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ArticleInternational orthopaedics2026

Morphological features and long-term outcomes after periacetabular osteotomy for borderline hip dysplasia.

Kenji Kitamura, Masanori Fujii, Satoshi Yamate, Goro Motomura, Satoshi Hamai, Shinya Kawahara, Ryosuke Yamaguchi, Takeshi Utsunomiya, Soichiro Yoshino, Yasuharu Nakashima

Abstract readComparative Study
PubMed Publisher
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Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kenji KitamuraKyushu University, Fukuoka, Japan. kitamura.kenji.465@m.kyushu-u.ac.jp.
Masanori FujiiKyushu University, Fukuoka, Japan. fujii.masanori.353@m.kyushu-u.ac.jp.
Satoshi YamateKyushu University, Fukuoka, Japan.
Goro MotomuraKyushu University, Fukuoka, Japan.
Satoshi HamaiKyushu University, Fukuoka, Japan.
Shinya KawaharaKyushu University, Fukuoka, Japan.
Ryosuke YamaguchiKyushu University, Fukuoka, Japan.
Takeshi UtsunomiyaKyushu University, Fukuoka, Japan.
Soichiro YoshinoKyushu University, Fukuoka, Japan.
Yasuharu NakashimaKyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of periacetabular osteotomy (PAO) in symptomatic borderline hip dysplasia (borderline HD) remains controversial because the lateral centre-edge angle may not reflect global dysplastic morphology. We examined whether selected borderline dysplastic hips showed additional dysplastic features and compared mid- to long-term outcomes with frank hip dysplasia (frank HD).

methodsThis retrospective comparative cohort study included 33 patients (35 hips) with borderline HD (18° ≤ lateral centre-edge angle < 25°) and 319 patients (357 hips) with frank HD (lateral centre-edge angle < 18°) treated with PAO from 1996 to 2009. Radiographic morphology, Kaplan-Meier total hip arthroplasty-free survival, and patient-reported outcome measures (PROMs) after 1:3 propensity score matching were analysed.

resultsIn the borderline HD cohort, 33 hips (94.3%) met at least one frank HD criterion other than lateral centre-edge angle and 12 hips (34.3%) met three or more. Mean follow-up was 14.0 years in the borderline HD cohort and 13.9 years in the frank HD cohort. One borderline dysplastic hip and 50 frank dysplastic hips underwent total hip arthroplasty. The 20-year survival rate was 90.0% in borderline HD and 78.8% in frank HD (log-rank p = 0.101). Matched PROMs did not differ significantly between groups.

conclusionBorderline dysplastic hips selected for PAO usually showed multidirectional dysplastic morphology resembling frank HD. In carefully selected symptomatic borderline HD, PAO was associated with favourable long-term survival and PROMs comparable with frank HD.

Indexed as

AcetabulumDevelopmental Dysplasia of the HipHip DislocationHip Dislocation, CongenitalHip JointOsteotomyAdolescentAdultArthroplasty, Replacement, HipFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedRadiographyBorderline hip dysplasiaHip dysplasiaPeriacetabular osteotomy

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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.