Skip to main content
Journal cover image

Acetabular Dysplasia in Middle-Aged Patients: Periacetabular Osteotomy or Total Hip Arthroplasty?

Publication ,  Journal Article
Kalore, NV; Cheppalli, SPR; Daner, WE; Jiranek, WA
Published in: J Arthroplasty
September 2016

BACKGROUND: Treatment of middle-aged patients with acetabular dysplasia is challenging because of mild osteoarthritis, long life span, high activity level, and sports participation. Both periacetabular osteotomy (PAO) and total hip arthroplasty (THA) provide pain relief, improve function, and can last over 2 decades. We compare the 2 procedures for functional outcome (including sports participation), pain relief, and morbidity. METHODS: We compared patients in the 30-50 years age group with symptomatic acetabular dysplasia who underwent PAO (n = 14) or THA (n = 14) with minimum 4-year follow-up. We compared postoperative activity (modified Harris Hip Score, high activity arthroplasty score, and modified Merle d'Aubigné-Postel Score) and sports participation (Tegner and University of California Los Angeles activity scores) in the 2 groups. Morbidity was compared by durations of postoperative pain >4/10, narcotic use, use of gait aids, and time to return to normal activities. RESULTS: Sports participation and function scores improved after surgery in both groups without significant intergroup difference at minimum 4-year follow-up. Patients with PAO had longer duration of postoperative pain (P = .01) and used gait aids longer (P = .04) than patients with THA. There were 3 minor reoperations in the PAO group and none in the THA group. CONCLUSIONS: PAO and THA both produce comparable improvement in sports participation and function. PAO was associated with longer durations of pain and use of gait aids. These findings may be important in the decision-making process in middle-aged patients with symptomatic acetabular dysplasia.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

September 2016

Volume

31

Issue

9

Start / End Page

1894 / 1898

Location

United States

Related Subject Headings

  • Virginia
  • Time Factors
  • Sports
  • Retrospective Studies
  • Reoperation
  • Pain, Postoperative
  • Osteotomy
  • Orthopedics
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kalore, N. V., Cheppalli, S. P. R., Daner, W. E., & Jiranek, W. A. (2016). Acetabular Dysplasia in Middle-Aged Patients: Periacetabular Osteotomy or Total Hip Arthroplasty? J Arthroplasty, 31(9), 1894–1898. https://doi.org/10.1016/j.arth.2016.02.032
Kalore, Niraj V., Suresh P. R. Cheppalli, William E. Daner, and William A. Jiranek. “Acetabular Dysplasia in Middle-Aged Patients: Periacetabular Osteotomy or Total Hip Arthroplasty?J Arthroplasty 31, no. 9 (September 2016): 1894–98. https://doi.org/10.1016/j.arth.2016.02.032.
Kalore NV, Cheppalli SPR, Daner WE, Jiranek WA. Acetabular Dysplasia in Middle-Aged Patients: Periacetabular Osteotomy or Total Hip Arthroplasty? J Arthroplasty. 2016 Sep;31(9):1894–8.
Kalore, Niraj V., et al. “Acetabular Dysplasia in Middle-Aged Patients: Periacetabular Osteotomy or Total Hip Arthroplasty?J Arthroplasty, vol. 31, no. 9, Sept. 2016, pp. 1894–98. Pubmed, doi:10.1016/j.arth.2016.02.032.
Kalore NV, Cheppalli SPR, Daner WE, Jiranek WA. Acetabular Dysplasia in Middle-Aged Patients: Periacetabular Osteotomy or Total Hip Arthroplasty? J Arthroplasty. 2016 Sep;31(9):1894–1898.
Journal cover image

Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

September 2016

Volume

31

Issue

9

Start / End Page

1894 / 1898

Location

United States

Related Subject Headings

  • Virginia
  • Time Factors
  • Sports
  • Retrospective Studies
  • Reoperation
  • Pain, Postoperative
  • Osteotomy
  • Orthopedics
  • Male
  • Humans