How long does it take to recover from Pao surgery?
You will be walking within a couple days of surgery, but on one or two crutches for three months. It usually takes 9–12 months to feel fully recovered. The hospital stay for an osteotomy is usually two to three days after surgery.
How long is Pao hip surgery?
PAO surgeries typically take between 1½ – 4 hours, depending upon the condition and complexity of your hip at the time of surgery.
What is the success rate of PAO surgery?
Assessed by Kaplan-Meier analysis with conversion to THA as end point, PAO is associated with survival rates of 90% and 84% at 5 and 10 years, respectively [21, 41], and 60.4% at 20 years [35].
Is Pao surgery painful?
There are a number of sources of persisting discomfort after a PAO and most of these will settle in the fullness of time. The skin over the outer aspect of the thigh can feel quite numb for a while. This is because of the small skin nerves which are interrupted by the surgical incision.
Is Pao major surgery?
Periacetabular osteotomy (PAO) is a surgery for congenital (a condition you have from birth) hip dysplasia. It’s a major surgery but, after you recover, you can be active without pain and discomfort from an improperly positioned hip joint.
Do you wear a brace after Pao surgery?
You will be required to use a walker and/or crutches and can expect to be on this restriction for approximately two to three months after surgery until your bones are completely healed. Unless otherwise specified by Dr. Feldman, you will not be in a brace following surgery.
What factors predict failure 4 to 12 years after Periacetabular osteotomy?
Higher age, preoperative Tönnis grade of 2, incongruent hip, postoperative joint space width of 3 mm or less, and postoperative center-edge angle of less than 30° or more than 40° predicted conversion to THA. Conclusions: PAO preserved three of four hips with most functioning well at 4- to 12-year followup.
What is a Periacetabular osteotomy?
Print. Hip dysplasia is the medical term for a hip socket that doesn’t fully cover the ball portion of the upper thighbone. In periacetabular (per-e-as-uh-TAB-yoo-lur) osteotomy, the socket is cut free from the pelvis and then repositioned so that it matches up better with the ball.
How do I know if I need Pao surgery?
If non-operative measures are not successful in patients with mild dysplasia, a PAO may be considered for patients who have reached skeletal maturity with a malalignment of the acetabulum but do not have advanced osteoarthritis.
When should you have Pao surgery?
The PAO operation is most likely to be successful in patients younger than 35 years and when the joint is shallow but has matching shapes on the ball and socket sides of the joint. This is called joint congruency and means that the curvature of the socket is the same as the curvature of the femoral head.
How long will I be on crutches after Pao surgery?
Crutches are very important for the first several weeks after PAO. Most patients use crutches for two months post-surgery. After the hip has healed, most patients are able to return to their highest previous level of activity.
How do you sleep after Pao surgery?
We recommend sleeping with your heel raised at an inclined position (typically on a pile of firm pillows) above chest level for at least one to two weeks after surgery. This position tends to be the most comfortable and helps decrease swelling in your lower extremity.
What is a PAO surgery for hip dysplasia?
A “PAO” is a surgery used to correct a condition called hip dysplasia. Hip dysplasia is when there is insufficient coverage of the femoral head (ball) by an excessively shallow acetabulum (hip socket). During a PAO, the acetabulum is repositioned to cover more of the femoral head in order to improve the stability of the hip joint.
What is a peripheral artery osteotomy (PAO)?
During a PAO, the acetabulum is repositioned to cover more of the femoral head in order to improve the stability of the hip joint. The PAO surgery improves hip function, decreases hip pain, and stops the damage occurring inside of the joint that can lead to hip arthritis over time.
What are the benefits of PAO surgery?
The PAO surgery improves hip function, decreases hip pain, and stops the damage occurring inside of the joint that can lead to hip arthritis over time. How is a PAO performed?
Can a hip arthroscopy be done at the same time as Pao?
Occasionally, the hip joint may need to be opened or a hip arthroscopy may need to be performed at the same time as a PAO in order to repair damage inside of the joint, such as a labral tear. Image 3: The red arrow points to the dysplasia of the right hip.