Date of Award

5-2021

Document Type

Thesis

First Advisor

Steven Halcrow

Keywords

Periacetabular osteotomy, femoracetabular joint, athlete, femoral derotation osteotomy, bilateral hip dysplasia

Abstract

Background and Purpose: The purpose of this case is to analyze the accelerated treatment of a periacetabular osteotomy in a patient who requires up to six surgical corrections to his femoracetabular joint compared to a standard treatment protocol.

Case Description: The patient was a 20 year old martial artist presenting with bilateral hip dysplasia seeking physical therapy following a periacetabular osteotomy with a femoral derotation osteotomy.

Intervention. Therapeutic exercise and neuromuscular reeducation techniques were included in treatment to improve range of motion, strength, balance, and gait.

Outcomes: The patient was able to increase range of motion and strength to within functional limits and was progressing toward independent gait without assistive devices.

Discussion. The patient progressed to the third phase of a four phase treatment protocol in 5 weeks of physical therapy placing him about two weeks ahead of protocol, and the patient was cleared to schedule his next hip surgery prior to PT discharge.

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