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Periacetabular Osteotomy: A Systematic Literature Review

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Clinical Orthopaedics and Related Research®

Abstract

The Bernese periacetabular osteotomy is commonly used to treat symptomatic acetabular dysplasia. Although periacetabular osteotomy is becoming a more common surgical intervention to relieve pain and improve function, the strength of clinical evidence to support this procedure for these goals is not well defined in the literature. We therefore performed a systematic review of the literature to define the level of evidence for periacetabular osteotomy, to determine deformity correction, clinical results, and to determine complications associated with the procedure. Thirteen studies met our inclusion criteria. Eleven studies were Level IV, one was Level III, and one was Level II. Radiographic deformity correction was consistent and improvement in hip function was noted in all studies. Most studies did not correlate radiographic and clinic outcomes. Clinical failures were commonly associated with moderate to severe preoperative osteoarthritis and conversion to THA was reported in 0% to 17% of cases. Major complications were noted in 6% to 37% of the procedures. These data indicate periacetabular osteotomy provides pain relief and improved hip function in most patients over short- to midterm followup. The current evidence is primarily Level IV.

Level of Evidence: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300 West Pavilion, Campus Box 8233, St Louis, MO, 63110, USA

    John C. Clohisy MD, Amanda L. Schutz PhD, MPA, Lauren St. John BS & Rick W. Wright MD

  2. Shriner’s Hospital for Children, St Louis, MO, USA

    Perry L. Schoenecker MD

Authors
  1. John C. Clohisy MD
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  2. Amanda L. Schutz PhD, MPA
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  3. Lauren St. John BS
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  4. Perry L. Schoenecker MD
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  5. Rick W. Wright MD
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Correspondence to John C. Clohisy MD.

Additional information

This work was supported in part by Award Number UL1RR024992 from the National Center For Research Resources (JCC). The content is solely the responsibility of the authors and does not necessarily represent the official views of the national Center for Research Resources or the National Institutes of Health. This work was also supported in part by the Curing Hip Disease fund (JCC). One or more of the authors (JCC) has received clinical research support from a Zimmer, Inc, Clinical Research Grant.

This work was performed at Washington University School of Medicine.

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Clohisy, J.C., Schutz, A.L., St. John, L. et al. Periacetabular Osteotomy: A Systematic Literature Review. Clin Orthop Relat Res 467, 2041–2052 (2009). https://doi.org/10.1007/s11999-009-0842-6

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  • DOI: https://doi.org/10.1007/s11999-009-0842-6

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