PDF herunterladen
The Journal of Hip Surgery 2023; 07(01): 014-017
DOI: 10.1055/s-0042-1759611
Original Article

Does Periacetabular Osteotomy Improve Patient-Reported Psychological Outcomes in Patients Suffering from Acetabular Dysplasia?

Brandon Everett 
1   Department of Orthopaedic Surgery, The University of Texas Southwestern Medical Center Ringgold Standard Institution, Dallas, Texas
,
Yin Xi
2   Department of Population and Data Sciences, The University of Texas Southwestern Medical Center Ringgold Standard Institution, Dallas, Texas
,
Joel Wells 
1   Department of Orthopaedic Surgery, The University of Texas Southwestern Medical Center Ringgold Standard Institution, Dallas, Texas
› Institutsangaben Funding This study was funded by Hoglund Foundation, Dallas, Texas, United States, and Once Upon a Time, Fort Worth, Texas, United States.
› Weitere Informationen
    Lizenzen und Reprints

Abstract

The changes in psychologic measures and symptoms of depression, anxiety, and pain catastrophizing following periacetabular osteotomy (PAO) are not well studied. This study aims to fill this knowledge gap by addressing the question: Do patients with acetabular dysplasia have significant improvement in psychological outcome scores after PAO? We reviewed 52 hips (48 patients) treated with PAO for acetabular dysplasia from February 2017 to July 2020 using Depression, Anxiety, and Stress Scale – 21 (DASS21), Hospital Anxiety and Depression Scale (HADS), Pain Catastrophizing Scale (PCS), radiographic analysis, and pain location/severity questionnaires. Descriptive statistics and a mixed effects model were used to test the difference in patient-reported outcome measures from before and after surgery with adjustment for age, body mass index, follow-up duration, previous hip surgery, and concurrent surgery while also accounting for clustered data. There was a statistically significant difference between preoperative and postoperative outcome scores for all three measures used in this study (DASS21 p = 3.22E-09; HADS p = 2.82E-10, PCS p = 2.12E-09). These results indicate that patients with acetabular dysplasia might expect significant improvement in symptoms of depression, anxiety, and pain catastrophizing following PAO.

Keywords

periacetabular osteotomy - psychologic outcomes - hip dysplasia


Publikationsverlauf

Eingereicht: 30. März 2022

Angenommen: 12. August 2022

Artikel online veröffentlicht:
16. März 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Hampton SN, Nakonezny PA, Richard HM, Wells JE. Pain catastrophizing, anxiety, and depression in hip pathology. Bone Joint J 2019; 101-B (07) 800-807
    CrossrefPubMedGoogle Scholar
  • 2 Nisar A, Augustine A, Horrey L, Craig D, Meek R, Patil S. Psychosocial aspects of hip disease in the young adult. Hip Int 2013; 23 (04) 417-423
    CrossrefPubMedGoogle Scholar
  • 3 Clohisy JC, Schutz AL, St John L, Schoenecker PL, Wright RW. Periacetabular osteotomy: a systematic literature review. Clin Orthop Relat Res 2009; 467 (08) 2041-2052
    CrossrefPubMedGoogle Scholar
  • 4 Swarup I, Zaltz I, Robustelli S, Sink E. Outcomes of periacetabular osteotomy for borderline hip dysplasia in adolescent patients. J Hip Preserv Surg 2020; 7 (02) 249-255
    CrossrefPubMedGoogle Scholar
  • 5 Wells J, Millis M, Kim YJ, Bulat E, Miller P, Matheney T. Survivorship of the Bernese periacetabular osteotomy: what factors are associated with long-term failure?. Clin Orthop Relat Res 2017; 475 (02) 396-405
    CrossrefPubMedGoogle Scholar
  • 6 Wells J, Schoenecker P, Duncan S, Goss CW, Thomason K, Clohisy JC. Intermediate-term hip survivorship and patient-reported outcomes of periacetabular osteotomy: the Washington University experience. J Bone Joint Surg Am 2018; 100 (03) 218-225
    CrossrefPubMedGoogle Scholar
  • 7 Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am 2011; 93 (Suppl. 02) 17-21
    CrossrefPubMedGoogle Scholar
  • 8 Matheney T, Kim YJ, Zurakowski D, Matero C, Millis M. Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Joint Surg Am 2009; 91 (09) 2113-2123
    CrossrefPubMedGoogle Scholar
  • 9 Ganz R, Klaue K, Vinh TS, Mast JW. A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. 1988. Clin Orthop Relat Res 2004; (418) 3-8
    PubMedGoogle Scholar
  • 10 Murphy SB, Millis MB. Periacetabular osteotomy without abductor dissection using direct anterior exposure. Clin Orthop Relat Res 1999; (364) 92-98
    CrossrefPubMedGoogle Scholar
  • 11 Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 2005; 44 (Pt 2): 227-239
    CrossrefPubMedGoogle Scholar
  • 12 Snaith RP. The Hospital Anxiety and Depression Scale. Health Qual Life Outcomes 2003; 1: 29
    CrossrefPubMedGoogle Scholar
  • 13 Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67 (06) 361-370
    CrossrefPubMedGoogle Scholar
  • 14 Sullivan M, Bishop S, Pivik J. The Pain Catastrophizing Scale: development and validation. Psychol Assess 1995; 7 (04) 524-532
    CrossrefPubMedGoogle Scholar
  • 15 Carlisle JC, Zebala LP, Shia DS. et al. Reliability of various observers in determining common radiographic parameters of adult hip structural anatomy. Iowa Orthop J 2011; 31: 52-58
    PubMedGoogle Scholar
  • 16 Barton C, Salineros MJ, Rakhra KS, Beaulé PE. Validity of the alpha angle measurement on plain radiographs in the evaluation of cam-type femoroacetabular impingement. Clin Orthop Relat Res 2011; 469 (02) 464-469
    CrossrefPubMedGoogle Scholar
  • 17 Tarakji BA, Wynkoop AT, Srivastava AK, O'Connor EG, Atkinson TS. Improvement in depression and physical health following total joint arthroplasty. J Arthroplasty 2018; 33 (08) 2423-2427
    CrossrefPubMedGoogle Scholar
  • 18 Duivenvoorden T, Vissers MM, Verhaar JA. et al. Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. Osteoarthritis Cartilage 2013; 21 (12) 1834-1840
    CrossrefPubMedGoogle Scholar
  • 19 McMurray A, Grant S, Griffiths S, Lefford A, Wilson D. Mapping recovery after total hip replacement surgery: health-related quality of life after three years. Aust J Adv Nurs 2005; 22 (04) 20-25
    PubMedGoogle Scholar
  • 20 Phillips DL. Social participation and happiness. Am J Sociol 1967; 72 (05) 479-488
    CrossrefPubMedGoogle Scholar
  • 21 Takagi D, Kondo K, Kawachi I. Social participation and mental health: moderating effects of gender, social role and rurality. BMC Public Health 2013; 13: 701
    CrossrefPubMedGoogle Scholar
  • 22 Novais EN, Heyworth B, Murray K, Johnson VM, Kim YJ, Millis MB. Physical activity level improves after periacetabular osteotomy for the treatment of symptomatic hip dysplasia. Clin Orthop Relat Res 2013; 471 (03) 981-988
    CrossrefPubMedGoogle Scholar
  • 23 Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29 (03) 167-180
    CrossrefPubMedGoogle Scholar