{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T11:46:13Z","timestamp":1793533573918,"version":"4.5.0"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,2,7]]},"abstract":"<jats:title>Update<\/jats:title>\n                  <jats:p>This article was updated on February 7, 2018, because of a previous error. On page 219, in Figure 1, the text that had read \u201c122 Preserved Hips (WOMAC Pain Score &lt;10, mHHS &gt;70 and THA)\u201d now reads \u201c122 Preserved Hips (WOMAC Pain Score &lt;10, mHHS &gt;70 and No THA)\u201d.<\/jats:p>\n                  <jats:p>An erratum has been published: J Bone Joint Surg Am. 2018 Mar 21;100(6):e40.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The Bernese periacetabular osteotomy (PAO) is an alternative to arthroplasty for treating symptomatic acetabular dysplasia, but there have been few studies on the intermediate-term outcomes of this procedure. In the present study, we assessed intermediate-term hip survival and patient-reported outcomes of PAO used to treat symptomatic acetabular dysplasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From July 1994 to August 2008, 238 hips (206 patients) were treated with PAO. Sixty-two had a diagnosis other than classic acetabular dysplasia, and 22 were lost to follow-up. The remaining 154 hips (129 patients) were evaluated at an average of 10.3 years postoperatively. Kaplan-Meier analysis was used to assess survivorship with an end point of total hip arthroplasty (THA). Hips were evaluated using the University of California at Los Angeles (UCLA) Activity Score, modified Harris hip score (mHHS), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score. A WOMAC pain subscale score of \u226510 and\/or an mHHS of \u226470 were considered to indicate a clinically symptomatic hip.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Kaplan-Meier analysis revealed a hip survival rate of 92% (95% confidence interval [CI]: 82% to 97%) at 15 years postoperatively. Eight hips (5%) underwent THA at a mean (and standard deviation) of 6.8 \u00b1 5.2 years. Twenty-four additional hips (16%) were considered symptomatic based on a WOMAC pain score of \u226510 and\/or an mHHS of \u226470. One hundred and twenty-two hips (79%) did not undergo THA and did not meet the criteria for symptoms, and these hips had a mean mHHS of 92.4 \u00b1 8.4, WOMAC pain subscale score of 1.2 \u00b1 1.9, and UCLA Activity Score of 7.7 \u00b1 2.0 at a mean of 10.1 years. A higher risk of failure was associated with fair or poor preoperative joint congruency (odds ratio [OR]: 8.65; 95% CI: 1.18 to 63.55; p = 0.034) and with a postoperative lateral center-edge angle of &gt;38\u00b0 (OR: 8.04; 95% CI: 2.01 to 32.22). A concurrent head-neck osteochondroplasty was associated with a decreased risk of failure (OR: 0.27; 95% CI: 0.09 to 0.78; p = 0.016).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study demonstrates the durability of the Bernese PAO. Fair or poor preoperative joint congruency and excessive postoperative femoral head coverage were found to be predictors of failure, while concurrent head-neck osteochondroplasty in patients with an inadequate range of motion after PAO was associated with a decreased risk of failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.00337","type":"journal-article","created":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T12:24:18Z","timestamp":1518006258000},"page":"218-225","source":"Crossref","is-referenced-by-count":141,"title":["Intermediate-Term Hip Survivorship and Patient-Reported Outcomes of Periacetabular Osteotomy"],"prefix":"10.2106","volume":"100","author":[{"given":"Joel","family":"Wells","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Texas Southwestern Medical School, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perry","family":"Schoenecker","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (P.S., S.D., K.T., and J.C.C.) and Biostatistics (C.W.G.), Washington University School of Medicine, St. Louis, Missouri"},{"name":"Department of Orthopedic Surgery, St. Louis Shriners Hospital for Children, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Duncan","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (P.S., S.D., K.T., and J.C.C.) and Biostatistics (C.W.G.), Washington University School of Medicine, St. Louis, Missouri"},{"name":"Department of Orthopedic Surgery, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles W.","family":"Goss","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (P.S., S.D., K.T., and J.C.C.) and Biostatistics (C.W.G.), Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Thomason","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (P.S., S.D., K.T., and J.C.C.) and Biostatistics (C.W.G.), Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7040-616X","authenticated-orcid":false,"given":"John C.","family":"Clohisy","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (P.S., S.D., K.T., and J.C.C.) and Biostatistics (C.W.G.), Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230810","first-page":"119","article-title":"Osteoarthritis of the young adult hip: etiology and treatment","volume":"35","author":"Aronson","year":"1986","journal-title":"Instr Course Lect."},{"issue":"7","key":"bib2-20230810","doi-asserted-by":"crossref","first-page":"985","DOI":"10.2106\/00004623-199507000-00002","article-title":"The prognosis in untreated dysplasia of the hip. 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