Evidence map›Paper›PMID 37421516›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Age and magnitude of acetabular correction impair bone healing after triple pelvic osteotomy.

Daniel Dornacher, Bernd Lutz, Mirco Sgroi, Thomas Caffard, Heiko Reichel

Abstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Daniel DornacherDepartment of Orthopedics, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. daniel.dornacher@gmx.de.ORCID http://orcid.org/0000-0001-5275-2894
Bernd LutzDepartment of Orthopedics, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0003-2599-5836
Mirco SgroiDepartment of Orthopedics, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0002-8124-7966
Thomas CaffardDepartment of Orthopedics, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0001-9468-2089
Heiko ReichelDepartment of Orthopedics, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0001-6096-9890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this examination was to assess, which risk factors impair bone healing after triple pelvic osteotomy (TPO) in the treatment of symptomatic hip dysplasia.

methodsA consecutive series of 241 TPO was reviewed retrospectively. Of these, a set of five postoperative radiographs was available, performed in a standardized regimen in the first year after surgery. Two experienced observers had to agree on the existence of a non-union on the radiographs obtained 1 year after TPO. Both observers measured the lateral center edge angle (LCEA) and acetabular index (AI) on all radiographs. Besides patient-specific risk factors, the magnitudes of acetabular correction and the amounts of a detectable slight change in acetabular correction were assessed. Binary logistic regression analysis and chi-squared test were used to detect the impact of the risk factor on bone healing.

resultsA total of 222 cases were left for further examination. In 19 of these, at least one osteotomy was not healed completely one year after surgery. Binary logistic regression showed a significant relationship between the risk factors "age" (p < 0.001; odds ratio (OR) 1.109 (95% CI 1.05-1.18)) as well as "magnitude of acetabular correction (LCEA)" (p = 0.01; OR 1.087 (95% CI 1.02-1.16)) and non-union. Pearson's chi-square test showed a relationship between the risk factor "wound healing disorder" and non-union (p < 0.001). LCEA and AI showed a slight increase from the first to the last follow-up (observer 1: 1.6° and 1.3°, resp.), but regression analysis for the risk factor "amount of postoperative change of acetabular correction (LCEA, AI)" did not show statistically significant values.

conclusionThe age at surgery and the magnitude of acetabular correction negatively influenced the healing progress of the osteotomy sites. The amount of a slight postoperative change of LCEA and AI did not correlate with a non-union.

Indexed as

Hip DislocationHip JointAcetabulumHumansOsteotomyRetrospective StudiesTreatment OutcomeBone healingHip preservation surgeryMicromotionNon-unionTriple pelvic osteotomy

Identifiers

PMID37421516
PMCPMC10541840

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.