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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| Format: | Article |
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MDPI AG
2022-06-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/7/1072 |
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| author | Carsten Y. W. Heimer Chia H. Wu Carsten Perka Sebastian Hardt Friedemann Göhler Henrik C. Bäcker |
| author_facet | Carsten Y. W. Heimer Chia H. Wu Carsten Perka Sebastian Hardt Friedemann Göhler Henrik C. Bäcker |
| author_sort | Carsten Y. W. Heimer |
| collection | DOAJ |
| 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 (<i>p</i> < 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 (<i>p</i> < 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; <i>p</i> = 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. |
| first_indexed | 2024-03-09T03:17:47Z |
| format | Article |
| id | doaj.art-43d634f4aa8c458dbe28d0bd2311afb6 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T03:17:47Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-43d634f4aa8c458dbe28d0bd2311afb62023-12-03T15:16:28ZengMDPI AGJournal of Personalized Medicine2075-44262022-06-01127107210.3390/jpm12071072The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular OsteotomyCarsten Y. W. Heimer0Chia H. Wu1Carsten Perka2Sebastian Hardt3Friedemann Göhler4Henrik C. Bäcker5Department of Orthopaedic Surgery and Traumatology, Charité Berlin University Hospital, 10117 Berlin, GermanyDepartment of Orthopaedics & Sports Medicine, Baylor College of Medicine Medical Centre, Houston, TX 77030, USADepartment of Orthopaedic Surgery and Traumatology, Charité Berlin University Hospital, 10117 Berlin, GermanyDepartment of Orthopaedic Surgery and Traumatology, Charité Berlin University Hospital, 10117 Berlin, GermanyDepartment of Radiology, Charité Berlin University Hospital, 10117 Berlin, GermanyDepartment of Orthopaedic Surgery and Traumatology, Charité Berlin University Hospital, 10117 Berlin, GermanyThe 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 (<i>p</i> < 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 (<i>p</i> < 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; <i>p</i> = 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.https://www.mdpi.com/2075-4426/12/7/1072radiographyperiacetabular osteotomyPAOdysplasiacomplicationlaterality |
| spellingShingle | Carsten Y. W. Heimer Chia H. Wu Carsten Perka Sebastian Hardt Friedemann Göhler Henrik C. Bäcker The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy Journal of Personalized Medicine radiography periacetabular osteotomy PAO dysplasia complication laterality |
| title | The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy |
| title_full | The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy |
| title_fullStr | The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy |
| title_full_unstemmed | The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy |
| title_short | The Impact of the Laterality on Radiographic Outcomes of the Bernese Periacetabular Osteotomy |
| title_sort | impact of the laterality on radiographic outcomes of the bernese periacetabular osteotomy |
| topic | radiography periacetabular osteotomy PAO dysplasia complication laterality |
| url | https://www.mdpi.com/2075-4426/12/7/1072 |
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