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A cross-sectional study evaluating patients’ preferences for Salter innominate osteotomy

Published:October 19, 2022DOI:https://doi.org/10.1016/j.jos.2022.09.007

      Abstract

      Background

      Residual acetabular dysplasia in children after reduction of hip dislocation is often treated using Salter innominate osteotomy to prevent future osteoarthritis. Preventive surgery for asymptomatic patients, which could result in overtreatment, should be carefully applied with consideration of patients’ opinions. In this study, we aimed to describe opinions on Salter innominate osteotomy as preventive surgery for children among adult patients who had undergone periacetabular osteotomy for hip pain due to hip dysplasia.

      Methods

      A mail-in questionnaire survey was conducted with 77 patients who underwent periacetabular osteotomy. Participants responded whether they would recommend Salter innominate osteotomy as preventive surgery for children and the reason for their opinion. We also performed a patient-based evaluation using the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire and assessed clinical outcome measures with the Japanese Orthopedic Association score. Their recommendations and reasons were evaluated, and associations between their opinions and demographic and clinical characteristics were analyzed.

      Results

      Forty-three patients (56%) responded to the questionnaire. Of these, 10 (23%) patients recommended undergoing Salter innominate osteotomy, 28 (65%) patients did not, and 5 (12%) patients responded they were undecided. No significant association was observed between their opinions and demographic/clinical characteristics evaluated in the survey. The most frequent reason for why they do not recommend Salter innominate osteotomy was related to uncertainty about future hip pain.

      Conclusions

      In total, 65% of the study participants did not recommend Salter innominate osteotomy for children with risk of dysplasia in the future. Participants’ preferences regarding preventive surgery were not influenced by demographic and clinical characteristics.

      Keywords

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      References

        • Albinana J.
        • Dolan L.A.
        • Spratt K.F.
        • Morcuende J.
        • Meyer M.D.
        • Weinstein S.L.
        Acetabular dysplasia after treatment for developmental dysplasia of the hip.
        J Bone Joint Surg Br. 2004 Aug; 86: 876-886
        • Salter R.B.
        Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip.
        J Bone Joint Surg Br. 1961 Aug; 43: 518-539
        • Böhm P.
        • Brzuske A.
        Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in children.
        J Bone Joint Surg Am. 2002 Feb; 84: 178-186
        • Shibata K.R.
        • Matsuda S.
        • Safran M.R.
        Open treatment of dysplasia — other than PAO: does it have to be a PAO ?.
        J Hip Preserv Surg. 2015 May 13; 4: 131-144
        • Kobayashi D.
        • Satsuma S.
        • Kuroda R.
        • Kurosaka M.
        Acetabular development in the contralateral hip in patients with unilateral developmental dysplasia of the hip.
        J Bone Joint Surg Am. 2010 Jun; 92: 1390-1397
        • Kaneko H.
        • Kitoh H.
        • Mishima K.
        • Matsushita M.
        • Kadono I.
        • Ishiguro N.
        • et al.
        Factors associated with an unfavourable outcome after salter innominate osteotomy in patients with unilateral developmental dysplasia of the hip: does occult dysplasia of the contralateral hip affect the outcome?.
        Bone Joint J. 2014 Oct; 96: 1419-1423
        • Yasunaga Y.
        • Fujii J.
        • Tanaka R.
        • Yasuhara S.
        Rotational acetabular osteotomy.
        Clin Orthop Surg. 2017 Jun; 9: 129-135
        • Kaneuji A.
        • Sugimori T.
        • Ichiseki T.
        • Fukui K.
        • Takahashi E.
        • Matsumoto T.
        Rotational acetabular osteotomy for osteoarthritis with acetabular dysplasia: conversion rate to total hip arthroplasty within twenty years and osteoarthritis progression after a minimum of twenty years.
        J Bone Joint Surg Am. 2015 May 6; 97: 726-732
        • Hasegawa Y.
        • Iwase T.
        • Kitamura S.
        • Kawasaki M.
        • Yamaguchi J.
        Eccentric rotational acetabular osteotomy for acetabular dysplasia and osteoarthritis.
        J Bone Joint Surg Am. 2014 Dec 3; 96: 1975-1982
        • Matsumoto T.
        • Kaneuji A.
        • Hiejima Y.
        • Sugiyama H.
        • Akiyama H.
        • Atsumi T.
        • et al.
        Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The subcommittee on hip disease evaluation of the clinical outcome committee of the Japanese Orthopaedic Association.
        J Orthop Sci. 2012 Jan; 17: 25-38
        • Koyano G.
        • Jinno T.
        • Koga D.
        • Yamauchi Y.
        • Muneta T.
        • Okawa A.
        Comparison of bone remodeling between an anatomic short stem and a straight stem in 1-stage bilateral total hip arthroplasty.
        J Arthroplasty. 2017 Feb; 32: 594-600
        • Miyatake K.
        • Jinno T.
        • Koga D.
        • Yamauchi Y.
        • Muneta T.
        • Okawa A.
        Comparison of different materials and proximal coatings used for femoral components in one-stage bilateral total hip arthroplasty.
        J Arthroplasty. 2015 Dec; 30: 2237-2241
        • Francois S.J.
        • Lanier V.M.
        • Marich A.V.
        • Wallendorf M.
        • Dillen LR Van
        A cross-sectional study assessing treatment preference of people with chronic low back pain.
        Arch Phys Med Rehabil. 2018 Dec; 99: 2496-2503
        • Hanson A.L.
        • Crosby R.D.
        • Basson M.D.
        Patient preferences for surgery or antibiotics for the treatment of acute appendicitis.
        JAMA Surg. 2018 May 1; 153: 471-478
        • Bom MJ Van Der
        • Groote M.E.
        • Vincken K.L.
        • Beek F.J.
        • Bartels L.W.
        Pelvic rotation and tilt can cause misinterpretation of the acetabular index measured on radiographs.
        Clin Orthop Relat Res. 2011 Jun; 469: 1743-1749
        • Walbron P.
        • Müller F.
        • Mainard-Simard L.
        • Luc A.
        • Journeau P.
        Bone maturation of MRI residual developmental dysplasia of the hip with discrepancy between osseous and cartilaginous acetabular index.
        J Pediatr Orthop B. 2019 Sep; 28: 419-423
        • Yasunaga Y.
        • Tanaka R.
        • Mifuji K.
        • Shoji T.
        • Yamasaki T.
        • Adachi N.
        • et al.
        Rotational acetabular osteotomy for symptomatic hip dysplasia in patients younger than 21 years of age: seven- to 30-year survival outcomes.
        Bone Joint J. 2019 Apr; 101: 390-395