Evidence map›Paper›PMID 31755242›Full record

ReviewOrthopaedic surgery2019

Total Hip Arthroplasty for Crowe Type IV Hip Dysplasia: Surgical Techniques and Postoperative Complications.

Xiao-Tong Shi, Chao-Feng Li, Yu Han, Ya Song, Shu-Xuan Li, Jian-Guo Liu

Open access · goldAbstract readReview
In one paragraph

Review in Orthopaedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Longitudinal Outcomes of Total Hip Arthroplasty in Developmental Dysplasia of the Hip: A National Database Propensity-Matched Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
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  7. [Short-term effectiveness of visual treatment solution-assisted treatment for Crowe typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Xiao-Tong ShiDepartment of Orthopaedics, Jilin University First Hospital, Jilin University First Hospital, Changchun, Jilin Province, China.
Chao-Feng LiDepartment of Orthopaedics, Jilin University First Hospital, Jilin University First Hospital, Changchun, Jilin Province, China.
Yu HanDepartment of Orthopaedics, Jilin University First Hospital, Jilin University First Hospital, Changchun, Jilin Province, China.
Ya SongDepartment of Orthopaedics, Jilin University First Hospital, Jilin University First Hospital, Changchun, Jilin Province, China.
Shu-Xuan LiDepartment of Orthopaedics, Jilin University First Hospital, Jilin University First Hospital, Changchun, Jilin Province, China.
Jian-Guo LiuDepartment of Orthopaedics, Jilin University First Hospital, Jilin University First Hospital, Changchun, Jilin Province, China.ORCID https://orcid.org/0000-0003-0569-6310
Jilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total hip arthroplasty (THA) of Crowe type IV developmental dysplasia of the hip (DDH) is challenging. Although traditional (lateral, posterolateral, and posterior) THA approaches have been used with great anatomic success, they damage periarticular muscles, which are already quite weak in type IV DDH. The recently developed direct anterior approach (DAA) can provide an inter-nerve and inter-muscle approach for THA of type IV dysplasia hips. However, femur exposure with the DAA could be difficult during surgery and it is hard to apply femoral shortening osteotomy. THA techniques used for type IV DDH include anatomic hip center techniques (true acetabular reconstruction) and high hip center techniques, wherein an acetabulum is reconstructed above the original one. Although anatomic construction of the hip center is considered "the gold standard" treatment, it is impossible if the anatomical acetabular is too small and shallow. Procedures used to support type IV DDH reduction with anatomic hip center techniques include greater trochanter osteotomy, lesser trochanter osteotomy, and subtrochanteric osteotomy. However, these techniques have yet to be standardized, and it is unclear which is best for type IV DDH. One-state and two-state non-osteotomy reduction techniques have also been introduced to treat type IV DDH. Potential complications of THA performed in patients with type IV DDH include leg length discrepancy (LLD), peri-operative femur fracture, nonunion of the osteotomy site, and nerve injury. It is worth noting that nowadays an increasing number of Crowe type IV DDH patients are more sensitive to postoperative LLD.

Indexed as

Arthroplasty, Replacement, HipHip DislocationHumansOsteotomyPostoperative ComplicationsAcetabular reconstructionHip dislocationOsteotomyPostoperative complicationsTotal hip replacement

Identifiers

PMID31755242
PMCPMC6904615
OpenAlexW2991270488

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.