Journal article
Hip Arthroscopy Prior to Periacetabular Osteotomy Does Not Increase Operative Time or Complications: A Single Center Experience
The Iowa orthopaedic journal, Vol.41(1), pp.127-131
2021
PMCID: PMC8259174
PMID: 34552414
Appears in Diamond Open Access
Abstract
Periacetabular osteotomy (PAO) is a well-established procedure to improve function and reduce pain in the non-arthritic dysplastic hip. PAO and hip arthroscopy are often performed together; however, there is concern that hip arthroscopy increases difficulty of PAO due to arthroscopic fluid extravasation. The purpose of the current study was to examine the effect of performing hip arthroscopy prior to PAO under the same anesthetic on PAO operative time and postoperative complications.
A retrospective review of all PAO cases during a two-year period at a single academic institution was performed. Cases were stratified into two groups based on whether concomitant hip arthroscopy was performed. In the combined hip arthroscopy and PAO group, hip arthroscopy was performed prior to PAO under the same general anesthetic in all cases. Student t-test was utilized to compare the operative times between the two study groups and Chi Square was used to compare categorical variables.
During the two-year study period, 93 total PAO cases in 86 patients (mean age: 23.5 + 8.7 years; 81.4% female) were performed. Of these, 67 PAO surgeries (72.0%) were performed following hip arthroscopy. The total complication rate was 2.2% with one postoperative complication occurring in each group. There was no difference in mean PAO operative time between the two study groups (PAO: 127.6 + 18.0 minutes; PAO with hip arthroscopy: 125.4 + 16.8 minutes; p=0.570).
Performing hip arthroscopy prior to PAO under the same general anesthetic does not significantly increase PAO operative time or postoperative complications.
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Details
- Title: Subtitle
- Hip Arthroscopy Prior to Periacetabular Osteotomy Does Not Increase Operative Time or Complications: A Single Center Experience
- Creators
- Alan G Shamrock - University of IowaRobert W Westermann - University of IowaTrevor R Gulbrandsen - University of IowaZain M Khazi - University of IowaChristopher N Carender - University of IowaMichael C Willey - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.41(1), pp.127-131
- PMID
- 34552414
- PMCID
- PMC8259174
- NLM abbreviation
- Iowa Orthop J
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- Language
- English
- Date published
- 2021
- Academic Unit
- Orthopedics and Rehabilitation; Injury Prevention Research Center; Athletic Training Program
- Record Identifier
- 9984303983302771
Metrics
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