ArticleBone & joint open2025
From mobility to intimacy: assessing the effects of periacetabular osteotomy on sexual function in patients with hip dysplasia.
Article in Bone & joint open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Rising star editorial: Periacetabular osteotomy-Reliable outcome and expanding indications.Journal of experimental orthopaedics · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: Developmental dysplasia of the hip (DDH) often leads to early osteoarthritis, causing pain and functional limitations that may impair sexual function. This study investigates the impact of periacetabular osteotomy (PAO) on sexual function in DDH patients, assessing changes from preoperative impairments to postoperative improvements. Methods: This retrospective study analyzed data from DDH patients treated with PAO between January 2015 and June 2017 at a single orthopaedic university centre. Data included radiological parameters and patient-reported outcome measures: International Hip Outcome Tool (iHOT-12), Subjective Hip Value, Hip disability and Osteoarthritis Outcome Score (HOOS) and its sub-scores, and Numeric Pain Scale. Sexual function was specifically assessed using iHOT-12 item nine, asking, "How much trouble do you have with sexual activity because of your hip?" Results: The study included 120 hips in 107 patients, predominantly female (85.1%). Radiological improvements post PAO were significant, with increases in the lateral centre-edge angle (LCEA) (16.6° (SD 6.0°) to 29.4° (SD 5.8°); p < 0.001) and reductions in the Tönnis angle (13.3° (SD 6.7°) to 1.2° (SD 7.4°); p < 0.001). Patient-reported outcomes demonstrated significant improvements postoperatively. Specifically, the iHOT-12 sexual function item showed substantial improvement from a mean preoperative score of 54.3 (SD 33.7) to a postoperative score of 75.0 (SD 27.1) (p < 0.001). Females reported significant enhancements in sexual function (p < 0.001), whereas improvements in males did not reach statistical significance (p = 0.181). Cases of under-correction (LCEA < 25°) demonstrated significantly higher impairments in sexual function postoperatively compared with adequately corrected cases, indicating the importance of achieving optimal anatomical correction. Conclusion: PAO significantly enhances sexual function and overall hip-related quality of life in patients with symptomatic DDH. The findings underscore the necessity of precise surgical techniques and highlight that outcomes may vary by sex, suggesting a need for a sex-sensitive approach in both clinical practice and research.
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Registered trials
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