Evidence map›Paper›PMID 38073284›Full record

ArticleHip international : the journal of clinical and experimental research on hip pathology and therapy2024

Providing a computationally derived, mechanically optimised target correction during preoperative planning can improve joint contact mechanics of hip dysplasia treated with periacetabular osteotomy.

Holly D Aitken, Aspen Miller, Dominic Jl Rivas, Marcus Tatum, Robert W Westermann, Michael C Willey, Jessica E Goetz

Open access · greenAbstract read
In one paragraph

Article in Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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  5. Persistently elevated joint contact stress after periacetabular osteotomy is associated with joint failure at minimum 10-year follow-up.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
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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

7 authors at 1 institution in 1 country.

Holly D AitkenDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.ORCID 0000-0001-5419-5489
Aspen MillerDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Dominic Jl RivasDepartment of Biomedical Engineering, University of Iowa, Iowa City, IA, USA.
Marcus TatumDepartment of Industrial and Systems Engineering, University of Iowa, Iowa City, IA, USA.
Robert W WestermannDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Michael C WilleyDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.ORCID 0000-0002-6922-8471
Jessica E GoetzDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.ORCID 0000-0002-7197-5978
University of Iowa · US

Funding

UI INITIATIVE FOR MINORITY STUDENT DEVELOPMENT PROGRAMR25GM058939 · NIGMS · UNIVERSITY OF IOWA · PI ADAMS-PHILLIPS, LORI C, FORBES, TORI · 1999 to 2021
$6.9M
NIGMS NIH HHS R25 GM058939
6 · The paper itself

Abstract

aimPreoperative identification of acetabular corrections that optimally improve joint stability and reduce elevated contact stresses could further reduce osteoarthritis progression in patients with hip dysplasia who are treated with periacetabular osteotomy (PAO). The purpose of this study was to investigate how providing patient-specific, mechanically optimal acetabular reorientations to the surgeon during preoperative planning affected the surgically achieved correction.

methodsPreoperative CT scans were used to create patient-specific hip models for 6 patients scheduled for PAO. A simulated acetabular fragment was extracted from the preoperative pelvis model and computationally rotated to simulate candidate acetabular reorientations. For each candidate, discrete element analysis was used to compute contact stresses during walking, which were summed over the gait cycle and scaled by patient age to obtain chronic contact stress-time exposure. The ideal patient-specific reorientation was identified using a cost function that balances minimising chronic stress exposures and achieving surgically acceptable acetabular coverage angles. The optimal reorientation angles and associated contact mechanics were provided to the surgeon preoperatively. After PAO was performed, a model of the surgically achieved correction was created from a postoperative CT scan. Radiographic coverage and contact mechanics were compared between preoperative, optimal, and surgically achieved orientations.

resultsWhile surgically achieved reorientations were not significantly different from optimal reorientations in radiographically measured lateral (

conclusionsProviding hip surgeons with a patient-specific, computationally optimal reorientation during preoperative planning may improve contact mechanics after PAO, which may help reduce osteoarthritis progression in patients with hip dysplasia.

Indexed as

AcetabulumOsteotomyPreoperative CareTomography, X-Ray ComputedAdultBiomechanical PhenomenaFemaleHip DislocationHip Dislocation, CongenitalHip JointHumansMaleMiddle AgedRange of Motion, ArticularYoung AdultContact stressdiscrete element analysiship dysplasiaoptimisationperiacetabular osteotomy

Identifiers

PMID38073284
PMCPMC11073912
OpenAlexW4389567703

What OpenQuestion holds

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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.