Functional results in periacetabular osteotomy: is it possible to obtain a normal gait after the surgery?
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Article Type: ORIGINAL RESEARCH ARTICLE
Article Subject: Reconstruction
AuthorsAydın Gahramanov, Fatma İnanıcı, Ömür Çağlar, Cemalettin Aksoy, Ahmet Mazhar Tokgözoğlu, Senem Güner, Aysun Baki, Bülent Atilla
Gait analysis is one of the poorly understood dimensions of the functional results obtained after periacetabular osteotomy (PAO) due to dysplasia of the hip.
Spatiotemporal parameters as well as coronal and sagittal plane kinematics and moments were compared among three demographically similar groups of subjects: (i) 23 patients with excellent results according to the Harris Hip Score (HHS) (mean 6.6 years of follow-up); (ii) 12 patients with good and fair results according to the HHS (mean 9.3 years of follow-up); and (iii) 35 asymptomatic controls.
50% of the analysed sagittal plane kinematic parameters were significantly better (p<0.05) in the control group not only for the hip joint but also for the ipsilateral knee and ipsilateral ankle. A vast majority of the other evaluated gait parameters resulted similar among the groups (p>0.05).
In our experience, most of the gait parameters after PAO are close to those observed in control subjects; however, the obtained pattern cannot be classified as a completely normal gait. The excellence in terms of functional results seems not to be determined by the achievement of this theoretical goal.
- • Accepted on 04/01/2017
- • Available online on 19/05/2017
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- Gahramanov, Aydın [PubMed] [Google Scholar] 1, 2
- İnanıcı, Fatma [PubMed] [Google Scholar] 3
- Çağlar, Ömür [PubMed] [Google Scholar] 4
- Aksoy, Cemalettin [PubMed] [Google Scholar] 5
- Tokgözoğlu, Ahmet Mazhar [PubMed] [Google Scholar] 4
- Güner, Senem [PubMed] [Google Scholar] 5
- Baki, Aysun [PubMed] [Google Scholar] 3
- Atilla, Bülent [PubMed] [Google Scholar] 4, * Corresponding Author (email@example.com)
Azerbaijan Scientific Research Institute of Traumatology and Orthopedics, Baku - Azerbaijan
Department of Orthopedics and Traumatology, Hacettepe University Faculty of Medicine, Ankara - Turkey
Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara - Turkey
Department of Orthopedics and Traumatology, Hacettepe University Medical School, Ankara - Turkey
Department of Orthopedic Prosthetics and Orthotics, Vocational School of Health, Ankara University, Ankara - Turkey