Evidence map›Paper›PMID 42362871›Full record

ReviewCurrent reviews in musculoskeletal medicine2026

Perioperative Management of Patients Undergoing Periacetabular Osteotomy: An Evidence-Based Review.

Conor Dolson, Ira Zaltz, Alex L Gornitzky

Abstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

3 authors.

Conor DolsonDepartment of Orthopaedic Surgery, Corewell Health William, Beaumont University Hospital, Royal Oak, MI, USA.
Ira ZaltzDepartment of Orthopaedics, C.S. Mott Children's Hospital, University of Michigan, 1540 E. Hospital Drive, SPC 4241, Ann Arbor, MI, USA.
Alex L GornitzkyDepartment of Orthopaedics, C.S. Mott Children's Hospital, University of Michigan, 1540 E. Hospital Drive, SPC 4241, Ann Arbor, MI, USA. alexgorn@med.umich.edu.ORCID https://orcid.org/0000-0003-0391-6017

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewPeriacetabular osteotomy (PAO) is an established and effective surgical treatment for symptomatic acetabular dysplasia in adolescents and young adults with healthy articular cartilage. While outcomes and technical surgical considerations are well described, perioperative management practices vary significantly across institutions. The purpose of this narrative review was to synthesize current literature on evidence-based best practices for perioperative management of patients undergoing PAO and to identify knowledge gaps for future investigation. RECENT

findingsA comprehensive review of the literature was performed focusing on perioperative care across four phases: preoperative, intraoperative, acute postoperative, and rehabilitation. Areas of emphasis included laboratory evaluation and nutritional optimization, mental health screening, patient education, blood loss mitigation strategies, pain control, venous thromboembolism and heterotopic ossification (HO) prophylaxis, and postoperative rehabilitation protocols. Strong evidence exists to support specific intraoperative practices such as tranexamic acid administration, controlled hypotension, and fascia iliacus blocks for pain control. Conversely, limited or heterogeneous evidence exists regarding preoperative laboratory testing, psychosocial interventions, standardized opioid prescribing, venous thromboembolism prophylaxis regimens, and rehabilitation protocols. Psychosocial health and preoperative educational interventions appear underutilized despite growing evidence of their impact on outcomes. Significant gaps remain, particularly regarding preoperative optimization and rehabilitation strategies. Continued high-quality research is needed to establish standardized, evidence-based perioperative care pathways to further improve outcomes following PAO.

Indexed as

Mental healthPeriacetabular osteotomyPerioperativePreoperativeRehabilitationReview

Identifiers

PMID42362871
PMCPMC13309598

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