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The purpose of this study is to examine the movement pattern in patients with hip dysplasia preoperative, six and 12 month after minimally invasive approach for Periacetabular osteotomy (PAO). Secondary to examine the movement pattern in patients compared to healthy controls and historical data.
Congenital hip dysplasia is a disease characterised by pathological changes in the hip joint. Hip dysplasia is a normal disease with a prevalence of 4.3% in men and 3.6 in woman. Untreated hip dysplasia is a known cause of developing osteoarthritis early in life and symptoms as pain, hip instability together with a changed gait pattern are normal. Symptomatic hip dysplasia is seen in patients between 15 and 55 years and can be unilateral as well as bilateral. Causes of hip dysplasia are described as genetic, mechanic or hormonal.
Today patients with hip dysplasia are offered a hip conserving surgery before the osteoarthritis has developed. In 2003 a minimally invasive approach for periacetabular osteotomy (PAO) was introduced at Aarhus University Hospital. An advantage of minimally invasive approach compared to the classical Bernese periacetabular osteotomy is minimal impact of the soft tissues in the hip region.
Hip pain and activity limitations highly affect quality of life and physical function. The gait distance is reduced and patients have to compensate to relieve the pressure on the hip joint. Knowledge about the dynamics of the gait and running pattern in patients with dysplasia is important to understand the consequences of the dysplastic hip joint. Furthermore knowledge about gait compensations is relevant for the clinicians in the management and treatment of patients with hip dysplasia.
Today, gait and running compensation is unknown after minimally invasive approach The purpose of this study is, therefore, to examine the movement pattern in patients with hip dysplasia preoperative, six and 12 month after minimally invasive approach for Peri-acetabular osteotomy (PAO). Secondary to examine the movement pattern in patients compared to healthy controls and historical data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hip dysplasia | Patients with hip dysplasia |
| |
| Healthy people | Enrolled from the patients acquaintance circle |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Minimally invasive approach for Periacetabular osteotomy | Procedure | A peri-acetabular osteotomy is a surgery performed to correct the dysplastic acetabulum and reduce joint contact pressures and early osteoarthritis. |
| Measure | Description | Time Frame |
|---|---|---|
| Hip flexion's muscle moment in stance evaluated in gait, run and jump test | Examined using 3D Movement Capture System | Preoperative (baseline), 6 and 12 month postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Hip extension angle evaluated in gait, run and jump test | Examined using 3D Movement Capture Systen | Preoperative (baseline), 6 and 12 month postoperative |
| On-set of the hip muscles evaluated in gait, run and jump test |
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Inclusion Criteria:
Exclusion Criteria:
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Patients diagnosed with hip dysplasia and waiting for surgery.
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| Name | Affiliation | Role |
|---|---|---|
| Julie S Jacobsen, MSc | Aarhus University Hospital | Principal Investigator |
| Inger Mechlenburg, MSc, PhD | Aarhus University Hospital | Principal Investigator |
| Kjeld Søballe, Prof. Dr.med | Aarhus University Hospital | Study Chair |
| Henrik Sørensen, PhD | University of Aarhus | Study Chair |
| Dennis Nielsen, MSc | University of Aarhus | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University Hospital | Aarhus | 8000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32366122 | Derived | Sorensen H, Skalshoi O, Nielsen DB, Jacobsen JS, Soballe K, Mechlenburg I. Hip muscle and joint contact forces before, 6 and 12 months after minimally invasive periacetabular osteotomy. Hip Int. 2021 Sep;31(5):676-682. doi: 10.1177/1120700020925411. Epub 2020 May 4. |
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| ID | Term |
|---|---|
| D006617 | Hip Dislocation |
| ID | Term |
|---|---|
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D000097667 | Polyamine Oxidase |
| ID | Term |
|---|---|
| D000587 | Oxidoreductases Acting on CH-NH Group Donors |
| D010088 | Oxidoreductases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
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|
Examined using skin electromyography (EMG)
| Preoperative (baseline), 6 and 12 month postoperative |
| Function, sports and recreational activities | Evaluated with Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) and The Copenhagen Hip and Groin Outcome Score (HAGOS) | Preoperative (baseline), 6 and 12 month postoperative |
| Quality of life | Evaluated with Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) and The Copenhagen Hip and Groin Outcome Score (HAGOS) | preoperative (baseline), 6 and 12 month postoperative |
| D025981 |
| Hip Injuries |