Functional results in periacetabular osteotomy: is it possible to obtain a normal gait after the surgery?

Hip Int. 2017 Sep 19;27(5):449-454. doi: 10.5301/hipint.5000494. Epub 2017 May 19.

Abstract

Introduction: Gait analysis is one of the poorly understood dimensions of the functional results obtained after periacetabular osteotomy (PAO) due to dysplasia of the hip.

Materials and methods: Spatiotemporal parameters as well as coronal and sagittal plane kinematics and moments were compared among three demographically similar groups of subjects: (i) 23 patients with excellent results according to the Harris Hip Score (HHS) (mean 6.6 years of follow-up); (ii) 12 patients with good and fair results according to the HHS (mean 9.3 years of follow-up); and (iii) 35 asymptomatic controls.

Results: 50% of the analysed sagittal plane kinematic parameters were significantly better (p<0.05) in the control group not only for the hip joint but also for the ipsilateral knee and ipsilateral ankle. A vast majority of the other evaluated gait parameters resulted similar among the groups (p>0.05).

Conclusions: In our experience, most of the gait parameters after PAO are close to those observed in control subjects; however, the obtained pattern cannot be classified as a completely normal gait. The excellence in terms of functional results seems not to be determined by the achievement of this theoretical goal.

MeSH terms

  • Acetabulum / diagnostic imaging
  • Acetabulum / surgery*
  • Adult
  • Female
  • Gait / physiology*
  • Hip Dislocation / diagnosis
  • Hip Dislocation / physiopathology
  • Hip Dislocation / surgery*
  • Hip Joint / diagnostic imaging
  • Hip Joint / physiopathology
  • Hip Joint / surgery*
  • Humans
  • Male
  • Osteotomy / methods*
  • Postoperative Period
  • Radiography
  • Range of Motion, Articular / physiology*
  • Treatment Outcome