Orthopedics. 2022 Sep-Oct;45(5):297-303. doi: 10.3928/01477447-20220425-02. Epub 2022 Apr 29.
Periacetabular osteotomy (PAO) is an effective joint-preserving procedure for developmental dysplasia of the hip. However, some patients report dissatisfaction after PAO. Because patient satisfaction is increasingly used as a health care quality metric, it is important to gain a better understanding of factors associated with patient satisfaction after PAO. The goal of this study was to investigate patient satisfaction among a cohort of Asian patients undergoing PAO. This study included 227 Asian patients who had undergone PAO at our institution between 1998 and 2016. The study participants completed a questionnaire assessing patient satisfaction, reasons for dissatisfaction, and postoperative Oxford Hip Score (OHS) and University of California, Los Angeles (UCLA), activity scale score. Based on their satisfaction levels, the participants were divided into 4 subgroups, and their demographic characteristics and postoperative patient-reported outcomes were compared. Of the 227 patients, 190 expressed satisfaction that correlated with OHS-pain, OHD-activities of daily living, and UCLA activity scale scores. Primary reasons for dissatisfaction after PAO were persistent pain (24 of 49, 49%), functional limitations (14 of 49, 29%), stiffness around the hip (4 of 49, 8%), unmet expectations (4 of 49, 8%), conversion to total hip arthroplasty (2 of 49, 4%), and complications (1 of 49, 2%). Multivariate analysis showed that preoperative Kellgren-Lawrence grades 1 and 3 were the significant predictive factors for satisfaction and dissatisfaction, respectively. The potential for lower patient satisfaction associated with Kellgren-Lawrence grade 3 because of persistent pain and functional limitations postoperatively suggests that consideration of preoperative severity of osteoarthritis could enhance patient satisfaction after PAO. [. 2022;45(5):297-303.].
髋臼周围截骨术（PAO）是一种治疗髋关节发育不良的有效保关节手术。然而，有些患者在接受 PAO 后报告不满意。由于患者满意度越来越多地被用作医疗保健质量指标，因此，更好地了解与 PAO 后患者满意度相关的因素非常重要。本研究的目的是调查接受 PAO 的亚洲患者队列的患者满意度。本研究纳入了 1998 年至 2016 年期间在我院接受 PAO 的 227 名亚洲患者。研究参与者完成了一份问卷，评估患者满意度、不满意的原因以及术后牛津髋关节评分（OHS）和加利福尼亚大学洛杉矶分校（UCLA）活动量表评分。根据他们的满意度水平，参与者被分为 4 个亚组，并比较了他们的人口统计学特征和术后患者报告的结果。在 227 名患者中，190 名患者对 OHS 疼痛、OHD 日常生活活动和 UCLA 活动量表评分的相关性表示满意。PAO 后不满意的主要原因是持续疼痛（49 例中的 24 例，49%）、功能受限（49 例中的 14 例，29%）、髋关节周围僵硬（49 例中的 4 例，8%）、期望未得到满足（49 例中的 4 例，8%）、需要转换为全髋关节置换术（49 例中的 2 例，4%）和并发症（49 例中的 1 例，2%）。多变量分析显示，术前 Kellgren-Lawrence 分级 1 和 3 分别是满意度和不满意的显著预测因素。由于术后持续疼痛和功能受限，Kellgren-Lawrence 分级 3 与较低的患者满意度相关，这表明考虑术前骨关节炎的严重程度可能会提高 PAO 后的患者满意度。[Orthop Traumatol Surg Res. 2022;45(5):297-303.]。
