Journal of Hip Preservation Surgery最新文献_第2页

Patient reported outcomes and return to play after arthroscopic hip labral reconstruction in athletes: a systematic review and meta-analysis. 患者报告的结果和运动员关节镜下髋关节唇部重建后的恢复：一项系统回顾和荟萃分析。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-11-24 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf067

Deniz C Ince, Kyle P O'Connor, Mia S Hagen, John C Clohisy, Jeffrey J Nepple

{"title":"Patient reported outcomes and return to play after arthroscopic hip labral reconstruction in athletes: a systematic review and meta-analysis.","authors":"Deniz C Ince, Kyle P O'Connor, Mia S Hagen, John C Clohisy, Jeffrey J Nepple","doi":"10.1093/jhps/hnaf067","DOIUrl":"https://doi.org/10.1093/jhps/hnaf067","url":null,"abstract":"Femoroacetabular impingement is a common cause of labral damage and hip pain in athletes. In severe labral tears with inadequate healthy labrum for repair, labral reconstruction has shown positive clinical outcomes in the general population. This study aimed to conduct a systematic review and meta-analysis on athletes undergoing arthroscopic hip labral reconstruction, focusing on postoperative patient-reported outcomes (PROs) and return to play (RTP). A systematic review of the literature was performed to include studies reporting PROs of labral reconstruction in athletes across multiple databases. Of the initial 430 identified records, four satisfied inclusion criteria of reporting PROs at 1-year minimum follow-up and RTP. Athletes included recreational through professional levels. Three studies analyzed return to same level of play (RTSP). Meta-analysis was conducted by pooling data, creating forest plots, and reporting odds ratios (OR). The four studies included 126 hips with average age at surgery of 32.2 years. All PROs in each study showed significant improvements with postoperative pooled weighted improvements in modified Harris Hip Score by 18.9 (Cohen's d = 1.10), Non-arthritic Hip Score by 19.6 (Cohen's d = 1.10), Hip Outcome Score-Sport by 25.6 (Cohen's d = 1.15), and Visual Analogue Scale-Pain by -3.0 (Cohen's d = -1.81). RTP averaged 81.4%, ranging from 73.3% to 90.0%. RTSP ranged from 40.6% to 81.0% with an overall OR of 83 (I²= 0.00). This meta-analysis found excellent patient-reported clinical outcomes at 1-year minimum follow-up after labral reconstruction in athletes, and a return-to-play rate of 81.4%. These data can help counsel athletes who undergo arthroscopic hip labral reconstruction.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"259-267"},"PeriodicalIF":1.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Normative metrics and sex-specific differences in 3D acetabular morphology in asymptomatic young adults: implications for hip preservation surgery. 无症状年轻人三维髋臼形态的规范性指标和性别特异性差异：髋关节保留手术的意义。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-11-05 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf049

Eduardo N Novais, Munif Hatem, Mohammadreza Movahhedi, Shanika De Silva, Young-Jo Kim, Ata Kiapour

{"title":"Normative metrics and sex-specific differences in 3D acetabular morphology in asymptomatic young adults: implications for hip preservation surgery.","authors":"Eduardo N Novais, Munif Hatem, Mohammadreza Movahhedi, Shanika De Silva, Young-Jo Kim, Ata Kiapour","doi":"10.1093/jhps/hnaf049","DOIUrl":"https://doi.org/10.1093/jhps/hnaf049","url":null,"abstract":"Radiographs do not entirely capture the complexity of acetabular morphology. The purpose of this study was to establish normative three-dimensional (3D) acetabular morphology in young adults without hip disease and identify sex-specific differences in acetabular coverage. We analysed 3505 hips from 1856 asymptomatic subjects aged 18-25; 48% were female (n = 890), who had undergone pelvic computed tomography (CT) scans for abdominal pain. We used a custom software to automatically segment the CT data and create 3D models. The centre-edge angle (CEA) and acetabular rim lateral extension (ARLE) were assessed at various clock-face positions around the acetabulum and sex-related differences were calculated. Females had greater acetabular coverage posteriorly, with higher mean CEA values at 9 o'clock (12° versus 9°; P < .001) and 10 o'clock (23° versus 20°; P < .001) and higher ARLE at 9 o'clock (0.54 versus 0.51; P < .001), 10 o'clock (0.63 versus 0.60; P < .001), and 11 o'clock (0.71 versus 0.70; P < .001). Males exhibited greater superior and anterior coverage, with higher CEA values at 12 o'clock (36° versus 34°; P < .001), 1 o'clock (28° versus 26°; P < .001), and 2 o'clock (4° versus 2°; P < .001) and higher ARLE at 12 o'clock (0.74 versus 0.73; P < .001), 1 o'clock (0.67 versus 0.66; P < .001), and 3 o'clock (0.25 versus 0.24; P = .01). Using automatic computational 3D modelling we found greater posterior acetabular coverage in females, whereas males exhibited more extensive superior and anterior coverage. Detailed 3D mapping of acetabular morphology may enable the development of standardized, sex-specific models to improve diagnosis and guide surgical planning of acetabular dysplasia and pincer femoroacetabular impingement.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"251-258"},"PeriodicalIF":1.6,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-facing materials for hip and knee preservation surgery are written well above recommended reading level. 髋关节和膝关节保存手术的面向患者的材料远远高于推荐阅读水平。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-11-04 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf066

Brendan Gleason, Clark Chen, Keenan Sobol, Julien Aoyama, Gregory Schneider, S Ali Ghasemi

{"title":"Patient-facing materials for hip and knee preservation surgery are written well above recommended reading level.","authors":"Brendan Gleason, Clark Chen, Keenan Sobol, Julien Aoyama, Gregory Schneider, S Ali Ghasemi","doi":"10.1093/jhps/hnaf066","DOIUrl":"https://doi.org/10.1093/jhps/hnaf066","url":null,"abstract":"Hip and knee preservation have rapidly expanded over the past decade. As technology and surgeon familiarity have increased, patient interest in this field has also grown. Health literacy data demonstrates that up to 43% of US adults have basic or below-basic reading skills. Federal and medical agencies recommend patient facing materials (PFMs) be written no higher than a sixth to eighth grade level. We identified PFMs pertaining to hip and knee preservation surgery from top orthopaedic institutions, as ranked by the 2025 US News & World Report. PFMs were assessed using validated readability formulas. We then used Spearman rank correlation to examine the association between the hospital's ranking and the readability of its PFMs. A multivariate analysis was also conducted to explore whether institutional characteristics had any significant relationship with readability scores. PFMs for hip and knee preservation surgery provided by highly ranked orthopaedic institutions were commonly written well above the recommended sixth to eighth grade reading level. There was no significant statistical relationship between institutional characteristics and readability. PFMs for hip and knee preservation surgery are widely available but are written at a much higher reading level than is recommended. To increase accessibility, enhance healthcare literacy, and improve patient outcomes, institutions should simplify these materials to meet recommended readability standards. The gap between the reading level of available materials and the literacy of the target patient population may hinder patient comprehension, engagement, and informed consent, potentially impacting healthcare outcomes.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"246-250"},"PeriodicalIF":1.6,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expectations before periacetabular osteotomy and relation to post-operative outcomes and satisfaction. 髋臼周围截骨术前的期望及其与术后结果和满意度的关系。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-28 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf065

Samantha Ferraro, Luke C Mendola, Patricia Miller, Young-Jo Kim, Michael B Millis

{"title":"Expectations before periacetabular osteotomy and relation to post-operative outcomes and satisfaction.","authors":"Samantha Ferraro, Luke C Mendola, Patricia Miller, Young-Jo Kim, Michael B Millis","doi":"10.1093/jhps/hnaf065","DOIUrl":"https://doi.org/10.1093/jhps/hnaf065","url":null,"abstract":"A periacetabular osteotomy (PAO) seeks to improve native hip function in patients with pre-arthritic dysplasia. Fulfilment of expectations has been shown to influence post-operative satisfaction in spine surgery and knee arthroplasty, but has not been investigated for PAOs. This study analyses relationships between preoperative patient expectations, patient-reported outcomes, and patient satisfaction in young adults undergoing PAO. Patients undergoing PAO in 2012-2014 at a tertiary care centre were asked to complete a preoperative survey indicating their expectations on a Likert scale (not improved-greatly improved) in six domains: pain, stability, stiffness, walking, locking/catching, and athletics. At 7-9 years after PAO, patients reported outcomes on the same Likert scales. Patients were also asked about satisfaction (very dissatisfied-very satisfied) in each domain and overall helpfulness of the PAO (extremely unhelpful-extremely helpful). Change between preoperative expectation and long-term outcome was assessed using the Wilcoxon signed rank test for paired ordinal data. The association between expectations/outcomes alignment with satisfaction and perceived helpfulness of PAO was assessed with Spearman rank correlation. Alignment between patient expectations and long-term outcomes correlated with long-term satisfaction for all domains, with the strongest correlation in the pain domain. Alignment between patient expectations and long-term outcomes also correlated with perceived helpfulness of the PAO for all domains except for walking ability and stiffness. Regardless of preoperative expectation level, patients whose expectations align with their outcomes are generally more satisfied and perceive their procedure as more helpful compared with those with misaligned expectations and outcomes.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"240-245"},"PeriodicalIF":1.6,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The 2024 international society for hip preservation physiotherapy agreement on post-operative rehabilitation following hip arthroscopy for femoroacetabular impingement syndrome. 2024年国际髋关节保留物理治疗学会关于股髋臼撞击综合征髋关节镜术后康复的协议。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-27 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf055

Ashley Disantis, Nicolas Bonin, Thomas Byrd, Ashley Campbell, John Christoforetti, Michael Dienst, Thomas Ellis, Keelan Enseki, Benjamin Kivlan, David Kohlrieser, Liran Lifshitz, Robert Manske, Michael McClincy, John O'Donnell, Marc Safran, Amir Takla, Timothy Tyler, Michael Voight, RobRoy Martin

{"title":"The 2024 international society for hip preservation physiotherapy agreement on post-operative rehabilitation following hip arthroscopy for femoroacetabular impingement syndrome.","authors":"Ashley Disantis, Nicolas Bonin, Thomas Byrd, Ashley Campbell, John Christoforetti, Michael Dienst, Thomas Ellis, Keelan Enseki, Benjamin Kivlan, David Kohlrieser, Liran Lifshitz, Robert Manske, Michael McClincy, John O'Donnell, Marc Safran, Amir Takla, Timothy Tyler, Michael Voight, RobRoy Martin","doi":"10.1093/jhps/hnaf055","DOIUrl":"https://doi.org/10.1093/jhps/hnaf055","url":null,"abstract":"The 2024 International Society for Hip Preservation physiotherapy agreement presents expert-driven rehabilitation guidelines for use following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). The expert-panel consisted of 11 physiotherapists and eight surgeons representing five countries specializing hip preservation. Despite the favorable outcomes of HA for FAIS demonstrated in the current literature, there is a paucity of research supporting a specific physiotherapy protocol. These guidelines were created utilizing a modified-Delphi technique where panelists utilized the Grading of Recommendations, Assessment, Development, and Evaluation scale to determine inclusion of treatment interventions within each phase. The panelists recommend six phases of rehabilitation with a time and milestone-based approach beginning in the immediate post-operative period and continuing the through the return to sport phase. These expert-driven guidelines will help reduce practice variation and standardize post-operative timelines.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"288-294"},"PeriodicalIF":1.6,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes following a 'positive' response to diagnostic intra-articular hip injection for pre-arthritic hip pain based on the level of percent pain improvement. 基于疼痛改善百分比水平的诊断性关节内髋关节注射对关节炎前髋关节疼痛的“积极”反应后的结果。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-27 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf045

Andrea B McCullough, Niyathi Prasad, Julia Cave Arbanas, Abby L Cheng, Heidi Prather, Devyani Hunt

{"title":"Outcomes following a 'positive' response to diagnostic intra-articular hip injection for pre-arthritic hip pain based on the level of percent pain improvement.","authors":"Andrea B McCullough, Niyathi Prasad, Julia Cave Arbanas, Abby L Cheng, Heidi Prather, Devyani Hunt","doi":"10.1093/jhps/hnaf045","DOIUrl":"https://doi.org/10.1093/jhps/hnaf045","url":null,"abstract":"Diagnostic hip injections are used to confirm an intra-articular source of hip pain in adolescents and young adults in order to guide management. There is currently no data-driven consensus regarding what cutoff metric should be used to constitute a 'positive' response to injection. This study compared using either 50% or 75% immediate pain improvement to define a positive response to fluoroscopically-guided diagnostic hip injection to aid in management decision-making. Rates of surgical management and likelihood of satisfaction with care at 12+ months were then compared between the two groups. Amongst 56 hips, (mean age 18.5 (SD ± 5.2) years, 89% (50/56) female) there was no difference in the rate of progression to surgery amongst responders when using either a ≥50% or ≥75% cutoff of pain improvement (71% (29/41) versus 74% (20/27), between-group difference 3% [95% CI, -18% to 25%], P = .76). Amongst those undergoing surgery, there was no difference in patient-reported satisfaction, at 12+ months based on a ≥50% versus ≥75% pain improvement cutoff (74% (14/19) versus 69% (9/13) reporting 'satisfied' or 'very satisfied' on 5-point Likert Scale, between-group difference 4% [-27% to 36%], P = 0.78). Our findings suggest that a ≥50% cutoff could be considered a 'positive' response in a clinical setting and used to guide management decisions.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"235-239"},"PeriodicalIF":1.6,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of dysplasia epiphysealis hemimelica in a hip joint treated by arthroscopic tumour resection: a case report. 关节镜下肿瘤切除治疗髋关节半乳性骨骺发育不良1例。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-21 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf064

Kosuke Sumi, Naomi Kobayashi, Yohei Yukizawa, Shota Higashihira, Masafumi Naito, Ken Kumagai, Hyonmin Choe, Yutaka Inaba

引用次数: 0

The statistical fragility of randomized controlled trials comparing hip arthroscopy to conservative management for the treatment of femoroacetabular impingement syndrome. 比较髋关节镜与保守治疗股骨髋臼撞击综合征的随机对照试验的统计学脆弱性。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-21 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf063

Jesus E Cervantes, Thomas E Moran, Eric Y Hu, Shane J Nho

{"title":"The statistical fragility of randomized controlled trials comparing hip arthroscopy to conservative management for the treatment of femoroacetabular impingement syndrome.","authors":"Jesus E Cervantes, Thomas E Moran, Eric Y Hu, Shane J Nho","doi":"10.1093/jhps/hnaf063","DOIUrl":"https://doi.org/10.1093/jhps/hnaf063","url":null,"abstract":"The fragility index (FI) assesses the robustness or fragility of statistically significant results in randomized controlled trials (RCTs), but is limited to dichotomous outcomes. The continuous FI (CFI) extends this concept to continuous outcomes. This is particularly relevant when comparing hip arthroscopy (HA) and conservative management or physical therapy (PT) for the treatment of femoroacetabular impingement syndrome (FAIS), which commonly demonstrates significantly higher improvement in patient-reported outcomes among surgical intervention arms in comparison to conservative management. The study aimed to identify RCTs comparing outcomes after HA or conservative management for FAIS and characterize the fragility of statistically significant results. PubMed, Embase, Cochrane, and ClinicalTrials.gov were utilized for RCT search. The Cochrane risk-of-bias tool for randomized trials was used to assess the risk of bias. RCTs were included if (1) they contained a HA and conservative management or PT arm, and (2) reported ≥ one statistically significant outcome. CFI and FI were calculated for significant continuous and categorical outcomes, respectively. Five RCTs met inclusion criteria. Risk of bias was 'low' in 2 RCTs and 'some concerns' in 3 RCTs. The mean CFI was 15.84 (range, 8.8-28.4). The mean dichotomous FI was 3.5 (range, 1-6). Loss to follow-up exceeded calculated CFI or FI in 2 of the 5 RCTs. These findings may provide surgeons with greater confidence that HA can have superior clinical outcomes compared to PT, particularly when considering HA as a treatment option following unsuccessful conservative management. Meta-Analysis; Level of Evidence, 2.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"280-287"},"PeriodicalIF":1.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of the Guardian table extension during periacetabular osteotomy is associated with an increased risk of intraoperative posterior column fractures. 在髋臼周围截骨术中使用Guardian table扩展与术中后柱骨折的风险增加相关。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-17 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf062

Ta-Wei Tai, Emil Varas-Rodríguez, Emmanouil Grigoriou, Sergio F Guarin Perez, Diego J Restrepo, Rafael J Sierra

{"title":"Use of the Guardian table extension during periacetabular osteotomy is associated with an increased risk of intraoperative posterior column fractures.","authors":"Ta-Wei Tai, Emil Varas-Rodríguez, Emmanouil Grigoriou, Sergio F Guarin Perez, Diego J Restrepo, Rafael J Sierra","doi":"10.1093/jhps/hnaf062","DOIUrl":"https://doi.org/10.1093/jhps/hnaf062","url":null,"abstract":"The Guardian table is widely utilized for combined hip arthroscopy and periacetabular osteotomy (PAO) due to its postless traction design and the ability to perform both procedures without the need for redraping. This retrospective cohort study reports one surgeon's use of the Guardian table extension during combined hip arthroscopy and PAO and the occurrence of intraoperative posterior column fractures. Seventy-two consecutive PAO procedures performed at a single institution between February 2023 and January 2025 were analysed. Procedures involving concomitant hip arthroscopy (n = 26) utilized the Guardian table, whereas those without arthroscopy (n = 46) used a conventional radiolucent table. Patient demographics, clinical data, and complications were reviewed. Additionally, mechanical testing quantified table stability by measuring peak absolute acceleration ('table bounce') using accelerometry during simulated malleting. The incidence of intraoperative posterior column fractures was significantly higher with the Guardian table (4/26, 15.4%) compared to the conventional table (0/46, 0%; P = .0062). Mechanical testing demonstrated significantly greater table bounce for the Guardian table (69.1 ± 3.4 m/s2 versus 28.2 ± 4.4 m/s2, P < .001). Patient characteristics and surgical complexity did not differ significantly between fracture and non-fracture cases. These findings suggested that the Guardian table extension system was associated with increased risk of posterior column fractures, likely due to lack of distal support and stability. Surgeons should consider alternative table setups or intraoperative support modifications to mitigate this risk during PAO procedures.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"225-230"},"PeriodicalIF":1.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenging age limits: favourable mid-term outcomes of periacetabular osteotomy in patients over 30 years of age with borderline hip dysplasia. 挑战年龄限制：30岁以上边缘性髋关节发育不良患者行髋臼周围截骨术中期预后良好。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-10-15 eCollection Date: 2026-08-01 DOI: 10.1093/jhps/hnaf061

Maximilian Fischer, Andreas Nitsch, Alexander Möller, Andre Hofer, Georgi I Wassilew

{"title":"Challenging age limits: favourable mid-term outcomes of periacetabular osteotomy in patients over 30 years of age with borderline hip dysplasia.","authors":"Maximilian Fischer, Andreas Nitsch, Alexander Möller, Andre Hofer, Georgi I Wassilew","doi":"10.1093/jhps/hnaf061","DOIUrl":"https://doi.org/10.1093/jhps/hnaf061","url":null,"abstract":"The treatment of borderline hip dysplasia (BHD) remains controversial, with a paucity of literature on whether periacetabular osteotomy (PAO) is a viable option even in middle-aged patients over 30 years of age. This study aimed to analyse the functional outcome and activity level in relation to the patient's age after PAO for BHD. Patients over 30 years of age (G30-age 30-40; G40 age > 40) undergoing PAO for BHD were enrolled in this single-centre study with a minimum follow-up of 2 years. The patient-reported outcomes (PRO) were assessed using the numeric rating scale (NRS) for pain, the modified Harris-Hip score (mHHS), and International Hip Outcome Tool-12 (iHot-12) for joint functionality, and the University of California Los Angeles activity score (UCLA) for sports participation. Forty-eight patients (48 hips) were included. There was a significant postoperative pain relief in both groups (G30 pre-post 7.2 - 2.7, P < .001; G40 pre-post 7.3 - 2.5, P < .001). Joint functionality improved postoperatively with significant higher scores for mHHS (G30 pre-post 48.0 - 80.0, P < .001; G40 pre-post 44.9 - 84.4, P < .001) and iHot-12 (G30 pre-post 40.1 - 68.8, P < .001; G40 pre-post 41.5 - 64.9, P = .004) for patients older than 30 and 40 years. Sports participation only improved significantly after PAO in patients older than 40 years (pre-post 5.4 - 6.9, P = .019). Overall, PAO is a viable option to treat BHD in middle-aged patients, while improving pain and joint function. Even patients over 40 years of age can benefit in terms of activity and joint function.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"219-224"},"PeriodicalIF":1.6,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0