ArticleClinical biomechanics (Bristol, Avon)2025
Dynamic femoral head coverage following periacetabular osteotomy for developmental dysplasia of the hip.
Article in Clinical biomechanics (Bristol, Avon), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Does Deformity Severity Dictate Which Side Initially Develops Symptoms in Bilaterally Dysplastic Hips?Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Introducing functional dysplasia: Dynamic pelvic mechanics during running reduce femoral head coverage.Journal of experimental orthopaedics · 2026Article
- Bony Hip Congruency and Coverage Varies by Acetabular Region and Activity in Asymptomatic Young Adults.Annals of biomedical engineering · 2025Article
- Dysplastic Hips in Young Adults Demonstrate Different Relationships Between Acetabular Coverage, Joint Congruity, and Contact Mechanics Than Asymptomatic Hips.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundDevelopmental dysplasia of the hip reduces hip stability due to insufficient femoral head coverage. Periacetabular osteotomy surgery aims to increase this coverage. Typically measured using radiographs, most coverage assessments are limited to static hip positions and cannot capture 3D anatomy. This study quantified how dynamic 3D femoral coverage changes during gait and squat after periacetabular osteotomy surgery and compared dynamic coverage to static measures.
methodsPre- and post-surgery CT scans from 38 patients with hip dysplasia were used to reconstruct 3D femur and pelvis bones with which gait and squat were simulated. Models of 38 control subjects were also created. The femoral head was divided into anteromedial, anterolateral, posteromedial, and posterolateral regions. Regional coverage was compared pre- and post-surgery, and against controls, in a static neutral position, during the stance phase of gait, and throughout the squat cycle.
findingsLateral coverage increased post-surgery in the static neutral position (anterolateral: 4.9 ± 3.6 % to 13.8 ± 5.6 %; posterolateral: 22.9 ± 15.4 % to 39.8 ± 15.2 % (p ≤ 0.001)) and throughout gait and squat (p ≤ 0.001). Average changes in neutral anterolateral coverage (+8.9 ± 4.5 %) were similar to average changes during gait (+8.1 ± 3.0 %), but not squat (+12.0 ± 1.9 %). Static neutral coverage post-surgery differed significantly from dynamic coverage in every region of the femoral head during all of gait, and most of squat.
interpretationWhile static measures follow some patterns of dynamic coverage after surgery, they miss important variations that can impact joint loading. Understanding how periacetabular osteotomy changes dynamic femoral head coverage can aid with operative planning and assessment to optimize outcomes during daily activities.
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