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    Do young female dancers improve symptoms and return to dancing after periacetabular osteotomy for the treatment of symptomatic hip dysplasia?
    (Oxford University Press, 2018) Novais, Eduardo Nilo; Thanacharoenpanich, Songkiat; Şeker, Ali; Boyle, Matthew; Miller, Patricia E.; Bowen, Garrett; Millis, Michael B.; Kim, Young-Jo
    Although preservation of high activity level has been reported in active young patients after periacetabular osteotomy (PAO) for the treatment of symptomatic hip dysplasia, there is limited evidence whether a dancer may be able to resume dancing after PAO. We asked whether female dancers experience improvement in pain and sports-related activities and return to dance following PAO. Between 1997 and 2014 we performed a total of 44 PAOs in 33 female dancers with symptomatic hip dysplasia. The mean age was 20.3 years (SD 5.6 years) and the median follow-up was 2.7 years (IQR 1.7-5.9 years). The Hip Disability and Osteoarthritis Outcome Score (HOOS), the modified Harris hip score (MHHS) and hip motion were collected preoperatively and at most recent follow-up. Return to dance was recorded from self-reported questionnaires and medical record review. Female dancers reported an improvement in HOOS total scores of nearly 20 points (P = 0.007) and MHHS improved over 17 points (P = 0.01) from preoperative to most-recent follow-up. Out of the 30 patients for whom information about return to dance was available, 19 (63%; 95% CI = 43.9-79.5%) had returned to dance at an average of 8.8 months (+/- 3.6 months) after PAO. With the numbers available we did not identify any factors associated with returning to dance in this cohort. Improvement in hip pain, sports-related activities and hip function may be expected following PAO in young female dancers. Most female dancers can expect to return to dance during the first year after surgery.