The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy

The purpose of this study was to compare the pre and postoperative radiographic findings and analyze the complication rate with respect to the laterality in periacetabular osteotomy in right-handed surgeons. Satisfaction rate and radiographic findings were prospectively collected between 2017 and 20...

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Veröffentlicht in:Journal of personalized medicine 2022-06, Vol.12 (7), p.1072
Hauptverfasser: Heimer, Carsten Y W, Wu, Chia H, Perka, Carsten, Hardt, Sebastian, Göhler, Friedemann, Bäcker, Henrik C
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container_issue 7
container_start_page 1072
container_title Journal of personalized medicine
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creator Heimer, Carsten Y W
Wu, Chia H
Perka, Carsten
Hardt, Sebastian
Göhler, Friedemann
Bäcker, Henrik C
description The purpose of this study was to compare the pre and postoperative radiographic findings and analyze the complication rate with respect to the laterality in periacetabular osteotomy in right-handed surgeons. Satisfaction rate and radiographic findings were prospectively collected between 2017 and 2019 and retrospectively reviewed. For analysis, all measurements of the CT scans were performed by a musculoskeletal fellowship-trained radiologist. Complications were classified into two categories: perioperative or postoperative. All surgeries were performed by three right-hand dominant hip surgeons. A total of 41 dysplastic hips (25 right and 16 left hips) in 33 patients were included. Postoperatively, a significantly lower acetabular index angle on the left side was observed at −2.6 ± 4.3 as compared to the right side at 1.6 ± 6.5 (p < 0.05). The change in Center edge (CE) angle was significantly lower for the left side 13.7 ± 5.5° than on the right side, measured at 18.4 ± 7.3 (p < 0.001); however, the overall CE angle was comparable at 38.5 ± 8.9° without any significant difference between the operated hips (left side at 37.8 ± 6.1° versus right side at 39.0 ± 10.3; p = 0.340). No significant differences in other radiographic measurements or surgical time were observed. For complications, the right side was more commonly affected, which may also explain a higher satisfaction rate in patients who were operated on the left hip with 92.3%. The change in lateral CE angle was significantly lower for the left side and the right hip seems to be predisposed to complications, which correlate with a lower satisfaction rate in right-handed surgeons.
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central
subjects Acetabulum
Age
Arthritis
Blood transfusions
Body mass index
Handedness
Hip
Hip dislocation
Osteoarthritis
Osteotomy
Patients
Precision medicine
Radiography
Range of motion
Surgeons
Surgery
Tomography
Variance analysis
title The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy
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