Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip?
Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the l...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Jia Zhang [verfasserIn] Chunbao Li [verfasserIn] Jianping Zhang [verfasserIn] Gang Zhao [verfasserIn] Yujie Liu [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Orthopaedic Surgery - Wiley, 2019, 15(2023), 10, Seite 2665-2673 |
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| Übergeordnetes Werk: |
volume:15 ; year:2023 ; number:10 ; pages:2665-2673 |
| Links: |
Link aufrufen |
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| DOI / URN: |
10.1111/os.13877 |
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| Katalog-ID: |
DOAJ098278908 |
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| 245 | 1 | 0 | |a Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? |
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| 520 | |a Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. | ||
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10.1111/os.13877 doi (DE-627)DOAJ098278908 (DE-599)DOAJ6c5004a62ac24f4ab900e9eec0c4a76f DE-627 ger DE-627 rakwb eng RD701-811 Jia Zhang verfasserin aut Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. Arthroscopy Borderline developmental dysplasia of the hip Lateral center‐edge angle Orthopedic surgery Chunbao Li verfasserin aut Jianping Zhang verfasserin aut Gang Zhao verfasserin aut Yujie Liu verfasserin aut In Orthopaedic Surgery Wiley, 2019 15(2023), 10, Seite 2665-2673 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:15 year:2023 number:10 pages:2665-2673 https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/article/6c5004a62ac24f4ab900e9eec0c4a76f kostenfrei https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10 2665-2673 |
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10.1111/os.13877 doi (DE-627)DOAJ098278908 (DE-599)DOAJ6c5004a62ac24f4ab900e9eec0c4a76f DE-627 ger DE-627 rakwb eng RD701-811 Jia Zhang verfasserin aut Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. Arthroscopy Borderline developmental dysplasia of the hip Lateral center‐edge angle Orthopedic surgery Chunbao Li verfasserin aut Jianping Zhang verfasserin aut Gang Zhao verfasserin aut Yujie Liu verfasserin aut In Orthopaedic Surgery Wiley, 2019 15(2023), 10, Seite 2665-2673 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:15 year:2023 number:10 pages:2665-2673 https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/article/6c5004a62ac24f4ab900e9eec0c4a76f kostenfrei https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10 2665-2673 |
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10.1111/os.13877 doi (DE-627)DOAJ098278908 (DE-599)DOAJ6c5004a62ac24f4ab900e9eec0c4a76f DE-627 ger DE-627 rakwb eng RD701-811 Jia Zhang verfasserin aut Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. Arthroscopy Borderline developmental dysplasia of the hip Lateral center‐edge angle Orthopedic surgery Chunbao Li verfasserin aut Jianping Zhang verfasserin aut Gang Zhao verfasserin aut Yujie Liu verfasserin aut In Orthopaedic Surgery Wiley, 2019 15(2023), 10, Seite 2665-2673 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:15 year:2023 number:10 pages:2665-2673 https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/article/6c5004a62ac24f4ab900e9eec0c4a76f kostenfrei https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10 2665-2673 |
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10.1111/os.13877 doi (DE-627)DOAJ098278908 (DE-599)DOAJ6c5004a62ac24f4ab900e9eec0c4a76f DE-627 ger DE-627 rakwb eng RD701-811 Jia Zhang verfasserin aut Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. Arthroscopy Borderline developmental dysplasia of the hip Lateral center‐edge angle Orthopedic surgery Chunbao Li verfasserin aut Jianping Zhang verfasserin aut Gang Zhao verfasserin aut Yujie Liu verfasserin aut In Orthopaedic Surgery Wiley, 2019 15(2023), 10, Seite 2665-2673 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:15 year:2023 number:10 pages:2665-2673 https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/article/6c5004a62ac24f4ab900e9eec0c4a76f kostenfrei https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10 2665-2673 |
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10.1111/os.13877 doi (DE-627)DOAJ098278908 (DE-599)DOAJ6c5004a62ac24f4ab900e9eec0c4a76f DE-627 ger DE-627 rakwb eng RD701-811 Jia Zhang verfasserin aut Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. Arthroscopy Borderline developmental dysplasia of the hip Lateral center‐edge angle Orthopedic surgery Chunbao Li verfasserin aut Jianping Zhang verfasserin aut Gang Zhao verfasserin aut Yujie Liu verfasserin aut In Orthopaedic Surgery Wiley, 2019 15(2023), 10, Seite 2665-2673 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:15 year:2023 number:10 pages:2665-2673 https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/article/6c5004a62ac24f4ab900e9eec0c4a76f kostenfrei https://doi.org/10.1111/os.13877 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10 2665-2673 |
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The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. 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Jia Zhang |
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Jia Zhang misc RD701-811 misc Arthroscopy misc Borderline developmental dysplasia of the hip misc Lateral center‐edge angle misc Orthopedic surgery Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? |
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RD701-811 Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? Arthroscopy Borderline developmental dysplasia of the hip Lateral center‐edge angle |
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lateral center‐edge angle of 18° (bone‐edge): threshold for hip arthroscopy treatment in patients with borderline developmental dysplasia of the hip? |
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Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? |
| abstract |
Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. |
| abstractGer |
Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. |
| abstract_unstemmed |
Objective Hip arthroscopy for the treatment of symptomatic borderline developmental dysplasia of the hip (BDDH) has been controversial. The purpose of this study was to retrospectively analyze minimum 2‐year outcomes of BDDH after arthroscopic surgery and explore the criteria and thresholds of the lateral center‐edge angle (LCEA) in arthroscopic surgery for BDDH. Methods Data were retrospectively collected from patients aged 18–50 who underwent arthroscopic surgery for BDDH and had an LCEA 18–25° between September 2016 and June 2020. The consistency of interobserver and intraobserver measurements of bone‐edge LCEA was analyzed. Patients were divided into two groups based on LCEA (18–20°and 20–25°) and the results of arthroscopy compared between groups. Patient‐reported outcome (PRO) scores, consisting of the modified Harris hip score (mHHS), the visual analogue scale (VAS) and the international hip outcome tool‐12 (IHOT‐12), the minimal clinically important difference (MCID) and patient acceptable symptom status (PASS) were calculated. Results In 52 patients with ≥2‐year follow‐up, female patients accounted for 71.2% and the mean age was 30.8 ± 8.4 years (range: 18 to 49 years). There was a high level of agreement when measuring the bone‐edge LCEA definition of BDDH (Kappa = 0.921). Interobserver repeatability (ICC = 0.909, 95%CI: 0.847–0.947) and intraobserver repeatability (ICC = 0.944, 95%CI: 0.905–0.968) were excellent for bone‐edge LCEA measurements. In addition to LCEA and Tönnis angle, there were no significant differences in α angle, neck stem angle, femoral anteversion angle, medial joint space, Tönnis grade of osteoarthritis, acetabular retroversion (8 sign), Cam deformity and anterior inferior iliac spine (AIIS) morphology between the two groups (p < 0.05). Intraoperative findings and procedures showed no statistical difference between groups (p < 0.05). The mean follow‐up time was 44.4 ± 11.0 months (range: 25 to 64 months). Postoperative VAS, mHHS and IHOT‐12 scores in the LCEA 18–20° group and the LCEA 20–25° group were significantly improved compared with those before surgery, and there was no statistically significant difference in the percentage of MCID and PASS (mHHS and iHOT‐12) between the groups (p < 0.05). Conclusion Patients in the LCEA 18–20° group and the LCEA 20–25° group achieved favorable outcomes after arthroscopic surgery. LCEA 18° (bone‐edge) should be the threshold for hip arthroscopic surgery in BDDH patients without obvious hip instability. |
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Lateral Center‐edge Angle of 18° (Bone‐Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip? |
| url |
https://doi.org/10.1111/os.13877 https://doaj.org/article/6c5004a62ac24f4ab900e9eec0c4a76f https://doaj.org/toc/1757-7853 https://doaj.org/toc/1757-7861 |
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Chunbao Li Jianping Zhang Gang Zhao Yujie Liu |
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10.1111/os.13877 |
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2024-07-03T16:25:37.432Z |
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1803575820220891136 |
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|
| score |
7.401534 |