are commonly of reproductive age.</p><p><strong>Purpose: </strong>To describe the effect of PAO on patient-reported sexual function (SF) using data from the UK Non-Arthroplasty Hip Registry (NAHR).</p><p><strong>Study design: </strong>Cohort study: Level of evidence, 3.</p><p><strong>Methods: </strong>Adult patients who underwent isolated PAO between January 2012 and July 2022 were extracted from the NAHR. The EuroQol-5 Dimensions (EQ-5D) and International Hip Outcome Tool 12 (iHOT-12) questionnaires were collected preoperatively and at 6 and 12 months postoperatively. This included responses to 2 questions from the iHOT-12 questionnaire relevant to SF: (1) \"Are questions about SF relevant to you?\" and (2) \"How much trouble do you have with sexual activity because of your hip?\" (0 = severe; 100 = none).</p><p><strong>Results: </strong>A total of 773 patients (median age, 29 years (IQR, 23-37), 92.5% female) who underwent PAO for DDH (n = 703; 90.9%) or FAI (n = 70; 9.1%) were identified after exclusions. Of iHOT-12 respondents, 88.2% indicated that SF was relevant to them. Baseline median iHOT-12 SF scores were 33 (IQR, 18-53) for female and 73 (IQR, 36-90) for male patients. Female iHOT-12 SF improved by a mean of +19.9 points (95% CI, 16.5-23.2) at 6 months (<i>P</i> < .0001), with continued improvement to +26.4 points (95% CI, 23.0-29.8) at 12 months (<i>P</i> < .0001) versus preoperative SF scores. At 12 months, median iHOT-12 SF scores were 70 (IQR, 40-90) and 89 (IQR, 70-99) for female and male patients, respectively. Preoperative SF scores were significantly lower (<i>P</i> = .001) in patients who underwent PAO for indication of FAI (female median score 22; IQR, 10-38) compared with DDH (female median score: 34; IQR, 18-54); however, both indications saw significant improvement in SF scores at 12 months. iHOT-12 SF scores improved for 77.1% and worsened for 19.1% of female respondents with DDH. A strong positive association was seen between health-related quality of life (EQ-5D) and SF scores, and there was significant improvement in SF across studied ages.</p><p><strong>Conclusion: </strong>PAO was associated with significant improvement in patient-reported SF for the majority of patients. Some patients may have trouble with sexual activity even 1 year after PAO for DDH, with almost 20% reporting poorer SF compared with preoperative baseline.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251341475"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198504/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedic Journal of Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/23259671251341475","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Periacetabular osteotomy (PAO) is an established treatment for symptomatic developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI; principally acetabular retroversion) in adults who are commonly of reproductive age.

Purpose: To describe the effect of PAO on patient-reported sexual function (SF) using data from the UK Non-Arthroplasty Hip Registry (NAHR).

Study design: Cohort study: Level of evidence, 3.

Methods: Adult patients who underwent isolated PAO between January 2012 and July 2022 were extracted from the NAHR. The EuroQol-5 Dimensions (EQ-5D) and International Hip Outcome Tool 12 (iHOT-12) questionnaires were collected preoperatively and at 6 and 12 months postoperatively. This included responses to 2 questions from the iHOT-12 questionnaire relevant to SF: (1) "Are questions about SF relevant to you?" and (2) "How much trouble do you have with sexual activity because of your hip?" (0 = severe; 100 = none).

Results: A total of 773 patients (median age, 29 years (IQR, 23-37), 92.5% female) who underwent PAO for DDH (n = 703; 90.9%) or FAI (n = 70; 9.1%) were identified after exclusions. Of iHOT-12 respondents, 88.2% indicated that SF was relevant to them. Baseline median iHOT-12 SF scores were 33 (IQR, 18-53) for female and 73 (IQR, 36-90) for male patients. Female iHOT-12 SF improved by a mean of +19.9 points (95% CI, 16.5-23.2) at 6 months (P < .0001), with continued improvement to +26.4 points (95% CI, 23.0-29.8) at 12 months (P < .0001) versus preoperative SF scores. At 12 months, median iHOT-12 SF scores were 70 (IQR, 40-90) and 89 (IQR, 70-99) for female and male patients, respectively. Preoperative SF scores were significantly lower (P = .001) in patients who underwent PAO for indication of FAI (female median score 22; IQR, 10-38) compared with DDH (female median score: 34; IQR, 18-54); however, both indications saw significant improvement in SF scores at 12 months. iHOT-12 SF scores improved for 77.1% and worsened for 19.1% of female respondents with DDH. A strong positive association was seen between health-related quality of life (EQ-5D) and SF scores, and there was significant improvement in SF across studied ages.

Conclusion: PAO was associated with significant improvement in patient-reported SF for the majority of patients. Some patients may have trouble with sexual activity even 1 year after PAO for DDH, with almost 20% reporting poorer SF compared with preoperative baseline.

髋臼周围截骨术后早期患者报告的性功能改变:一项利用英国非关节置换术髋关节登记的研究。
背景:髋臼周围截骨术(PAO)是治疗有症状的髋关节发育不良(DDH)和股髋臼撞击(FAI;(主要是髋臼内翻)发生于育龄成人。目的:利用英国非髋关节置换术登记处(NAHR)的数据,描述PAO对患者报告的性功能(SF)的影响。研究设计:队列研究:证据水平为3级。方法:2012年1月至2022年7月期间接受孤立性PAO的成年患者从NAHR中提取。术前、术后6个月和12个月收集EuroQol-5 Dimensions (EQ-5D)和国际髋关节结局工具12 (iHOT-12)问卷。这包括对iHOT-12问卷中与SF相关的2个问题的回答:(1)“关于科幻小说的问题与你相关吗?”“你的臀部给你的性行为带来了多大的麻烦?”(0 =严重;100 =无)。结果:共有773例患者(中位年龄29岁(IQR, 23-37), 92.5%为女性)因DDH接受PAO治疗(n = 703;90.9%)或FAI (n = 70;9.1%)。在iHOT-12的受访者中,88.2%的人表示顺丰与他们相关。女性患者iHOT-12 SF评分基线中位数为33 (IQR, 18-53),男性患者为73 (IQR, 36-90)。女性iHOT-12 SF在6个月时平均改善+19.9分(95% CI, 16.5-23.2) (P < 0.0001),与术前SF评分相比,12个月时持续改善至+26.4分(95% CI, 23.0-29.8) (P < 0.0001)。在12个月时,女性和男性患者的中位iHOT-12 SF评分分别为70 (IQR, 40-90)和89 (IQR, 70-99)。因FAI指征而接受PAO的患者术前SF评分显著降低(P = 0.001)(女性中位评分22;IQR, 10-38)与DDH相比(女性中位评分:34;差,18-54);然而,两种适应症在12个月时SF评分均有显著改善。iHOT-12 SF评分改善的占77.1%,恶化的占19.1%。与健康相关的生活质量(EQ-5D)与SF评分之间存在强烈的正相关,并且SF在研究的各个年龄段都有显著改善。结论:PAO与大多数患者报告的SF的显著改善相关。一些患者在DDH PAO治疗后1年仍存在性活动问题,近20%的患者报告SF较术前基线差。
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
Orthopaedic Journal of Sports Medicine
Orthopaedic Journal of Sports Medicine Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
7.70%
发文量
876
审稿时长
12 weeks
期刊介绍: The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty. Topics include original research in the areas of: -Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries -Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot) -Relevant translational research -Sports traumatology/epidemiology -Knee and shoulder arthroplasty The OJSM also publishes relevant systematic reviews and meta-analyses. This journal is a member of the Committee on Publication Ethics (COPE).
×
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:604180095
Book学术官方微信