Evidence map›Paper›PMID 29454563›Full record

ArticleActa orthopaedica et traumatologica turcica2018

Radiological and clinical outcomes of medial approach open reduction by using two intervals in developmental dysplasia of the hip.

Afsar T Ozkut, Yusuf Iyetin, Omer K Unal, M Salih Soylemez, Esat Uygur, Irfan Esenkaya

Open access · bronzeAbstract read
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Article in Acta orthopaedica et traumatologica turcica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

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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.

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Afsar T OzkutGoztepe Research and Training Hospital, Orthopedics and Traumatology, Istanbul, Turkey. Electronic address: afsarozkut@superonline.com.
Yusuf IyetinPendik Regional Hospital, Orthopedics and Traumatology, Istanbul, Turkey. Electronic address: yiyetin@gmail.com.
Omer K UnalCerkezkoy State Hospital, Orthopedics and Traumatology, Tekirdag, Turkey. Electronic address: omerkays@gmail.com.
M Salih SoylemezBingol State Hospital, Orthopedics and Traumatology, Bingol, Turkey. Electronic address: slhsylmz@gmail.com.
Esat UygurMedeniyet University, Department of Orthopedics and Traumatology, Goztepe Research and Training Hospital, Istanbul, Turkey. Electronic address: esatuygur@gmail.com.
Irfan EsenkayaMedeniyet University, Department of Orthopedics and Traumatology, Goztepe Research and Training Hospital, Istanbul, Turkey. Electronic address: iesenkaya@hotmail.com.
Istanbul Medeniyet University · TRBingöl University · TRMedeniyet Üniversitesi Göztepe Eğitim ve Araştırma Hastanesi · TRSetas (Turkey) · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the midterm clinical and radiological outcomes of the medial approach using two intervals for developmental hip dysplasia (DDH).

methodsThe study involved 62 hips of 47 patients (41 girls, 6 boys) treated with medial approach for DDH from 1999 to 2010. The age of the patients at surgery was 18.7 ± 2.25 months. Follow up of the patients was 11.3 ± 3.07 years. The age of the patients at the last follow up was 12.6 ± 1.74 years. According to the Tönnis classification, 13 hips were grade II, 27 hips were grade III and 22 hips were grade IV. Patients were evaluated according to Omeroglu radiological criteria and modified McKay functional criteria. The presence of avascular necrosis (AVN) of the hip was questioned using the KalamchiMacEwen classification.

resultsRadiologically, forty eight (77%) hips were evaluated as "excellent", 8 (13%) hips as "good" and 5 (8%) hips as "fair plus" and 1 (%2) hip as "fair minus". Two (3%) patients had type 1 temporary AVN and one (1%) patient had type 4 AVN with coxa magna and overgrowth of the greater trochanter. According to McKay functional criteria, 56 (90%) hips had "excellent" and 6 (10%) had "good" results. Two (3.2%) hips of one patient had to be reoperated with Salter osteotomy and femoral shortening + derotation osteotomy.

conclusionMedial approach using two separate intervals for tenotomy and capsulotomy does not jeopardize the medial circumflex or the femoral vessels and yields satisfactory midterm results for children 18 months old with dysplasia of the hip. LEVEL OF EVIDENCE: Level IV, therapeutic study.

Indexed as

Hip Dislocation, CongenitalOsteonecrosisOsteotomyPostoperative ComplicationsAdolescentAftercareFemaleFemurHumansInfantMaleOutcome and Process Assessment, Health CareRadiographyReoperationRetrospective StudiesTurkeyAvascular necrosis of the femoral headDevelopmental hip dysplasiaMedial approachSafetySurgical approach

Identifiers

PMID29454563
PMCPMC6136327
OpenAlexW2792442174

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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.