Periacetabular Osteotomy with a Modified Fixation Technique Using K-Wires Shows Clinical Results Comparable to Screw Fixation at Mid-Term Follow-Up
Abstract
:1. Introduction
2. Methods
2.1. Surgical Technique
2.2. Postoperative Mobilization
2.3. Radiological Assessment
2.4. Clinical Assessment
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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K-Wire Fixation (n = 63) | Screw Fixation (n = 57) | p-Value | |
---|---|---|---|
Age | 28.8 ± 7.3 | 27 ± 8.1 | 0.206 |
BMI | 24.2 ± 4.3 | 24.2 ± 4.8 | 0.994 |
Gender w/m | 56/7 | 46/11 | 0.306 |
LCEA preOP | 15.0 ± 6.5 | 17.3 ± 5.2 | 0.039 |
LCEA postOP | 28.2 ± 5.7 | 30.7 ± 5.8 | 0.021 |
Correction | 13.1 ± 6.7 | 13.6 ± 6.5 | 0.694 |
TA preOP | 14.8 ± 6.8 | 11.5 ± 6.0 | 0.008 |
TA postOP | 3.5 ± 7.6 | −1.2 ± 6.2 | 0.0001 |
Correction | −11.2 ± 6.6 | −12.5 ± 6.8 | 0.282 |
FHEI preOP | 25.2 ± 9.4 | 22 ± 6.1 | 0.030 |
FHEI postOP | 11 ± 9.6 | 8.1 ± 7.1 | 0.076 |
Correction | −14.2 ± 7.1 | −13.8 ± 6.2 | 0.720 |
K-Wire Fixation (n = 63) | Screw Fixation (n = 57) | p-Value | |
---|---|---|---|
NRS pre OP | 7.2 ± 2 | 7.3 ± 1.6 | 0.744 |
NRS post OP | 2.4 ± 2.1 | 2.0 ± 2.1 | 0.302 |
Difference | 4.8 ± 2.5 | 5.3 ± 2.2 | 0.250 |
Patient satisfaction | 7.6 ± 2.6 | 8.2 ± 2.2 | 0.170 |
iHOT-12 | |||
Preoperative | 41.3 ± 21.6 | 40.7 ± 22.8 | 0.872 |
Postoperative | 71.8 ± 25.1 | 73 ± 21.1 | 0.789 |
Difference | 30.5 ± 28.7 | 31.6 ± 28.8 | 0.832 |
SHV | |||
Preoperative | 41.9 ± 26.5 | 42.4 ± 21.6 | 0.915 |
Postoperative | 77.9 ± 21.2 | 82.4 ± 13.1 | 0.192 |
Difference | 35.4 ± 33.2 | 37.8 ± 25.1 | 0.658 |
UCLA | |||
Preoperative | 5.5 ± 2.5 | 4.6 ± 2.4 | 0.073 |
Postoperative | 6.9 ± 1.6 | 6.9 ± 1.9 | 0.909 |
K-Wire Fixation (n = 63) | Screw Fixation (n = 57) | p-Value | |
---|---|---|---|
Operating time (min) | 93.2 ± 33.2 | 120.4 ± 54.7 | 0.001 |
Implant extraction surgery | 50 | 18 | 0.0001 |
Implant migration | 3 | 0 | 0.095 |
Implant failure | 0 | 0 | 1.0 |
Intra-articular implant migration | 0 | 0 | 1.0 |
Clinically significant loss of correction | 0 | 0 | 1.0 |
Non-unions | 0 | 0 | 1.0 |
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Leopold, V.J.; Hipfl, C.; Zahn, R.K.; Pumberger, M.; Perka, C.; Hardt, S. Periacetabular Osteotomy with a Modified Fixation Technique Using K-Wires Shows Clinical Results Comparable to Screw Fixation at Mid-Term Follow-Up. J. Clin. Med. 2023, 12, 6204. https://doi.org/10.3390/jcm12196204
Leopold VJ, Hipfl C, Zahn RK, Pumberger M, Perka C, Hardt S. Periacetabular Osteotomy with a Modified Fixation Technique Using K-Wires Shows Clinical Results Comparable to Screw Fixation at Mid-Term Follow-Up. Journal of Clinical Medicine. 2023; 12(19):6204. https://doi.org/10.3390/jcm12196204
Chicago/Turabian StyleLeopold, Vincent Justus, Christian Hipfl, Robert Karl Zahn, Matthias Pumberger, Carsten Perka, and Sebastian Hardt. 2023. "Periacetabular Osteotomy with a Modified Fixation Technique Using K-Wires Shows Clinical Results Comparable to Screw Fixation at Mid-Term Follow-Up" Journal of Clinical Medicine 12, no. 19: 6204. https://doi.org/10.3390/jcm12196204