BACKGROUND: Little is known regarding how lower extremity joint function recovers in the 6 months following periacetabular osteotomy (PAO) for activities other than walking. PURPOSE: Assess patient-reported outcomes, hip strength, lower extremity joint moments, and moment distributions during sit-to-stand in a female athlete during the one-year period following PAO. METHODS: Patient-reported outcomes (i.e. hip and groin outcome score; HAGOS), hip strength, and lower extremity joint moments and contributions to peak support moment during the sit-to-stand were assessed pre-operatively and at 6 weeks, 12 weeks, 6 months, and 13 months following PAO. RESULTS: HAGOS scores returned to normative ranges, however overall quality of life scores remained low. By 13-month muscle strength recovered to baseline values. Following surgery, peak support and hip extensor moments were higher on the non-surgical limb, but the contributions of hip, knee, and ankle to peak support moment did not change. On the surgical limb, while peak support moments were lower, the hip contributed less, and the knee contributed more. These asymmetric loading patterns gradually normalized over 1 yea-. CONCLUSIONS: Asymmetric loading following PAO should be considered when developing rehabilitation plans following this surgery.
BACKGROUND: Little is known regarding how lower extremity joint function recovers in the 6 months following periacetabular osteotomy (PAO) for activities other than walking. PURPOSE: Assess patient-reported outcomes, hip strength, lower extremity joint moments, and moment distributions during sit-to-stand in a female athlete during the one-year period following PAO. METHODS: Patient-reported outcomes (i.e. hip and groin outcome score; HAGOS), hip strength, and lower extremity joint moments and contributions to peak support moment during the sit-to-stand were assessed pre-operatively and at 6 weeks, 12 weeks, 6 months, and 13 months following PAO. RESULTS: HAGOS scores returned to normative ranges, however overall quality of life scores remained low. By 13-month muscle strength recovered to baseline values. Following surgery, peak support and hip extensor moments were higher on the non-surgical limb, but the contributions of hip, knee, and ankle to peak support moment did not change. On the surgical limb, while peak support moments were lower, the hip contributed less, and the knee contributed more. These asymmetric loading patterns gradually normalized over 1 yea-. CONCLUSIONS: Asymmetric loading following PAO should be considered when developing rehabilitation plans following this surgery.
Entities:
Keywords:
Support moment distribution; activities of daily living; hip preservation surgery; rehabilitation
Authors: Nicholas I Bartschat; Nastaran Fatemi; Robert Westermann; John Davison; Jessica E Goetz; Amanda C Paulson; Michael C Willey Journal: Iowa Orthop J Date: 2021-12