Evidence map›Paper›PMID 35003539›Full record

ReviewIndian journal of orthopaedics2021

DDH in the Walking Age: Review of Patients with Long-Term Follow-Up.

Giovanni Lucchesi, Riccardo Sacco, Weizheng Zhou, YiQiang Li, Lianyong Li, Federico Canavese

Abstract readReview
In one paragraph

Review in Indian journal of orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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.

Giovanni Lucchesi *Orthopaedic Clinic, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
Riccardo Sacco *Department of Orthopedic and Traumatology, Orthopedic and Trauma Center, Turin, Italy.
Weizheng ZhouDepartment of Pediatric Orthopaedics, Shengjing Hospital of China Medical University, Shenyang, China.
YiQiang LiGuangZhou Women and Children's Medical Center, GuangZhou Medical University, 9th JinSui Road, GuangZhou, 510623 China.
Lianyong LiDepartment of Pediatric Orthopaedics, Shengjing Hospital of China Medical University, Shenyang, China.
Federico CanaveseDepartment of Pediatric Orthopedic Surgery, Lille University Centre, Jeanne de Flandre Hospital, 59000 Lille, France.ORCID 0000-0002-6114-5372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe best treatment option in children with late detected DDH is still a subject of much controversy and only few studies have investigated the long-term outcome of treatment in such patients. We performed a systematic review to assess long-term outcome of late detected DDH hips treated after walking age.

methodsStudies met inclusion criteria if they: (1) reported at least 30 hips treated; (2) included children aged between 9 months and 12 years; (3) treatment indication was late detected DDH after walking age; (4) presented a minimum follow-up of 10 years; (5) reported a clinical or radiological outcome. The Kaplan-Meier method was used to evaluate long-term survival according to clinical and radiological outcomes. The rate of total hip replacement (THR) was retrieved.

resultsFrom a total of 6561 articles, 13 articles with grade IV level of evidence were included in our review. A total of 988 hips in 800 patients with a mean follow-up of 27.9 years (range 10-67) were included. The mean age at surgery was 3.3 years (range, 9 months-12 years). The rate of THR increased according to the length of final follow-up. In particular, all studies reported no case of THR at 23.5 years of follow-up, a rate of 10.2% of THR between 30 and 40 years of follow-up and a rate of 35.6% of THR in patients with follow-up more than 40 years.

conclusionsIn patients with late detected DDH, most THR became necessary more than 30 years after the index procedure and their number increased further after 40 years and more of follow-up. Late detected DDH diagnosed after walking age is a life-long disease.

Indexed as

Avascular necrosisChildrenClosed reductionDDHDevelopmental dysplasia of the hipHip dislocationOpen reductionOutcomeSkeletal tractionWalking age

Identifiers

PMID35003539
PMCPMC8688669

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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.