Journal of Hip Preservation Surgery最新文献_第4页

Radiographic measures of hip dysplasia correlate only moderately with computationally derived contact mechanics. 髋关节发育不良的x线测量与计算得出的接触力学只有适度的相关性。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-09-05 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf047

Holly D Aitken, Jessica E Goetz, Aspen Miller, Dominic J L Rivas, Elle McCormick, Robert W Westermann, Todd O McKinley, Michael C Willey

{"title":"Radiographic measures of hip dysplasia correlate only moderately with computationally derived contact mechanics.","authors":"Holly D Aitken, Jessica E Goetz, Aspen Miller, Dominic J L Rivas, Elle McCormick, Robert W Westermann, Todd O McKinley, Michael C Willey","doi":"10.1093/jhps/hnaf047","DOIUrl":"10.1093/jhps/hnaf047","url":null,"abstract":"Hip dysplasia is currently diagnosed with two-dimensional radiographic measurements that may not adequately describe the aetiology of pain and dysfunction associated with dysplastic deformity and future osteoarthritis progression. This study aimed to assess how accurately two-dimensional radiographic measurements represent the three-dimensional mechanical joint environment. Spearman ρ correlation was used to determine associations between radiographic measurements of hip dysplasia made on pre-operative and 6-month post-operative standing AP pelvis radiographs, and hip contact stress calculated based on pre- and post-operative pelvis CT scans for a series of 100 patients (125 dysplastic hips) treated with periacetabular osteotomy using discrete element analysis. Only moderate correlations were observed between radiographic measurements and contact mechanics. Pre-operative lateral centre edge angle of Wiberg had the highest, though moderate, correlation with mean cumulative contact stress-time exposure (ρ = -0.5112, P < .0001). Tönnis angle (ρ = 0.4898, P < .0001) and extrusion index (ρ = 0.4579, P < .0001) also had moderate correlations with pre-operative mean cumulative contact stress-time exposure. Only weak correlations were found post-operatively and when comparing change in radiographic measurements to computational contact mechanics metrics before and after surgery. These findings indicate the mechanical environment of the hip joint is more complex than simple radiographic measurements that quantify coverage of the femoral head by the acetabulum. Evaluation of three-dimensional contact mechanics in dysplastic hips should be used in combination with two-dimensional radiographic evaluation for guiding clinical care for patients with hip dysplasia.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"123-134"},"PeriodicalIF":1.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018335","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

Supraacetabular fossa is more prevalent in acetabular protrusion than in dysplastic hips. 髋臼上窝在髋臼突出中比在发育不良髋中更为普遍。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-09-02 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf054

Julien Hirt, Vera M Stetzelberger, Alexander F Heimann, Vlad Popa, Joseph M Schwab, Moritz Tannast

{"title":"Supraacetabular fossa is more prevalent in acetabular protrusion than in dysplastic hips.","authors":"Julien Hirt, Vera M Stetzelberger, Alexander F Heimann, Vlad Popa, Joseph M Schwab, Moritz Tannast","doi":"10.1093/jhps/hnaf054","DOIUrl":"10.1093/jhps/hnaf054","url":null,"abstract":"The supraacetabular fossa (SAF) is a bony fossa in the acetabular roof's load-bearing region. Its role in acetabular development and hip morphology remains unclear, with potential implications for hip preservation procedures. We aimed to (i) determine the prevalence of SAF by age, (ii) measure its dimensions in patients with hip pain undergoing magnetic resonance (MR) arthrogram, and (iii) assess associations between SAF and acetabular or femoral morphologies. We performed a retrospective analysis of patients with hip pain who underwent MR arthrograms. SAF were classified as type 1 (unfilled) or type 2 (cartilage-filled), and its dimensions measured. Acetabular and femoral morphology were assessed on radiographs, and hips were categorized into 13 morphology groups. 697 hips from 615 patients were included. SAF was present in 10.9% (76/697) of hips, with affected patients being younger (24.3 ± 7.6 years) than those without SAF (31.8 ± 11.2 years, P < 0.001). Type 1 SAF had a mean depth of 3.1 mm versus 4.8 mm for type 2 (P < 0.001). SAF prevalence was 30.8% in acetabular protrusion and 5.2% in dysplasia (P = 0.0135). Acetabular protrusion (OR 3.78, P = 0.03) were risk factors for SAF, but no associations were found with femoral morphology. SAF occurs predominantly in patients under 25 years and is nearly six times more common in acetabular protrusion than dysplasia. Future studies should investigate the implications of SAF on acetabular rim trimming and reorientation procedures, particularly focusing on their effect on residual joint contact forces.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"115-122"},"PeriodicalIF":1.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018238","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

Short term-outcomes of periacetabular osteotomy in the neuromuscular hip. 髋臼周围神经肌肉髋关节截骨术的近期疗效。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-25 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf050

Tobias Stedman, Scott Ryan Booth, Nick Green, Caroline Blakey, Sanjeev Madan

{"title":"Short term-outcomes of periacetabular osteotomy in the neuromuscular hip.","authors":"Tobias Stedman, Scott Ryan Booth, Nick Green, Caroline Blakey, Sanjeev Madan","doi":"10.1093/jhps/hnaf050","DOIUrl":"10.1093/jhps/hnaf050","url":null,"abstract":"The study aims to evaluate our experience of the Bernese periacetabular osteotomy (PAO) in patients with neurogenic hip dysplasia. Retrospective data were collected for patients with neurogenic hip dysplasia, managed with PAO over a 10-year period. Data were collected for 20 consecutive patients (23 hips). Mean age at the time of surgery was 15 years (range 12-31). 85% had a diagnosis of cerebral palsy (GMFCS 1(18%), 2(18%), 3(35%), 4(12%), 5(18%)). Mean follow up was 47 months. Electronic records were reviewed for outcomes. Pre- and post-operative radiographs were evaluated separately by two independent assessors using TraumaCad software. Post-operative radiographic evaluation was available for 20 patients (21 hips). The median lateral centre edge angle was corrected from -1° pre-operatively (range: -58° to 25°) to 42° post operatively (range: 15° to 65°). Tönnis angle was corrected from an average of 26° pre-operatively (range: 10° to 37°) to 9° post-operatively (range: -19 to 29). Reimer's index decreased from an average of 50% (range: 27% to 93%) to 7% (range 0% to 25%) post-operatively. At the latest follow there was absence of pain in 16 patients. Our experience has demonstrated safe use of the PAO, in conjunction with soft tissue procedures and femoral osteotomy, in the management of neuromuscular patients. In this cohort there was stable reduction of the hip in all but two patients (three hips), and effective pain management for this challenging patient group.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"106-114"},"PeriodicalIF":1.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018219","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 three-dimensional analysis of fovea morphology in normal and diseased hips. 正常和病变髋关节中央窝形态的三维分析。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-13 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf046

Vera M Stetzelberger, Jannine T Segessenmann, Cem Cek, Vlad Popa, Corinne A Zurmühle, Joseph M Schwab, Moritz Tannast

{"title":"A three-dimensional analysis of fovea morphology in normal and diseased hips.","authors":"Vera M Stetzelberger, Jannine T Segessenmann, Cem Cek, Vlad Popa, Corinne A Zurmühle, Joseph M Schwab, Moritz Tannast","doi":"10.1093/jhps/hnaf046","DOIUrl":"10.1093/jhps/hnaf046","url":null,"abstract":"The fovea capitis anchors the ligamentum teres on the femoral head. In normal hips, it resides within the acetabular fossa. However, clinical observations suggest that its position and morphology vary in pathological hips, potentially contributing to joint degeneration through fossa-foveolar mismatch (FFM). Understanding the fovea's morphology is essential to clarifying its role in hip pathomechanics. We asked: (i) what is the proportion of the femoral head occupied by the fovea; (ii) what is the position of the fovea relative to the acetabular fossa; and (iii) what is the FFM index in a defined neutral position for different pathological and normal hips. Using three-dimensional models from computed tomography scans, we analysed 183 hips with femoroacetabular impingement or dysplasia and 22 with normal morphology. Using a standardized medial view of the fovea through the fossa, we determined: (i) the proportion of the fovea surface area on the femoral head; (ii) the positioning of the fovea relative to the fossa; and (iii) FFM indices in all study groups. (i) In normal hips, the fovea accounted for a median of 7% of the femoral head surface. (ii) While the fovea was positioned centrally in normal hips, dysplastic hips demonstrated an anterosuperior displacement of the fovea. (iii) Dysplastic hips had the highest FFM indices (median 0.13; P < .001). This study highlights variations in foveal morphology across different hip pathomorphologies. Foveal size was generally consistent. Foveal position differed markedly, with dysplastic hips showing anterosuperior displacement and the highest FFM indices. These results suggest that altered foveal morphology may contribute to pathological contact and degenerative lesions.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"96-105"},"PeriodicalIF":1.6,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018283","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 fulfilment of patients' preoperative expectations and personal goals following periacetabular osteotomy. 髋臼周围截骨术后患者术前期望及个人目标的实现。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-11 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf043

Zachary A Trotzky, Alison J Dittmer, Olivia M Jochl, Brian T Muffly, Carol A Mancuso, Ernest L Sink

{"title":"The fulfilment of patients' preoperative expectations and personal goals following periacetabular osteotomy.","authors":"Zachary A Trotzky, Alison J Dittmer, Olivia M Jochl, Brian T Muffly, Carol A Mancuso, Ernest L Sink","doi":"10.1093/jhps/hnaf043","DOIUrl":"10.1093/jhps/hnaf043","url":null,"abstract":"Patients electively undergo the treatment of symptomatic acetabular dysplasia by periacetabular osteotomy (PAO). Increasing evidence suggests that a patient's perception of success following orthopaedic surgery is influenced by their preoperative expectations. In response, the Hip Preservation Surgery Expectations Survey (HPSES) was developed to quantify improvement expected and received in domains of pain, function, and psychological well-being. This instrument has not yet been evaluated in a hip preservation sample postoperatively, consistent with a paucity in the literature regarding patient-derived goals. Therefore, the purpose of this study was to describe the fulfilment of expectations following PAO through the HPSES and collection of preoperative personal goals. Preoperatively and at 1-year, 80 participants undergoing PAO (mean age 27.5 ± 9.2 years, 98.8% female) completed the HPSES and/or personal goals surveys. A proportion was calculated as the amount of improvement received versus the amount of improvement expected. The average expectations proportional score was 0.97 with 51.6% achieving a proportional score ≥ 1.0. The average goals proportional score was 0.91 with 50.0% achieving a proportional score ≥ 1.0. Expectations and goals related to day-to-day function, social activity, routine exercise, and relieving stress and anxiety were met most often and correlated to improvement and satisfaction scores. Goals related to high-level physical activity and pregnancy were met less often. Higher preoperative expectations and less attainable goals were associated with lower fulfilment. The appraisal and management of appropriate and realistic goals hold considerable value in achieving patient-perceived satisfaction. PAO is successful in fulfilling expectations related to routine function, social activity, and psychological well-being.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"88-95"},"PeriodicalIF":1.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018279","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

Patients undergoing minimally invasive periacetabular osteotomy demonstrate improved outcomes: a systematic review. 接受微创髋臼周围截骨术的患者表现出改善的结果：一项系统综述。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-10 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf048

James S MacLeod, Michael S Lee, James D Fox, Kevin Girardi, Serkan Surucu, Stephen M Gillinov, Nancy Park, Ronak J Mahatme, Scott Fong, Jay Moran, Soheil Sabzevari, Andrew E Jimenez

{"title":"Patients undergoing minimally invasive periacetabular osteotomy demonstrate improved outcomes: a systematic review.","authors":"James S MacLeod, Michael S Lee, James D Fox, Kevin Girardi, Serkan Surucu, Stephen M Gillinov, Nancy Park, Ronak J Mahatme, Scott Fong, Jay Moran, Soheil Sabzevari, Andrew E Jimenez","doi":"10.1093/jhps/hnaf048","DOIUrl":"10.1093/jhps/hnaf048","url":null,"abstract":"Periacetabular osteotomy (PAO) has demonstrated favourable outcomes for the treatment of acetabular dysplasia. Minimally invasive (MI) PAO uses a smaller incision to preserve soft tissue, minimize complications, and accelerate recovery; however, the outcomes of MI PAO are still being established. The purpose of this study was to conduct a systematic review to assess the reoperation rates and patient-reported outcomes following MI PAO. A systematic review of the literature was conducted in PubMed, CENTRAL, and Scopus in April 2024 with the following keywords: (mini*) AND (periacetabular osteotomy\"). The PRISMA criteria were used. Only studies that reported on patient-reported outcome measures (PROMs) of MI PAO techniques were included. Eight studies with study periods ranging between 2004 and 2021 including a total of 2247 hips were included in this review. Mean follow-up ranged from 12 to 60 months. The mean age at the time of surgery ranged from 20.0 to 38.7 years, and 85.6% of included hips were from female patients. Seven out of 8 included studies reported significant improvement in preoperative vs postoperative PROMs. The mean Non-Arthritic Hip Score ranged from 49.8 to 58.7 preoperatively compared to 77.2-89.4 postoperatively. Mean UCLA scores ranged from 3.9 to 4.67 preoperatively to 6.3-6.97 postoperatively. Mean Harris Hip Scores ranged from 50.8 to 66 preoperatively compared to 87.4-93 postoperatively. Conversion to THA rates ranged from 0% to 5.3% at a mean of 4.9 years (0.6-14). Patients undergoing MI PAO surgery for the treatment of acetabular dysplasia demonstrated low rates of conversion to THA and significant improvement in PROMs at short- to mid-term follow-up.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"182-190"},"PeriodicalIF":1.6,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018376","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

Evidence for using synthetic bone grafts for the treatment of osteonecrosis of the femoral head: a systematic review of the literature and meta-analysis. 使用人工骨移植物治疗股骨头骨坏死的证据：文献和荟萃分析的系统回顾。

IF 1.6 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-06 eCollection Date: 2026-07-01 DOI: 10.1093/jhps/hnaf035

Michał Dębiński, Stuart B Goodman, Jerzy Walecki, Konstancja Bobecka-Wesołowska, Marcin K Waśko

{"title":"Evidence for using synthetic bone grafts for the treatment of osteonecrosis of the femoral head: a systematic review of the literature and meta-analysis.","authors":"Michał Dębiński, Stuart B Goodman, Jerzy Walecki, Konstancja Bobecka-Wesołowska, Marcin K Waśko","doi":"10.1093/jhps/hnaf035","DOIUrl":"10.1093/jhps/hnaf035","url":null,"abstract":"Synthetic bone grafts (SBGs) potentially add structural stability after core decompression (CD) for osteonecrosis of the femoral head (ONFH). This systematic review assessed the evidence supporting the (i) radiographic efficacy, (ii) revision rates, and (iii) safety of CD and CD with SBG for the treatment of ONFH. A total of 6549 papers were screened. Inclusion criteria were met by 12 studies for CD and by 14 studies for CD + SBG. This study included 931 hips with Stages I or II of ONFH-414 treated with CD, 379 treated with CD + SBG, and 138 treated with CD + SBG with adjuvant therapies (CD + SBG + ADJ). The radiographic progression was 37% for CD, 33% for CD + SBG, and 32% for CD + SBG + ADJ, with no differences between subgroups (P = .922). The mean total hip arthroplasty conversion rate was 31% for CD, 17% for CD + SBG, and 15% for CD + SBG + ADJ, with no differences between subgroups (P = .08). The complication rates were 0.9% for CD and 2.8% for CD + SBG and CD + SBG + ADJ groups combined. There is no clear evidence that SBGs improve outcomes over CD alone.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"74-87"},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018303","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

Comparison of pericapsular nerve group block versus supra-inguinal fascia iliaca block on postoperative pain management, quadriceps muscle strength, and early functional outcomes after arthroscopic treatment of femoroacetabular impingement: a prospective, randomized clinical study. 关节镜治疗股髋臼撞击术后疼痛管理、股四头肌肌力和早期功能结局的比较：一项前瞻性随机临床研究。

IF 1.1 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-04 eCollection Date: 2026-01-01 DOI: 10.1093/jhps/hnaf039

Mohamed Abd El-Radi, Hatem G Said, Essam S Abdallah, Mahmoud M Kamel, Saeid M Elsawy, Ayman F AbdelKawi, Mohamed Abd El-Tawab, Safaa S Noaman

{"title":"Comparison of pericapsular nerve group block versus supra-inguinal fascia iliaca block on postoperative pain management, quadriceps muscle strength, and early functional outcomes after arthroscopic treatment of femoroacetabular impingement: a prospective, randomized clinical study.","authors":"Mohamed Abd El-Radi, Hatem G Said, Essam S Abdallah, Mahmoud M Kamel, Saeid M Elsawy, Ayman F AbdelKawi, Mohamed Abd El-Tawab, Safaa S Noaman","doi":"10.1093/jhps/hnaf039","DOIUrl":"10.1093/jhps/hnaf039","url":null,"abstract":"This study compared the effects of pericapsular nerve group (PENG) block and supra-inguinal fascia iliaca compartment block (FICB) on quadriceps strength, postoperative analgesia, and functional scores following hip arthroscopy (HA) for patient complaining of femoroacetabular impingement (FAI) under general anaesthesia. A prospective, randomized, and controlled trial recruited a total of 48 patients who had either PENG group or supra-inguinal FICB as a pain management modality. The primary outcomes were the postoperative quadriceps muscle power, and the secondary outcomes included pain scores, opioid consumption, and functional scores; the modified Harris hip score (mHHS) and international hip outcome tool-12 (iHOT-12) score. All patients in PENG group were capable of performing a straight leg raise with hip flexion of >15°. In contrast, two patients in FICB group had postoperative falls and six patients (25%) were unable to perform a straight leg raise at 24 h postoperatively. At the time of admission to the post-anaesthesia care unit and at 6, 12, and 24 h postoperatively, peak visual analogue scale (VAS) scores at rest were 6, 5, 4, and 4, respectively, in PENG group and 8, 7, 6, and 5, respectively, in FICB group (P < .001). Total opioid consumption in the 24 h postoperatively was lower in the PENG group compared to the FICB group (mean, 18.5 ± 9.4 versus 26.8 ± 9.6; P < .05). Significant improvement was observed (6 and 12 months postoperatively) regarding iHOT-12 score in the PENG group (70 ± 24.33, 82.85 ± 11.45) compared to the FICB group (59.04 ± 22.66, 64.1 ± 17.42) (P = .02, P < .001, respectively).","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"38-44"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183087","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

Increased complications of periacetabular osteotomy in the obese patient is not a contraindication. 肥胖患者髋臼周围截骨术并发症增加并不是禁忌症。

IF 1.1 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-04 eCollection Date: 2026-01-01 DOI: 10.1093/jhps/hnaf038

Jordan Boivin, Juliana Overbey, Thomas Ryan

{"title":"Increased complications of periacetabular osteotomy in the obese patient is not a contraindication.","authors":"Jordan Boivin, Juliana Overbey, Thomas Ryan","doi":"10.1093/jhps/hnaf038","DOIUrl":"10.1093/jhps/hnaf038","url":null,"abstract":"Periacetabular osteotomy (PAO) is performed to relieve symptomatic acetabular dysplasia by reorienting the acetabulum to provide adequate femoral head coverage. Due to an increased risk for complications in obese patients, some surgeons consider obesity as a contraindication for surgery. We theorize obese patients will have similar reductions in their pain levels and improvement in radiographic parameters despite an increased risk for postoperative complications. We performed a retrospective review of all patients who underwent a PAO in the last 12 years by the principal investigator. The incidence of complications, change in visual analogue scale (VAS) scores at 6 months follow up, and change in lateral centre edge angles (LCEAs) were then compared between obese patients and non-obese patient cohorts. Forty-eight hips in 41 patients were analysed. Fifteen hips were of obese patients at time of operation and 33 hips were of non-obese patients. The number of complications in the obesity group was statistically significant with a P value of .04, while the number of reoperations was not with a P value of .11. There was no significant difference in VAS score preoperatively (P = .37) and postoperatively (P = .26) between patient cohorts. There was no significant difference in LCEA preoperatively (P = .35) and postoperatively (P = .26). While obese patients are at increased risk for complication, they have a similar reduction in pain compared to the non-obese cohort. PAO in obese patients will provide a significant reduction in patient's acetabular pain and subsequently improve their quality of life.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"35-37"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183106","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

Wide variations in the alpha angle reporting of the hip in asymptomatic individuals-a systematic review. 无症状个体髋关节α角报告的广泛差异-一项系统综述。

IF 1.1 4区医学

Journal of Hip Preservation Surgery Pub Date : 2025-08-04 eCollection Date: 2026-01-01 DOI: 10.1093/jhps/hnaf040

Martin Jakobsen, Maria Biesèrt, Mikael Sansone, Ayeni R Olufemi, Ioannis Kostogiannis

{"title":"Wide variations in the alpha angle reporting of the hip in asymptomatic individuals-a systematic review.","authors":"Martin Jakobsen, Maria Biesèrt, Mikael Sansone, Ayeni R Olufemi, Ioannis Kostogiannis","doi":"10.1093/jhps/hnaf040","DOIUrl":"10.1093/jhps/hnaf040","url":null,"abstract":"The alpha angle is commonly used to quantify cam-type morphologies in hips. However, the threshold values that define a pathological alpha angle remains disputed. To identify the threshold values for the alpha angle measured on X-ray, computed tomography (CT), and magnetic resonance imaging (MRI) in asymptomatic individuals in different radiological modalities. Using the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines and checklist, a literature search was conducted in May 2024 by two independent reviewers. The PubMed, Embase, Cochrane, and CINAHL databases were searched using the following search terms: ('Alpha angle') AND (('FAI') OR 'femoroacetabular impingement') AND ((((Imaging) OR CT) OR MRI) OR X ray). Of the studies identified, those measuring the alpha angle using either X-ray, CT, or MRI in an asymptomatic population were included. Study population and, if stated, demographics like gender, ethnicity, and activity level were then compiled using Excel as well as number of individuals and hips, imaging modality and view, method of evaluating symptoms, mean alpha angle, and 95% reference interval. Twenty-five articles were included in the review. Threshold values varied depending on what radiological method was used, with thresholds for X-ray ranging from 61.0° to 122.9°, thresholds for CT ranging from 50.0° to 95.3°, and thresholds for MRI ranging from 52.7° to 103.5°. According to current literature, threshold values indicating increased risk of FAI syndrome vary physiologically and depend on imaging view and modality. Therefore, no single cut-off reliably defines cam morphology and measurements should be interpreted within their clinical context.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"45-55"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182751","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}

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