Evidence map›Paper›PMID 32582386›Full record

ReviewJournal of children's orthopaedics2020

Combined Imhauser osteotomy and osteochondroplasty in slipped capital femoral epiphysis through surgical hip dislocation approach.

Mostafa M Baraka, Hany M Hefny, Mootaz F Thakeb, Tamer A Fayyad, Haytham Abdelazim, Mamdouh H Hefny, Mahmoud A Mahran

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 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Invited Perspective: It is Time to Rename SCFE.Journal of the Pediatric Orthopaedic Society of North America · 2026
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  10. Mid-term results of subcapital realignment of chronic slipped capital femoral epiphysis using surgical hip dislocation: a prospective case series.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022
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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

7 authors at 2 institutions in 2 countries.

Mostafa M BarakaDepartment of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Hany M HefnyDepartment of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Mootaz F ThakebDepartment of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Tamer A FayyadDepartment of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Haytham AbdelazimDepartment of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Mamdouh H HefnyDepartment of Orthopaedic Surgery, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK.
Mahmoud A MahranDepartment of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Ain Shams University · EGSouth Warwickshire NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment of moderate to severe stable slipped capital femoral epiphysis (SCFE) remains a challenging problem. Open reduction by modified Dunn procedure carries a considerable risk of osteonecrosis (ON). Imhauser osteotomy is capable of realigning the deformity without the risk of ON, but the remaining metaphyseal bump is implicated with significant chondro-labral lesions and accelerated osteoarthritis. We conducted this study to evaluate the efficacy and safety of Imhauser osteotomy combined with osteochondroplasty (OCP) through the surgical hip dislocation (SHD) approach.

methodsA prospective series of 23 patients with moderate-severe stable SCFE underwent Imhauser osteotomy and OCP through SHD. The mean age was 14.4 years (13 to 20) and the mean follow-up period was 45 months (24 to 66). The outcome measures included clinical and radiological parameters and Harris hip score (HHS) was used as a functional score.

resultsThe mean HHS improved significantly from 65.39 to 93.3. The limb length discrepancy improved by a mean of 1.72 cm. The mean flexion and abduction arcs showed a significant improvement (mean increase of 37.5° and 18.5°, respectively). The mean internal rotation demonstrated the most significant improvement (mean increase of 38.5°). All the radiographic parameters improved significantly; including anterior and lateral slip angles (mean improvement 37.52° and 44.37°, respectively). The mean alpha angle decreased by 39.19°. The articulo-trochanteric distance significantly increased to a mean of 23.26 mm. No cases of ON or chondrolysis were identified.

conclusionCombined Imhauser osteotomy and OCP through the surgical dislocation approach provide a comprehensive and safe management of moderate to severe stable SCFE. LEVEL OF EVIDENCE: IV.

Indexed as

hip impingementhip preservationImhauser osteotomyslipped capital femoral epiphysissurgical hip dislocation

Identifiers

PMID32582386
PMCPMC7302412
OpenAlexW3028560459

What OpenQuestion holds

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LicenceCC BY-NC
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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.