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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer-Verlag

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DOI

10.1007/s12010-014-1064-2

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1432-5195

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Factors predicting the failure of Bernese periacet

Authors: Senthil Nathan Sambandam Jason Hull William A Jiranek
Publish Date: 2008/08/22
Volume: 33, Issue: 6, Pages: 1483-1488
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Abstract

There is no clear evidence regarding the outcome of Bernese periacetabular osteotomy PAO in different patient populations We performed systematic metaregression analysis of 23 eligible studies There were 1113 patients of which 61 patients had total hip arthroplasty THA endpoint as a result of failed Bernese PAO Univariate analysis revealed significant correlation between THA and presence of grade 2/grade 3 arthritis Merle de’Aubigne score MDS Harris hip score and Tonnis angle change in lateral centre edge LCE angle late proximal femoral osteotomies and heterotrophic ossification HO resection Multivariate analysis showed that the odds of having THA increases with grade 2/grade 3 osteoarthritis 336 times joint penetration 312 times low preoperative MDS 159 times late PFO 159 times presence of preoperative subluxation 122 times previous hip operations 114 times and concomitant PFO 109 times In the absence of randomised controlled studies the findings of this analysis can help the surgeon to make treatment decisionsLe devenir de l’ostéotomie périacétabulaire Bernoise n’est pas évident nous avons réalisé une méta analyse sur 23 études regroupant 1113 patients sur lesquels 61 patients ont nécessité du fait de l’échec de l’ostéotomie une prothèse totale une analyse univariable montre une corrélation significative entre la prothèse et la présence d’une arthrose de grade 2 ou 3 le score de Merle d’Aubigne le score de Harris l’angle de Tonnis les modifications de l’angle LCE les ostéotomies fémorales tardives la résection d’ossifications L’analyse multivariable montre qu’il y a 336 fois plus de chances d’avoir une arthrose s’il existe une arthrose de grade 2 ou 3 12 s’il existe une pénétration articulaire 109 si le score MDS est relativement bas l’interpénétration articulaire 312 fois le score de Merle d’Aubigné très bas 159 fois une ostéotomie fémorale tardive 159 fois une subluxation préopératoire 122 fois une intervention préalable au niveau de la hanche 114 fois une ostéotomie proximale fémorale concomitante 109 fois Cette analyse permet au chirurgien de prendre des décisions thérapeutiques

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