Evidence map›Paper›PMID 38877449›Full record

ArticleBMC musculoskeletal disorders2024

Risk factors for avascular necrosis of the femoral head after developmental hip dislocation reduction surgery and construction of Nomogram prediction model.

Zidan Tang, Rong Li, Chan Lu, Na Ma, Rui Xie, Xiaopeng Kang, Xinhao Chen, Han Yang, Yong Hang, Jun Li and 1 more

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Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Zidan Tang *Graduate School, Kunming Medical University, Kunming, 650500, China.
Rong Li *Department of Obstetric Ultrasound, The First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Chan LuGraduate School, Kunming Medical University, Kunming, 650500, China.
Na MaGraduate School, Kunming Medical University, Kunming, 650500, China.
Rui XieGraduate School, Kunming Medical University, Kunming, 650500, China.
Xiaopeng KangDepartment of Orthopedics, Kunming Children's Hospital, No. 288, Qianxing Road, Xishan District, Kunming, Yunnan, 650100, China.
Xinhao ChenGraduate School, Kunming Medical University, Kunming, 650500, China.
Han YangGraduate School, Kunming Medical University, Kunming, 650500, China.
Yong HangDepartment of Orthopedics, Kunming Children's Hospital, No. 288, Qianxing Road, Xishan District, Kunming, Yunnan, 650100, China.
Jun LiDepartment of Orthopedics, Kunming Children's Hospital, No. 288, Qianxing Road, Xishan District, Kunming, Yunnan, 650100, China.
You ZhouDepartment of Orthopedics, Kunming Children's Hospital, No. 288, Qianxing Road, Xishan District, Kunming, Yunnan, 650100, China. zhouyou4070@163.com.

Funding

the Academician Yang Junlin's Expert Workstation in Yunnan Province 202205AF150062the Yunnan Provincial Department of Education Science Research Fund Project 2023J0292
6 · The paper itself

Abstract

backgroundTo analyze the risk factors for the development of avascular necrosis (AVN) of the femoral head after reduction surgery in children with developmental hip dysplasia (DDH), and to establish a prediction nomogram.

methodsThe clinical data of 134 children with DDH (169 hips) treated with closure reduction or open reduction from December 2016 to December 2019 were retrospectively analyzed. Independent risk factors for AVN after DDH reduction being combined with cast external immobilization were determined by univariate analysis and multivariate logistic regression and used to generate nomograms predicting the occurrence of AVN.

resultsA total of 169 hip joints in 134 children met the inclusion criteria, with a mean age at surgery of 10.7 ± 4.56 months (range: 4-22 months) and a mean follow-up duration of 38.32 ± 27.00 months (range: 12-94 months). AVN developed in 42 hip joints (24.9%); univariate analysis showed that the International Hip Dysplasia Institute (IHDI) grade, preoperative development of the femoral head ossification nucleus, cartilage acetabular index, femoral head to acetabular Y-shaped cartilage distance, residual acetabular dysplasia, acetabular abduction angle exceeding 60°, and the final follow-up acetabular index (AI) were associated with the development of AVN (P < 0.05). Multivariate logistic regression analysis showed that the preoperative IHDI grade, development of the femoral head ossification nucleus, acetabular abduction angle exceeding 60°, and the final follow-up AI were independent risk factors for AVN development (P < 0.05). Internal validation of the Nomogram prediction model showed a consistency index of 0.833.

conclusionPreoperative IHDI grade, preoperative development of the femoral head ossification nucleus, final AI, and acetabular abduction angle exceeding 60° are risk factors for AVN development. This study successfully constructed a Nomogram prediction model for AVN after casting surgery for DDH that can predict the occurrence of AVN after casting surgery for DDH.

Indexed as

Developmental Dysplasia of the HipFemur Head NecrosisNomogramsFemaleFemur HeadFollow-Up StudiesHip Dislocation, CongenitalHumansInfantMalePostoperative ComplicationsRetrospective StudiesRisk FactorsAvascular necrosisCastingDevelopmental dysplasia of the hipRisk factors

Identifiers

PMID38877449
PMCPMC11179329

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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.