ReviewChildren (Basel, Switzerland)2022
Guided Growth of the Proximal Femur for the Management of the 'Hip at Risk' in Children with Cerebral Palsy-A Systematic Review.
Review in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 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.
Guided Growth in Spastic Hip - Multicenter Study (GGSH-MC)
Evaluation of Transphyseal Screw Guided Growth Technique for Correction of Coxa Valga in Cerebral Palsy Children With Hip Sublaxation A Pilot Study
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The approach to hip instability in children with cerebral palsy: an umbrella review.EFORT open reviews · 2026Pooled it
- Proximal Femur Guided Growth for Hip Displacement in Hypotonic Cerebral Palsy: A Preliminary Report.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- The Evolution of Proximal Femur Hemiepiphysiodesis in Children with Cerebral Palsy.Journal of clinical medicine · 2026Review
- Guided growth: Current concepts and novel techniques for harnessing a child's growth potential.Journal of children's orthopaedics · 2026Review
- Adductor Tenotomy to Treat Progressive Hip Migration in Children With Cerebral Palsy: Identifying Predictors of Success to Guide Clinical Practice.Journal of pediatric orthopedics · 2026Article
- Hip displacement management in spinal muscular atrophy in the era of disease modifying therapies: a Delphi consensus study in the UK.EClinicalMedicine · 2026Article
- Remodelling After Percutaneous Pinning for Slipped Capital Femoral Epiphysis: The Influence of Transphyseal Screw Position.Children (Basel, Switzerland) · 2026Article
- A Novel Method to Study Hip Growth and Development in Children with Cerebral Palsy.Children (Basel, Switzerland) · 2025Article
- Article
- Femoral neck-shaft angle changes based on the severity of neurologic impairment in children with cerebral palsy and spinal muscular atrophy.Journal of children's orthopaedics · 2024Article
- The Etiology of Neuromuscular Hip Dysplasia and Implications for Management: A Narrative Review.Children (Basel, Switzerland) · 2024Review
- Hip displacement in children with cerebral palsy: surveillance to surgery - a current concepts review.SICOT-J · 2024Article
- Hip Surveillance and Management of Hip Displacement in Children with Cerebral Palsy: Clinical and Ethical Dilemmas.Journal of clinical medicine · 2023Article
- An Analysis of Reoperations Following Proximal Femoral Varus Derotational Osteotomy in Children with Cerebral Palsy.JB & JS open accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGuided growth is frequently used to modify lower-limb alignment in children, and recently temporary medial hemiepiphysiodesis of the proximal femur (TMH-PF) has been used for the management of hips at risk of subluxation in cerebral palsy (CP) patients. The aim of our study was to evaluate the efficacy of TMH-PF in the management of neuromuscular hip dysplasia in children with cerebral palsy.
methodsA systematic search of the literature was performed by using PubMed, EMBASE, CINAHL, MEDLINE, Scopus and Cochrane databases. Pre- and postoperative radiographic changes of the migration percentage (MP), head-shaft angle (HSA) and acetabular index (AI) were included in a meta-analysis. Secondary outcomes were treatment complication rates, technical considerations and the limitations of this novel technique.
resultsFour studies (93 patients; 178 hips) met the eligibility criteria for inclusion in the meta-analysis. All three radiographic measurements showed significant changes at a minimum of 2 years of follow-up. Mean changes for MP were 8.48% (95% CI 3.81-13.14), HSA 12.28° (95% CI 11.17-13.39) and AI 3.41° (95% CI 0.72-6.10), with I
conclusionTMH-PF is an effective and predictable method to treat CP patients with 'hips at risk', and the overall complication rate is low; however, further work is required to identify the best candidates and surgical timing, as well as choice of technique and implant.
Indexed as
Identifiers
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.