{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:48:34Z","timestamp":1761767314413,"version":"3.37.3"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>Early mobilisation after periacetabular osteotomy (PAO) represents an important goal after surgery. The purpose of this study was to determine whether the use of epidural aznalgesia (EA)\u00a0is associated with prolonged immobility and an increased length of stay (LOS) after PAO surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>From January 2022 to July 2023,\u00a0the study included a cohort of 150 PAO procedures all performed\u00a0by the same surgeon (SSA).\u00a0Patients were categorized into two distinct groups: those who received epidural analgesia (EA) (79 PAOs) and those who did not receive EA (71 PAOs). \"Ready for discharge\" was defined as the ability to ascend and descend a standardized flight of stairs independently. Multivariable linear regression was used to identify additional factors influencing LOS after PAO.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Patients in the EA group were ready for discharge 5.95\u2009\u00b1\u20092.09 days after surgery which was significantly longer than in the No EA group\u00b4s\u00a0average of 4.18 days\u2009\u00b1\u20092.5, (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). While the reduction in the number of patients experiencing pulmonary embolism in the\u00a0No EA group did not reach statistical significance, it still demonstrated a relevant decrease from two patients within the EA group (2.53%) to 0 (0%) in the No EA group. The active engagement of the surgeon in mobilising patients led to a substantial reduction in LOS, decreasing\u00a0it from 5.81\u2009\u00b1\u20092.18 days to 2.2\u2009\u00b1\u20090.77 days (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Multivariable analysis revealed five independent factors influencing the LOS following PAO which included absence of EA, surgeon-led mobilisation within 24\u00a0h after surgery, postoperative hemoglobin levels, BMI, and prior experience with PAO surgery on the contralateral side.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Opting against the use of EA in patients undergoing PAO is advisable, as it will result in extended postoperative immobility and the associated risks. Additionally, the active participation of the surgeon in the mobilisation process is strongly recommended.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-024-05331-4","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T09:01:54Z","timestamp":1715072514000},"page":"2519-2525","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Epidural Analgesia on Immobility and extended Hospital Stay After Periacetabular Osteotomy"],"prefix":"10.1007","volume":"144","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9763-092X","authenticated-orcid":false,"given":"Sufian S.","family":"Ahmad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Becker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura-Vanessa","family":"Grap","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Windhagen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Haertl\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"5331_CR1","doi-asserted-by":"publisher","unstructured":"Ahmad SS, Giebel GM, Perka C, Meller S, Pumberger M, Hardt S, St\u00f6ckle U, Konrads C (2021) Survival of the dysplastic hip after periacetabular osteotomy: a meta-analysis HIP International. 2021:11207000211048425. https:\/\/doi.org\/10.1177\/11207000211048425","DOI":"10.1177\/11207000211048425"},{"key":"5331_CR2","doi-asserted-by":"crossref","unstructured":"Ganz R, Klaue K, Vinh TS, Mast JW (1988) A New periacetabular osteotomy for the treatment of hip dysplasias - technique and prelimnary results. 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