Evidence map›Paper›PMID 38050594›Full record

ArticleJournal of children's orthopaedics2023

Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study.

Mohamad Samih Yasin, Joud Al Karmi, Dara Osama Suleiman, Yusur Myasar Raja, Mohammad A Alshrouf, Ahmad Abu Halaweh, Mohammad Hamdan, Omar Samarah

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of children's orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Mohamad Samih YasinDepartment of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan.
Joud Al KarmiFaculty of Medicine, The University of Jordan, Amman, Jordan.ORCID https://orcid.org/0000-0002-1130-7687
Dara Osama SuleimanFaculty of Medicine, The University of Jordan, Amman, Jordan.ORCID https://orcid.org/0009-0004-3547-4449
Yusur Myasar RajaFaculty of Medicine, The University of Jordan, Amman, Jordan.
Mohammad A AlshroufMedical Internship, Jordan University Hospital, The University of Jordan, Amman, Jordan.
Ahmad Abu HalawehDepartment of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan.
Mohammad HamdanDepartment of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan.ORCID https://orcid.org/0000-0003-2382-5585
Omar SamarahDepartment of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan.
University of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Some articles have focused on the effectiveness of the Pavlik harness treatment for unstable and dislocated hips, yet data on monitoring its effectiveness with the acetabular index remains elusive. Therefore, this study aimed to assess Pavlik harness effectiveness in infants ≤6 months diagnosed with grade I developmental dysplasia of the hip using acetabular index improvement and identify the possible predictors of successful Pavlik harness treatment. Methods: A retrospective review of infants with grade I acetabular dysplasia treated with a Pavlik harness and monitored with anteroposterior pelvis X-rays at presentation and follow-up. Successful treatment was defined as achieving an acetabular index <30°. Results: A total of 231 infants with acetabular dysplasia were treated with a Pavlik harness. A successful outcome was achieved in 135 infants (58.4%). Younger age, lower initial acetabular index, and patients with unilateral developmental dysplasia of the hip were significant predictors of a successful outcome. An age of 4.5 months or older was found to be the threshold for an unsuccessful result following Pavlik harness treatment, with a sensitivity of 65.2% and specificity of 57.3%. An initial acetabular index of 35.5° was found to be the threshold for an unsuccessful result, with a sensitivity of 83.7% and specificity of 61.5%. Conclusion: Pavlik Harness's success in correcting the acetabular index in acetabular dysplasia patients was related to unilateral cases, a younger age at presentation, and a lower initial acetabular index. The thresholds for unsuccessful treatment were an age of 4.5 months or greater and an acetabular index of 35.5° or higher.

Indexed as

acetabular indexasymptomatic acetabular dysplasiaDevelopmental dysplasia of the hipPavlik harnesspelvic X-ray

Identifiers

PMID38050594
PMCPMC10693839
OpenAlexW4387024749

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.