ReviewOrthopaedic journal of sports medicine2021
Comparison Between Hip Arthroscopic Surgery and Periacetabular Osteotomy for the Treatment of Patients With Borderline Developmental Dysplasia of the Hip: A Systematic Review.
Review in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- What is the Rate of Response to Nonoperative Treatment for Hip-Related Pain? A Systematic Review With Meta-analysis.The Journal of orthopaedic and sports physical therapy · 2023Pooled it
- Challenging age limits: favourable mid-term outcomes of periacetabular osteotomy in patients over 30 years of age with borderline hip dysplasia.Journal of hip preservation surgery · 2026Article
- Natural History of Nonoperatively Treated Borderline Acetabular Dysplasia in Young Adults and Factors Associated With Inferior Functional Outcome.Orthopaedic journal of sports medicine · 2026Article
- The Measurement of the Lateral Center-Edge Angle Is Underestimated on Radiographs Compared With 3-Dimensional Computed Tomography.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Hip shelf acetabuloplasty in borderline dysplasia, an alternative between Periacetabular Osteotomy and arthroscopic procedures.International orthopaedics · 2025Article
- Evaluating the Corrected Femoroepiphyseal Acetabular Roof Index in Patients With Borderline Dysplasia Undergoing Periacetabular Osteotomy or Hip Arthroscopy.Orthopaedic journal of sports medicine · 2025Article
- Hip preservation surgery for borderline and frank dysplasia: an overview of systematic reviews.EFORT open reviews · 2024Review
- Spin Bias Is Common in the Abstracts and Main Body of Systematic Reviews and Meta-analyses of Hip Arthroscopy in the Setting of Borderline Hip Dysplasia.Arthroscopy, sports medicine, and rehabilitation · 2024Review
- Femoral head decentration on hip MRI: comparison between imaging planes, methods of contrast administration, and hip deformities.Insights into imaging · 2024Article
- The role of different acetabular morphologies on patient-reported outcomes following periacetabular osteotomy in borderline hip dysplasia.Archives of orthopaedic and trauma surgery · 2024Article
- The evolving role and technique of hip arthroscopy in children and adolescents.Journal of the Pediatric Orthopaedic Society of North America · 2024Review
- Outcomes and Return-to-Sports Rates in Patients With Borderline Hip Dysplasia After Periacetabular Osteotomy: A Case Series With 5-Year Follow-up.The American journal of sports medicine · 2024Article
- Lateral Center-edge Angle of 18° (Bone-Edge): Threshold for Hip Arthroscopy Treatment in Patients with Borderline Developmental Dysplasia of the Hip?Orthopaedic surgery · 2023Article
- Does capsular repair make a difference in the integrity and thickness of anterior capsule in the setting of borderline hip dysplasia.BMC musculoskeletal disorders · 2023Article
- The Scientific Evolution of Periacetabular Osteotomy: A Global Review.Journal of clinical medicine · 2022Review
- Borderline Developmental Dysplasia of the Hip: A Risk Factor Predicting the Development and Poor Prognosis after Core Decompression for Idiopathic Osteonecrosis of the Femoral Head.Orthopaedic surgery · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment for borderline developmental dysplasia of the hip (BDDH) has historically been arthroscopic surgery or periacetabular osteotomy (PAO). As orthopaedic surgery is constantly evolving, a lack of comparison of outcomes for these 2 treatment methods could potentially be stalling the progression of treatment for patients with BDDH. PURPOSE: To evaluate the existing literature on patient characteristics, procedures, clinical outcomes, and failure rates for patients with BDDH and to determine whether PAO or hip arthroscopic surgery is a better treatment method for patients with BDDH. STUDY
designSystematic review; Level of evidence, 4.
methodsStudies included were found using the following search words: "hip" and "borderline dysplasia," "osteotomy" or "arthroscopy," and "outcome" or "procedure." Articles were included if they detailed participants of all sexes and ages, reported on isolated hips, and had patients diagnosed with BDDH.
resultsA search was conducted across 3 databases, resulting in 469 articles for consideration, from which 12 total studies (10 on arthroscopic surgery and 2 on PAO) were chosen for a review. There were 6 studies that included patients with a lateral center-edge angle of 18° to 25°, while the remainder included patients with a lateral center-edge angle of 20° to 25°. All the studies reviewing arthroscopic surgery reported concomitant/accessory procedures, while the articles on the topic of PAO did not. It was determined that, whether treated using arthroscopic surgery or PAO, outcomes improved across all patient-reported outcome measures. Revision surgery was also common in both procedures.
conclusionThere is a lack of consensus in the literature on the best treatment option for patients with BDDH. Preoperative patient characteristics and concomitant injuries should be considered when evaluating which surgical procedure will result in the most favorable outcomes.
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What OpenQuestion holds
Registered trials
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.