Evidence map›Paper›PMID 38230876›Full record

ArticleThe American journal of sports medicine2024

Outcomes and Return-to-Sports Rates in Patients With Borderline Hip Dysplasia After Periacetabular Osteotomy: A Case Series With 5-Year Follow-up.

Vincent J Leopold, Adrian Szarek, Christian Hipfl, Susanne Bärtl, Carsten Perka, Sebastian Hardt

Abstract read
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Article in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vincent J LeopoldDepartment of Orthopaedic Surgery and Traumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-3476-4602
Adrian SzarekDepartment of Orthopaedic Surgery and Traumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Christian HipflDepartment of Orthopaedic Surgery and Traumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Susanne BärtlDepartment of Orthopaedic Surgery and Traumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Carsten PerkaDepartment of Orthopaedic Surgery and Traumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Sebastian HardtDepartment of Orthopaedic Surgery and Traumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal surgical approach in patients with borderline hip dysplasia (BHD) remains controversial. Both hip arthroscopy and periacetabular osteotomy (PAO) are commonly employed in this patient population. Those who participate in sports want to resume and maintain sports activities after surgery, and the ability to do so plays an important role in the choice of a treatment method. To our knowledge, no previous study has assessed return-to-sports rates and activity levels in patients with BHD after PAO. PURPOSE: To assess return-to-sports rates and postoperative activity levels as measured by the University of California, Los Angeles (UCLA), activity scale as well as patient-reported outcome measures. Also to assess changes in sports activity both qualitatively and quantitatively as well as underlying reasons for these changes. STUDY

designCase series; Level of evidence, 4.

methodsWe conducted a retrospective analysis of prospectively collected data from 55 hips in 52 patients with BHD who underwent PAO between January 2015 and June 2017. Return-to-sports rates, UCLA activity scores, International Hip Outcome Tool-12 scores, Subjective Hip Value scores, Hip disability and Osteoarthritis Outcome Score subscores, sports practiced, frequency and duration of sports activity, and postoperative changes as well as underlying reasons were recorded.

resultsThe mean follow-up was 62.8 ± 9.0 months. The return-to-sports rate among preoperatively active patients was 92.5%. Most patients resumed sports activity after 6 months (50%) or after 3 to 6 months (37.5%). The UCLA activity score improved significantly (from 5.2 ± 2.4 to 7.0 ± 1.8;

conclusionThe return-to-sports rate in patients with BHD after PAO was high at over 92%. Most patients returned to sports after a period of 6 months or 3 to 6 months. Overall, activity levels and hip function improved after PAO. A number of patients adjusted their sports activity after PAO. Although more patients engaged in low-impact sports, participation in high-impact sports was maintained postoperatively. The results of this study may help both patients and orthopaedic surgeons in deciding on the best surgical procedure in the setting of BHD.

Indexed as

Hip DislocationHip Dislocation, CongenitalOsteoarthritisAcetabulumFollow-Up StudiesHip JointHumansOsteotomyRetrospective StudiesReturn to SportTreatment Outcomeborderline hip dysplasiadevelopmental dysplasia of the hippatient outcomesperiacetabular osteotomyreturn to sports

Identifiers

PMID38230876
PMCPMC10838470

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.