EP1.49 Outcomes of femoral osteotomy with and without concurrent pelvic osteotomy: a study from the UK Non-Arthroplasty Hip Registry

Clicks: 12
ID: 331197
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #140 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Femoral osteotomy (FO) is performed for a heterogeneous range of paediatric and adult hip pathology, and is frequently combined with a concurrent pelvic osteotomy. The relative outcomes of isolated FO, versus FO performed alongside a periacetabular osteotomy (PAO), or alongside another pelvic osteotomy are not well described. We used the UK Non-Arthroplasty Hip Registry (NAHR) to compare patient-reported outcomes across these three groups. Methods All primary FO procedures recorded in NAHR between January 2012 and January 2025 were identified. Cases were classified into three groups: (1) isolated FO, (2) FO + PAO, and (3) FO + other pelvic osteotomy. Patients aged <16 years, revisions, and those without a pre-operative iHOT-12 or any post-operative questionnaire (6- or 12-month) were excluded. Femoral osteotomy components (derotation, varus, valgus, shortening, complex, trochanteric advancement, open reduction, other) were tabulated per group. The primary outcome was change in iHOT-12 score at 12 months. Secondary outcomes included EQ-5D Index and EQ-5D VAS. Results 94 cases met eligibility (Isolated FO n=54, FO + PAO n=33, FO + other PO n=7; all 'other PO' were pelvic triple osteotomies). Mean age was 27.2 years (SD 7.0) and 80% were female. FO + PAO patients were significantly younger (24.0 vs 28.9 vs 29.3 years; p=0.004). The two most common FO components were derotation (83%) and 'other' (9%) in the isolated FO group; derotation (58%) and trochanteric advancement (33%) in the FO + PAO group; and derotation (100%) alone in the FO + other PO group. Pre-operative iHOT-12 differed across groups (median 24, 33, and 16; p=0.009). At 12 months, mean iHOT-12 improvement was clinically and statistically significant within the isolated FO (+16.5, 95%CI 7.5–25.6; p<0.001) and FO + PAO (+20.8, 95%CI 10.9–30.7; p<0.001) groups, with a similar magnitude in the FO + other PO group (+16.0, 95%CI -2.5–34.5) although limited by sample size. There was no significant difference in 12-month iHOT-12 change between groups (p=0.78). Conclusions In this national cohort, femoral osteotomy delivered clinically meaningful improvements in hip-specific patient-reported outcomes whether performed in isolation or alongside a concurrent PAO or other pelvic osteotomy, with no significant between-group difference in 12-month iHOT-12 improvement.
Reference Key
openalex_W7220413721 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Richard James Holleyman, Yash Pursun, Callum McBryde, Johan Witt, Nahr Group, Vikas Khanduja, Tony Andrade, Ajay Malviya
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.233
URL
https://doi.org/10.1093/jhps/hnag043.233
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.