Boje Julie, Caspersen Christina Krogner, Jakobsen Stig Storgaard, Søballe Kjeld, Mechlenburg Inger
Department of Orthopaedic Surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus N, Denmark.
Department of Clinical Medicine, Aarhus University, Incuba Skejby, building 2, Palle Juul-Jensens Boulevard 82, Aarhus N.
J Hip Preserv Surg. 2019 Mar 14;6(1):69-76. doi: 10.1093/jhps/hnz009. eCollection 2019 Jan.
Symptomatic hip dysplasia is primarily treated surgically with periacetabular osteotomy (PAO). It is unclear whether changes in quality of life (QoL) and changes in hip function follow the same pattern of improvement as pain following PAO. The aim of the study is to investigate whether changes in pain were associated with changes in QoL and hip function 2 years after PAO. Furthermore, to examine patient satisfaction 2 years after PAO. This is a follow-up study with data from Aarhus University Hospital Denmark. Pain was measured using the Visual Analogue Scale, QoL with Short-Form 36 and hip function with Hip disability and Osteoarthritis Outcome Score both preoperatively and 2 years after PAO in 321 patients. Multiple linear regressions were applied. Significant mean improvements in pain, QoL and hip function were found ( < 0.05). Significant associations between changes in pain and changes in physically related QoL and changes in hip function, respectively were found ( < 0.05). A non-significant association between changes in pain and changes in mentally- related QoL was found ( = 0.13). The majority of patients (84%) reported satisfaction with the result of PAO and would undergo PAO again if they had known the results in advance. The study had a loss to follow-up of 26%. Decreased pain was significantly associated with increased physically related QoL and improved hip function 2 years after PAO. A non-significant association between decreased pain and increased mentally related QoL was found. Patients were in general satisfied with treatment and results 2 years after PAO.
有症状的髋关节发育不良主要通过髋臼周围截骨术（PAO）进行手术治疗。目前尚不清楚生活质量（QoL）的变化和髋关节功能的变化是否与PAO术后疼痛改善的模式相同。本研究的目的是调查PAO术后2年疼痛的变化是否与QoL和髋关节功能的变化相关。此外，还要检查PAO术后2年患者的满意度。这是一项基于丹麦奥胡斯大学医院数据的随访研究。在321例患者中，术前及PAO术后2年分别使用视觉模拟量表测量疼痛，使用简短健康调查问卷36项简表测量QoL，使用髋关节残疾和骨关节炎疗效评分测量髋关节功能。应用多元线性回归分析。结果发现疼痛、QoL和髋关节功能均有显著的平均改善（<0.05）。分别发现疼痛变化与身体相关QoL变化以及髋关节功能变化之间存在显著关联（<0.05）。发现疼痛变化与心理相关QoL变化之间无显著关联（=0.13）。大多数患者（84%）对PAO的结果表示满意，如果提前知道结果，他们会再次接受PAO手术。该研究的失访率为26%。PAO术后2年，疼痛减轻与身体相关QoL增加和髋关节功能改善显著相关。发现疼痛减轻与心理相关QoL增加之间无显著关联。患者总体上对PAO术后2年的治疗和结果感到满意。
