Evidence map›Paper›PMID 39470767›Full record

ArticleInternational orthopaedics2025

Revision open reduction in developmental dysplasia of the hip.

Nabil Alassaf

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Article in International orthopaedics, 2025. 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
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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.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Nabil AlassafDepartment of Orthopedic Surgery, Hail Health Cluster, Hail, Saudi Arabia. dr.nabil.alassaf@gmail.com.ORCID 0000-0002-5014-3187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRe-dislocation after open reduction remains a challenge in the treatment of developmental dysplasia of the hip (DDH). Few geographically and temporally diverse reports exist on the topic. The aim of this study was to uncover the outcome in a group of DDH patients who underwent repeat open reduction.

methodsAll patients who had DDH surgery were screened at one hospital, spanning a ten-year period. Patients who underwent repeat open reduction for re-dislocation were included. Clinical data and radiographic parameters were obtained. This is a retrospective cohort study.

resultsTwenty-three revision open reductions were included. The median age (interquartile range) was 40 (26-61) months and the median follow-up duration was 26 (14-55.50) months. Fifteen revisions (65%) had at least one notable complication. Recurrent instability was found in nine revisions (39%), and other complications included avascular necrosis, stiffness and leg length discrepancy in 12 revisions (52%). Although it did not reach statistical significance (p = 0.13), all hips with pre-revision international hip dysplasia institute grade III (n = 4), compared to grade IV, remained stable after the re-operation.

conclusionsThere is a substantial risk of dismal prognosis after repeat open reduction. Moreover, every precaution should be taken during the first surgery to reduce the risk of re-operation. Findings from this study may help inform surgeons and caregivers about the probable negative outcome when contemplating repeat open reduction.

Indexed as

Developmental Dysplasia of the HipReoperationChild, PreschoolFemaleHip Dislocation, CongenitalHip JointHumansJoint InstabilityMaleOrthopedic ProceduresPostoperative ComplicationsRadiographyRecurrenceRetrospective StudiesTreatment OutcomeComplicationsCongenital hip dislocationHip dysplasiaPaediatricRevisionSalvage

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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.