ArticleBMC musculoskeletal disorders2014
Early weight-bearing after periacetabular osteotomy leads to a high incidence of postoperative pelvic fractures.
Article in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Postoperative weight-bearing restrictions and rehabilitation after periacetabular osteotomy: a systematic review.Journal of orthopaedic surgery and research · 2025Pooled it
- Audio-biofeedback versus the scale method for improving partial weight-bearing adherence in healthy older adults: a randomised trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Trial
- Incidence and risk factors for postoperative posterior column fractures following periacetabular osteotomy.Journal of hip preservation surgery · 2026Article
- In Vitro Investigation of Column Fixation Constructs for Periacetabular Osteotomy: Which Provide the Greatest Stiffness and Strength?Arthroplasty today · 2024Article
- Analysis of survivorship following periacetabular osteotomy for hip dysplasia based on three-dimensional acetabular coverage.Journal of hip preservation surgery · 2024Article
- Incidence and risk factors for non-union of the superior ramus osteotomy when hip dysplasia is treated with periacetabular osteotomy.Journal of hip preservation surgery · 2023Article
- Rehabilitation Guidelines for Use Following a Periacetabular Osteotomy (PAO): A North American Based Delphi Consensus.International journal of sports physical therapy · 2022Article
- Pragmatic comparative effectiveness study of multimodal fascia iliaca nerve block and continuous lumbar epidural-based protocols for periacetabular osteotomy.Journal of hip preservation surgery · 2020Article
- Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia.BMC musculoskeletal disorders · 2020Article
- Article
- Computer-assisted surgery prevents complications during peri-acetabular osteotomy.International orthopaedics · 2018Article
- Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study.The open orthopaedics journal · 2016Article
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIt has not been shown whether accelerated rehabilitation following periacetabular osteotomy (PAO) is effective for early recovery. The purpose of this retrospective study was to compare complication rates in patients with standard and accelerated rehabilitation protocols who underwent PAO.
methodsBetween January 2002 and August 2011, patients with a lateral center-edge (CE) angle of < 20°, showing good joint congruency with the hip in abduction, pre- or early stage of osteoarthritis, and age younger than 60 years were included in this study. We evaluated 156 hips in 138 patients, with a mean age at the time of surgery of 30 years. Full weight-bearing with two crutches started 2 months postoperatively in 73 patients (80 hips) with the standard rehabilitation protocol. In 65 patients (76 hips) with the accelerated rehabilitation protocol, postoperative strengthening of the hip, thigh and core musculature was begun on the day of surgery as tolerated. The exercise program included active hip range of motion, and gentle isometric hamstring and quadriceps muscle sets; these exercises were performed for 30 minutes in the morning and 30 minutes in the afternoon with a physical therapist every weekday for 6 weeks. Full weight-bearing with two axillary crutches started on the day of surgery as tolerated. Complications were evaluated for 2 years.
resultsThe clinical results at the time of follow-up were similar in the two groups. The average periods between the osteotomy and full-weight-bearing walking without support were 4.2 months and 6.9 months in patients with the accelerated and standard rehabilitation protocols (P < 0.001), indicating that the accelerated rehabilitation protocol could achieve earlier recovery of patients. However, postoperative fractures of the ischial ramus and posterior column of the pelvis were more frequently found in patients with the accelerated rehabilitation protocol (8/76) than in those with the standard rehabilitation protocol (1/80) (P = 0.013).
conclusionThe accelerated rehabilitation protocol seems to have advantages for early muscle recovery in patients undergoing PAO; however, postoperative pelvic fracture rates were unacceptably high in patients with this protocol.
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