Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia
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(2020) 21:637
RESEARCH ARTICLE
Open Access
Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia Yoshiki Takahashi1 , Naonobu Takahira2,3* , Katsufumi Uchiyama4 , Kensuke Fukushima4 , Mitsutoshi Moriya4, Manaka Shibuya1,5, Kouji Tsuda1, Kiyoshi Tozaki1, Sho Kudo1, Hiroaki Kaneda1 , Junya Sekita1 and Masashi Takaso4
Abstract Background: Curved periacetabular osteotomy (CPO) was developed to treat acetabular dysplasia. Given that CPO can improve physical function in the early post-operative period, patients might be able to participate in sports activities post-operatively. Therefore, this study examined the post-operative sports activity participation and characteristics of acetabular dysplasia patients who have undergone CPO. Methods: A total of 52 patients who underwent CPO for acetabular dysplasia were given a questionnaire on preand post-operative sports activities; 43 patients responded. We surveyed patients’ sports activities, satisfaction, and physical function. Patients were divided according to whether they participated in sports activities after CPO. Physical function was compared before and after CPO. Results: The pre- and post-operative sports activity participation rates were 55.8 and 72.1%, respectively. Patients mostly performed low-impact sports activities. Moreover, patients who participated in sports activities postoperatively had smaller pre-operative range of motion of hip flexion and returned to full weight bearing earlier. Conclusions: Among acetabular dysplasia patients who underwent CPO, 72.1% participated in sports activities post-operatively. Post-operatively, patients participated not only in low-impact sports activities, but also in highimpact ones. These findings might be useful for advising patients who are concerned about participating in sports activities after CPO. Keywords: Curved periacetabular osteotomy, Sports activity, Acetabular dysplasia, Physical function
Background Acetabular dysplasia is the most common cause of secondary osteoarthritis (OA) [1]. Morphological features due to acetabular dysplasia result in instability and * Correspondence: [email protected] 2 Department of Orthopaedic Surgery of Clinical Medicine, Rehabilitation Sciences and Functional Restoration, Science of Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa 252-0373, Japan 3 Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa 252-0373, Japan Full list of author information is available at the end of the article
abnormal loading on the articular cartilage [2, 3]; this can lead to degeneration of the articular cartilage, which in turn leads to OA. OA occurs in 15.7% of patients [4], causing pain and limiting range of motion, which can disturb participation in sports activities. Periacetabular osteotomy (PAO) is beneficial for young patients with acetabular dysplasia, with case se
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