Evidence map›Paper›PMID 28540520›Full record

ArticleSkeletal radiology2017

The pubo-femoral distance decreases with Pavlik harness treatment for developmental dysplasia of the hip in newborns.

Daniel Augusto Maranho, Felipe Nunes Donati, Vitor Faeda Dalto, Marcello Henrique Nogueira-Barbosa

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Daniel Augusto MaranhoSchool of Medicine of Ribeirão Preto, University of São Paulo, Av. Bandeirantes, No. 3900, Monte Alegre, Ribeirão Preto, State of São Paulo, 14048-900, Brazil. dacmaranho@gmail.com.
Felipe Nunes DonatiMusculoskeletal Radiology, School of Medicine of Ribeirão Preto, University of São Paulo, Av. Bandeirantes, No. 3900, Monte Alegre, Ribeirão Preto, State of São Paulo, 14048-900, Brazil.
Vitor Faeda DaltoMusculoskeletal Radiology, School of Medicine of Ribeirão Preto, University of São Paulo, Av. Bandeirantes, No. 3900, Monte Alegre, Ribeirão Preto, State of São Paulo, 14048-900, Brazil.
Marcello Henrique Nogueira-BarbosaSchool of Medicine of Ribeirão Preto, University of São Paulo, Av. Bandeirantes, No. 3900, Monte Alegre, Ribeirão Preto, State of São Paulo, 14048-900, Brazil.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the evolution of the ultrasonographic pubo-femoral distance (PFD) before and after Pavlik harness treatment for developmental dysplasia of the hip (DDH) in newborns. PATIENTS AND

methodsTwenty-five patients (16.7 ± 10.4 days; 19 females, six males) diagnosed with DDH and treated using the Pavlik harness were included. Eighteen patients had bilateral, and seven unilateral DDH, with a total of 43 dysplastic hips. The seven non-dysplastic hips in unilateral cases were used for comparison. The PFD was measured in the coronal and axial planes with the hip flexed to approximately 90°, before and after an average of 93 days of treatment. The femoral head coverage was assessed in the coronal plane, and correlated with PFD values.

resultsIn dysplastic hips, the mean PFD decreased from 6.1 ± 1.8 mm to 3.0 ± 0.7 mm in the axial (adjusted difference, 2.9 mm; p < 0.01), and from 5.9 ± 2.0 to 3.0 ± 0.6 mm in the coronal plane (adjusted difference 2.7 mm; p < 0.01). The femoral head coverage increased from 30.8 to 62.1%, and the mean differences of femoral head coverage and PFD were significantly correlated (p < 0.001). There was no difference between treated dysplastic and non-dysplastic hips. There was high intra- and inter-observer agreement for PFD measurements.

conclusionThe PFD decreased significantly after DDH treatment using the Pavlik harness in newborns, and showed significant correlation with the femoral head coverage improvement. PFD might be a reliable tool for monitoring DDH treatment in newborns treated using the Pavlik harness.

Indexed as

Orthotic DevicesFemaleFemur HeadHip Dislocation, CongenitalHumansInfant, NewbornLongitudinal StudiesMalePubic BoneRetrospective StudiesTreatment OutcomeUltrasonographyBracesCongenital hip dysplasiaDiseasesHip dislocation, congenitalInfantNewbornTreatment outcomeUltrasonography

Identifiers

PMID28540520
OpenAlexW2618378523

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.