The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment
Objective Pelvic compensation is common in femoroacetabular impingement (FAI) patients to reduce symptoms and increase range of motion. However, little attention was given to the postoperative clinical effect of pelvic compensation. Therefore, this study aims to compare the outcomes between pelvic c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13855 |
| _version_ | 1797640245390344192 |
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| author | Mingke You Weijia Wang Kai Zhou Jian Li Gang Chen |
| author_facet | Mingke You Weijia Wang Kai Zhou Jian Li Gang Chen |
| author_sort | Mingke You |
| collection | DOAJ |
| description | Objective Pelvic compensation is common in femoroacetabular impingement (FAI) patients to reduce symptoms and increase range of motion. However, little attention was given to the postoperative clinical effect of pelvic compensation. Therefore, this study aims to compare the outcomes between pelvic compensation and normal pelvic position in femoroacetabular impingement (FAI) patients after hip arthroscopy. Methods The retrospective study was conducted from January 2019 to June 2022, recruited consecutive patients who were diagnosed with FAI and received subsequent arthroscopic treatment. All patients completed an X‐ray in the anterior–posterior standing position before and 4 weeks after surgery. Patients with pelvic compensation were compared with those who did not. Functional outcomes included hip disability and osteoarthritis outcome score (HOOS), modified Harris (mHHS) score, and lower‐extremity activity scale (LEAS). Secondary outcomes included the EuroQol Five Dimensions Questionnaire (EQ‐5D) and patient satisfaction. The intraclass correlation coefficient (ICC) was used to analyze interobserver and intraobserver reliability. Results Ninety patients with a mean age of 39.40 years were included in the study. No significant compensation changes were noted within groups after the elimination of impingement. The functional scores showed no significant difference between groups (p(HOOS) = 0.352, p(mHHS) = 0.183, p(LEAS) = 0.865). The EQ‐5D revealed statistically better performance in usual activities in the compensatory group (p = 0.044). There are no significant between‐group differences in patients' satisfaction evaluations. Conclusion As assessed by Patient‐Reported Outcome Measures (PROMs), patients with compensatory pelvic tilt demonstrated similar clinical outcomes without extra adverse events to patients with normal pelvic positioning in short‐term follow‐ups. Furthermore, compensatory pelvic tilt did not significantly enhance the range of motion or functional outcome at short‐term follow‐ups. |
| first_indexed | 2024-03-11T13:29:08Z |
| format | Article |
| id | doaj.art-0d21c407830b48db99fc685e4c6846da |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-03-11T13:29:08Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-0d21c407830b48db99fc685e4c6846da2023-11-03T02:57:47ZengWileyOrthopaedic Surgery1757-78531757-78612023-11-0115112848285410.1111/os.13855The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic TreatmentMingke You0Weijia Wang1Kai Zhou2Jian Li3Gang Chen4Sports Medicine Center West China Hospital, Sichuan University Chengdu ChinaInstitute of Rehabilitation Sichuan University, West China Hospital Chengdu ChinaSports Medicine Center West China Hospital, Sichuan University Chengdu ChinaSports Medicine Center West China Hospital, Sichuan University Chengdu ChinaSports Medicine Center West China Hospital, Sichuan University Chengdu ChinaObjective Pelvic compensation is common in femoroacetabular impingement (FAI) patients to reduce symptoms and increase range of motion. However, little attention was given to the postoperative clinical effect of pelvic compensation. Therefore, this study aims to compare the outcomes between pelvic compensation and normal pelvic position in femoroacetabular impingement (FAI) patients after hip arthroscopy. Methods The retrospective study was conducted from January 2019 to June 2022, recruited consecutive patients who were diagnosed with FAI and received subsequent arthroscopic treatment. All patients completed an X‐ray in the anterior–posterior standing position before and 4 weeks after surgery. Patients with pelvic compensation were compared with those who did not. Functional outcomes included hip disability and osteoarthritis outcome score (HOOS), modified Harris (mHHS) score, and lower‐extremity activity scale (LEAS). Secondary outcomes included the EuroQol Five Dimensions Questionnaire (EQ‐5D) and patient satisfaction. The intraclass correlation coefficient (ICC) was used to analyze interobserver and intraobserver reliability. Results Ninety patients with a mean age of 39.40 years were included in the study. No significant compensation changes were noted within groups after the elimination of impingement. The functional scores showed no significant difference between groups (p(HOOS) = 0.352, p(mHHS) = 0.183, p(LEAS) = 0.865). The EQ‐5D revealed statistically better performance in usual activities in the compensatory group (p = 0.044). There are no significant between‐group differences in patients' satisfaction evaluations. Conclusion As assessed by Patient‐Reported Outcome Measures (PROMs), patients with compensatory pelvic tilt demonstrated similar clinical outcomes without extra adverse events to patients with normal pelvic positioning in short‐term follow‐ups. Furthermore, compensatory pelvic tilt did not significantly enhance the range of motion or functional outcome at short‐term follow‐ups.https://doi.org/10.1111/os.13855Femoroacetabular impingementHip arthroscopyPelvic tiltPubic symphysis to sacrococcygeal distanceQuality of life |
| spellingShingle | Mingke You Weijia Wang Kai Zhou Jian Li Gang Chen The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment Orthopaedic Surgery Femoroacetabular impingement Hip arthroscopy Pelvic tilt Pubic symphysis to sacrococcygeal distance Quality of life |
| title | The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment |
| title_full | The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment |
| title_fullStr | The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment |
| title_full_unstemmed | The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment |
| title_short | The Influence of Compensatory Pelvic Tilt on Patient‐reported Outcome Measurements in FAI Patients Who Received Arthroscopic Treatment |
| title_sort | influence of compensatory pelvic tilt on patient reported outcome measurements in fai patients who received arthroscopic treatment |
| topic | Femoroacetabular impingement Hip arthroscopy Pelvic tilt Pubic symphysis to sacrococcygeal distance Quality of life |
| url | https://doi.org/10.1111/os.13855 |
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