Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series
Aims: We assessed the long-term outcomes of a large cohort of patients who have undergone a periacetabular osteotomy (PAO), and sought to validate a patient satisfaction questionnaire for use in a PAO cohort. Methods: All patients who had undergone a PAO from July 1998 to February 2013 were surveyed...
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| Format: | Article |
| Language: | English |
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The British Editorial Society of Bone & Joint Surgery
2023-12-01
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| Series: | Bone & Joint Open |
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| Online Access: | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.412.BJO-2023-0081.R1 |
| _version_ | 1797383295503171584 |
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| author | James T. Berwin Sean D. X. Duffy Martin F. Gargan James R. Barnes |
| author_facet | James T. Berwin Sean D. X. Duffy Martin F. Gargan James R. Barnes |
| author_sort | James T. Berwin |
| collection | DOAJ |
| description | Aims: We assessed the long-term outcomes of a large cohort of patients who have undergone a periacetabular osteotomy (PAO), and sought to validate a patient satisfaction questionnaire for use in a PAO cohort. Methods: All patients who had undergone a PAO from July 1998 to February 2013 were surveyed, with several patient-reported outcome measures (PROMs) and radiological measurements of preoperative acetabular dysplasia and postoperative correction also recorded. Patients were asked to rate their level of satisfaction with their operation in achieving pain relief, restoration of activities of daily living, ability to perform recreational activity, and their overall level of satisfaction with the procedure. Results: A total of 143 PAOs were performed between 1998 and 2013. Of those, 90 postoperative surveys were returned. Only 65 patients (73 hips) had both pre- and postoperative radiographs available for measurement. The mean time to follow-up was 15 years (6.5 to 20). Most patients were female (91%), with a mean age of 26.4 years (14.9 to 48.3) at the time of their surgery. A statistically significant improvement in radiological correction was detected in all hips (p < 0.001). A total of 67 patients (92.3%) remained either very satisfied or satisfied with their PAO. The internal consistency of the patient satisfaction questionnaire, measured using Cronbach’s α, ranged from 0.89 to 0.94 indicating ‘good’ to ‘excellent’ reliability. Conclusion: Outcomes of importance to patients undergoing a PAO include several key domains: pain relief, improve activities of daily living, and improve recreational ability. Our study demonstrates high rates of long-term patient satisfaction in all domains, and found the patient satisfaction questionnaire to be a valid and reliable instrument for use in this cohort. Cite this article: Bone Jt Open 2023;4(12):964–969. |
| first_indexed | 2024-03-08T21:18:54Z |
| format | Article |
| id | doaj.art-f2e3ced8d5e041bb88b06fdfed730ef7 |
| institution | Directory Open Access Journal |
| issn | 2633-1462 |
| language | English |
| last_indexed | 2024-03-08T21:18:54Z |
| publishDate | 2023-12-01 |
| publisher | The British Editorial Society of Bone & Joint Surgery |
| record_format | Article |
| series | Bone & Joint Open |
| spelling | doaj.art-f2e3ced8d5e041bb88b06fdfed730ef72023-12-21T12:27:35ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622023-12-0141296496910.1302/2633-1462.412.BJO-2023-0081.R1Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive seriesJames T. Berwin0https://orcid.org/0000-0001-9893-5434Sean D. X. Duffy1Martin F. Gargan2James R. Barnes3The Department of Paediatric Orthopaedics, Bristol Royal Children’s Hospital, Bristol, UKThe Department of Paediatric Orthopaedics, Bristol Royal Children’s Hospital, Bristol, UKThe Department of Paediatric Orthopaedics, Bristol Royal Children’s Hospital, Bristol, UKThe Department of Paediatric Orthopaedics, Bristol Royal Children’s Hospital, Bristol, UKAims: We assessed the long-term outcomes of a large cohort of patients who have undergone a periacetabular osteotomy (PAO), and sought to validate a patient satisfaction questionnaire for use in a PAO cohort. Methods: All patients who had undergone a PAO from July 1998 to February 2013 were surveyed, with several patient-reported outcome measures (PROMs) and radiological measurements of preoperative acetabular dysplasia and postoperative correction also recorded. Patients were asked to rate their level of satisfaction with their operation in achieving pain relief, restoration of activities of daily living, ability to perform recreational activity, and their overall level of satisfaction with the procedure. Results: A total of 143 PAOs were performed between 1998 and 2013. Of those, 90 postoperative surveys were returned. Only 65 patients (73 hips) had both pre- and postoperative radiographs available for measurement. The mean time to follow-up was 15 years (6.5 to 20). Most patients were female (91%), with a mean age of 26.4 years (14.9 to 48.3) at the time of their surgery. A statistically significant improvement in radiological correction was detected in all hips (p < 0.001). A total of 67 patients (92.3%) remained either very satisfied or satisfied with their PAO. The internal consistency of the patient satisfaction questionnaire, measured using Cronbach’s α, ranged from 0.89 to 0.94 indicating ‘good’ to ‘excellent’ reliability. Conclusion: Outcomes of importance to patients undergoing a PAO include several key domains: pain relief, improve activities of daily living, and improve recreational ability. Our study demonstrates high rates of long-term patient satisfaction in all domains, and found the patient satisfaction questionnaire to be a valid and reliable instrument for use in this cohort. Cite this article: Bone Jt Open 2023;4(12):964–969.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.412.BJO-2023-0081.R1acetabulumosteotomyoutcomesperiacetabular osteotomieshipspatient-reported outcome measures (proms)postoperative radiographsacetabular dysplasiaeq-5d scoresosteoarthritiswomac scoresanterior centre edge anglehip and knee arthroplasty |
| spellingShingle | James T. Berwin Sean D. X. Duffy Martin F. Gargan James R. Barnes Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series Bone & Joint Open acetabulum osteotomy outcomes periacetabular osteotomies hips patient-reported outcome measures (proms) postoperative radiographs acetabular dysplasia eq-5d scores osteoarthritis womac scores anterior centre edge angle hip and knee arthroplasty |
| title | Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series |
| title_full | Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series |
| title_fullStr | Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series |
| title_full_unstemmed | Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series |
| title_short | Long-term patient-centred outcomes of periacetabular osteotomy in a large consecutive series |
| title_sort | long term patient centred outcomes of periacetabular osteotomy in a large consecutive series |
| topic | acetabulum osteotomy outcomes periacetabular osteotomies hips patient-reported outcome measures (proms) postoperative radiographs acetabular dysplasia eq-5d scores osteoarthritis womac scores anterior centre edge angle hip and knee arthroplasty |
| url | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.412.BJO-2023-0081.R1 |
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