Posters
Presentation Type
Poster
Discipline Track
Clinical Science
Abstract Type
Research/Clinical
Abstract
Background: Complications from hip dysplasia during infancy and childhood can be prevented with an early diagnosis and immediate treatment. However, those who delay interventions have an increased risk of developing secondary osteoarthritis in adulthood. We sought to investigate and compare the pre-and postoperative outcomes of primary total hip arthroplasty (THA) in older adults with hip dysplasia to those with end-stage osteoarthritis (OA).
Methods: A prospectively collected database from a single institution dating from September 1st, 2016 to October 31st, 2021 was used to identify 323 unilateral THA patients who were 50 years or older and then separated into 2 groups based on a primary diagnosis of hip dysplasia (n = 90 patients) or osteoarthritis (n = 233 patients). Pre-and minimum 1-year postoperative outcomes between the groups were then analyzed and compared using the Harris Hip Score (HHS), Hip Outcome Score (HOS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Pain Catastrophizing Score (PCS), and the Depression Anxiety Stress Scale (DASS).
Results: The reported outcomes from the two groups showed no statistically significant differences in the pre-and post-op HOOS (P = 0.22 and P = 0.63 respectively), DASS Anxiety (P = 0.81 and P = 0.29 respectively), and the DASS Stress Score (P = 0.17 and P = 0.28 respectively). The patients with hip dysplasia reported significantly better pre-op (10.1 vs 12.9) and post-op (5.7 vs 7.2) DASS Depression Scores compared to the OA group (P < 0.05 and P = 0.01 respectively) but scored significantly lower in the pre-op HOS (35.4 vs 42.2, P < 0.05) and the HHS (84.7 vs 88.1, P < 0.05).
Conclusion: Our investigation demonstrates THA as an excellent surgical option for the management of hip dysplasia in older adults and can yield comparable improvement in reported outcomes following primary THA performed for those with end-stage OA.
Academic/Professional Position
Medical Student
Recommended Citation
Sevilla, Cesar Jr.; Lopez, Vanessa; Allala, Ruthvik; Amado, Isabella; Xi, Yin; Fey, Nicholas; Chhabra, Avneesh; and Wells, Joel, "Outcomes Following Total Hip Arthroplasty for Hip Dysplasia in Older Adults. Are They Comparable to Those with Osteoarthritis?" (2024). Research Symposium. 80.
https://scholarworks.utrgv.edu/somrs/2023/posters/80
Included in
Outcomes Following Total Hip Arthroplasty for Hip Dysplasia in Older Adults. Are They Comparable to Those with Osteoarthritis?
Background: Complications from hip dysplasia during infancy and childhood can be prevented with an early diagnosis and immediate treatment. However, those who delay interventions have an increased risk of developing secondary osteoarthritis in adulthood. We sought to investigate and compare the pre-and postoperative outcomes of primary total hip arthroplasty (THA) in older adults with hip dysplasia to those with end-stage osteoarthritis (OA).
Methods: A prospectively collected database from a single institution dating from September 1st, 2016 to October 31st, 2021 was used to identify 323 unilateral THA patients who were 50 years or older and then separated into 2 groups based on a primary diagnosis of hip dysplasia (n = 90 patients) or osteoarthritis (n = 233 patients). Pre-and minimum 1-year postoperative outcomes between the groups were then analyzed and compared using the Harris Hip Score (HHS), Hip Outcome Score (HOS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Pain Catastrophizing Score (PCS), and the Depression Anxiety Stress Scale (DASS).
Results: The reported outcomes from the two groups showed no statistically significant differences in the pre-and post-op HOOS (P = 0.22 and P = 0.63 respectively), DASS Anxiety (P = 0.81 and P = 0.29 respectively), and the DASS Stress Score (P = 0.17 and P = 0.28 respectively). The patients with hip dysplasia reported significantly better pre-op (10.1 vs 12.9) and post-op (5.7 vs 7.2) DASS Depression Scores compared to the OA group (P < 0.05 and P = 0.01 respectively) but scored significantly lower in the pre-op HOS (35.4 vs 42.2, P < 0.05) and the HHS (84.7 vs 88.1, P < 0.05).
Conclusion: Our investigation demonstrates THA as an excellent surgical option for the management of hip dysplasia in older adults and can yield comparable improvement in reported outcomes following primary THA performed for those with end-stage OA.