Evidence map›Paper›PMID 32351621›Full record

ReviewJournal of children's orthopaedics2020

Surgical treatment of symptomatic post-slipped capital femoral epiphysis deformity: a comparative study between hip arthroscopy and surgical hip dislocation with or without intertrochanteric osteotomy.

James D Wylie, Michael P McClincy, Nishant Uppal, Patricia E Miller, Young-Jo Kim, Michael B Millis, Yi-Meng Yen, Eduardo N Novais

Open access · goldAbstract readReview
In one paragraph

Review in Journal of children's orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Outcomes in Pediatric Hip FAI Surgery: a Scoping Review.Current reviews in musculoskeletal medicine · 2022
    Article
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

8 authors at 4 institutions in 1 country.

James D WylieThe Orthopedic Specialty Hospital, Intermountain Healthcare, Murray, Utah, USA.
Michael P McClincyChildren's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Nishant UppalHarvard Medical School, Boston, Massachusetts, USA.
Patricia E MillerBoston Children's Hospital, Boston, Massachusetts, USA.
Young-Jo KimBoston Children's Hospital, Boston, Massachusetts, USA.
Michael B MillisBoston Children's Hospital, Boston, Massachusetts, USA.
Yi-Meng YenBoston Children's Hospital, Boston, Massachusetts, USA.
Eduardo N NovaisBoston Children's Hospital, Boston, Massachusetts, USA.
Boston Children's Hospital · USChildren's Hospital of Pittsburgh · USHarvard University · USIntermountain Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur primary research question was to investigate the severity of deformity and articular damage as well as outcomes in patients undergoing hip arthroscopy compared with open surgery for the treatment of symptomatic slipped capital femoral epiphysis (SCFE) deformity.

methodsRetrospective review of surgical treatment of symptomatic SCFE deformity with a minimum one-year follow-up. Patients were divided into three groups: the arthroscopic group, surgical hip dislocation(SHD) group and SHD with femoral osteotomy (SHD+ITO) group. Deformity severity was quantified. Hip outcome was assessed by the modified Merle d'Aubigné Postel (MDP) scores.

resultsThere were more severe slips treated by SHD and SHD+ITO. There was more severe deformity in the SHD+ITO group than the arthroscopy group (p < 0.001). There were more full thickness acetabular cartilage defects in the SHD and the SHD+ITO groups (> 40%) compared with the arthroscopy group (11%; p = 0.03). The SHD+ITO and SHD group had lower MDP scores compared with the arthroscopy group both before and after surgery but no difference was detected in the amount of improvement from surgery across groups (p > 0.05). Moderate and severe SCFEs had worse preoperative scores but improvement was not different compared with mild SCFEs (p > 0.05).

conclusionPatients undergoing open treatment had more severe SCFE deformity with more extensive articular damage at reconstructive surgery compared with patients undergoing arthroscopy. All groups with SCFE deformity had improved pain and hip function postoperatively. LEVEL OF EVIDENCE: III.

Indexed as

deformityfemoroacetabular impingementhip arthroscopyslipped capital femoral epiphysissurgical hip dislocation

Identifiers

PMID32351621
PMCPMC7184650
OpenAlexW3013034387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.