Periacetabular Osteotomy Leads to Improved Long-term Patient-reported Outcomes: A Systematic Review

Area of Science:

• Orthopedic surgery
• Hip dysplasia treatment
• Patient-reported outcomes

Background:

• Periacetabular osteotomy (PAO) is a recognized surgical procedure for hip dysplasia.
• Previous studies suggest favorable outcomes following PAO.
• Long-term efficacy and reoperation rates require comprehensive evaluation.

Purpose of the Study:

• To systematically review reoperation rates after PAO.
• To assess long-term patient-reported outcomes (PROs) following PAO for hip dysplasia.
• To evaluate the durability of PAO's effectiveness.

Main Methods:

• Systematic review methodology was employed.
• Inclusion criteria mandated studies reporting PROs with a minimum 10-year follow-up.
• Data synthesis focused on pre- and post-operative PROs and reoperation rates.

Main Results:

• Eight studies, encompassing 984 hips, met the inclusion criteria.
• A significant improvement in PROs was reported between preoperative and postoperative assessments.
• The included studies demonstrated sustained positive outcomes.

Conclusions:

• PAO surgery leads to significant improvements in patient-reported outcomes.
• These improvements are maintained at a minimum mean follow-up of 10 years.
• PAO is an effective treatment for hip dysplasia with durable long-term results.