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Return to play and improved function seen in young athletes following PAO
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In a study of young athletes who underwent periacetabular osteotomy for acetabular dysplasia, investigators found most patients returned to play and had improved function and that female patients were more likely to undergo the procedure.
Researchers identified 41 athletes (mean age 26.2 years) who underwent periacetabular osteotomy (PAO). Overall, 36 patients were female. Investigators evaluated data regarding previous surgeries, reoperations and return to play. Validated functional outcome measures included the modified Harris Hip score (mHHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), University of California, Los Angeles (UCLA) activity scale score and WOMAC scores. In addition, preoperative and postoperative radiologic parameters were assessed. To determine risk factors for prolonged return to play, investigators used a regression model.
Findings showed surgery prior to PAO was performed in nine hips. Investigators noted during the study period, one excision of heterotopic ossification was performed.
The mHHS and HOOS showed significant improvements at the last follow-up visit (mean of 3.1 years) from preoperative values. According to researchers, the UCLA activity scale scores remained at a high level.
Overall, 80% of patients returned to play within a median of 9 months following surgery. Investigators found the only predictor for prolonged return to play was increased postoperative pain. Out of the patients who returned to play, 27 returned to the same level of play; however, this was more common for recreational athletes vs. competitive athletes. Athletes who returned to prior level of play remained at that level during the study, and investigators found no significant differences between competitive athletes and recreational athletes for this finding. ‒ by Monica Jaramillo
Disclosures: Heyworth reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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