Abstract
Introduction
The patient's perspective is important in determining contemporary quality measures. Hip surgery may be much more disruptive on patient and family than many surgeons appreciate. We sought to investigate the character of the periacetabular osteotomy(PAO) experience from the patient's point of view. We hypothesized that interviewing this largely female population, treated in their very active years, would yield unique insights.
Methods
We carried out an internet-based survey using a Google Forms platform posted on the PAO Facebook page and the Yahoo Hip Women group, comprising more than 1300 members. In a ten day enrollment period, 154 respondents completed the survey, which consisted of demographic information, plus multiple specific and open-ended questions
Results
96% female, mean age 33y at surgery. 8.4y mean time from pain onset to PAO, >4y mean time from dx dysplasia to PAO. 30% not informed of PAO at dx of dysplasia. 18% connected with a “Hip Buddy” preop—all felt it strongly positive. Postop constipation severe problem>90%. All felt postop physical therapy important but 62% felt surgeon and PT team did not communicate well. Major emotional issues post discharge: depression/isolation 67%; emotionally unprepared for surgery 6%. Frequent mention of major negative impact on marriage/relationships/personal life/work/finances. Only 4/154 met with a mental health professional preoperatively. 88% did not regret having PAO. 73% felt PAO adequately corrected pain.
Conclusion
The perioperative and postoperative experience of the PAO patient is far from universally positive. Learning the patient's perspective offers a previously-underappreciated important opportunity to improve outcomes.
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