Evidence map›Paper›PMID 39773255›Full record

Trial reportBMC musculoskeletal disorders2025

Arthroscopic-assisted reduction for Developmental Hip Dysplasia (DDH) through the sub-adductor and anterolateral portals; A 24-month follow-up prospective descriptive study.

Amr Samir Rashwan, Mahmoud El-Desouky, Hassan Elbarbary, Mahmoud Abd Elhamid Madbouly, Ahmed Khedr

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06520436 (Arthroscopic-Assisted Reduction for Developmental Dislocation of The Hip Through the Sub-Adductor and Anterolateral Portals), which is not on this 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.

NCT06520436 nacompletednot on this map

Arthroscopic-Assisted Reduction for Developmental Dislocation of The Hip Through the Sub-Adductor and Anterolateral Portals

TypeinterventionalSponsorCairo UniversityRan2019 to 2021Enrolled57ConditionsDevelopmental Dysplasia of the HipArmsArthroscopic-Assisted Reduction
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.

Amr Samir RashwanDepartment of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Giza, Egypt.
Mahmoud El-DesoukyDepartment of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Giza, Egypt. mahmoud.desouky@kasralainy.edu.eg.ORCID http://orcid.org/0000-0001-5558-4566
Hassan ElbarbaryDepartment of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Giza, Egypt.
Mahmoud Abd Elhamid MadboulyDepartment of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Giza, Egypt.
Ahmed KhedrDepartment of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Giza, Egypt.ORCID http://orcid.org/0000-0003-0242-9313

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopmental dysplasia of the hip (DDH) encompasses a spectrum of pathological conditions, including dislocation, subluxation, and deformities of the femoral head and acetabulum. The optimal surgical approach for DDH remains a subject of debate. Successful treatment aims to achieve a stable concentric reduction and prevent future subluxation or dislocation. This study aims to assess the clinical and radiographic outcomes of arthroscopic-assisted surgical reduction of DDH in children aged from 6 months to 5 years old.

methodsThis prospective study included 57 patients with DDH (68 involved hips) between January 2019 and May 2021. They were treated with arthroscopic-assisted surgical reduction. Dega osteotomy was needed in 22 cases, femoral osteotomy and or shortening was necessary in 11 cases, and combined pelvic and femoral osteotomies were required in nine cases. We evaluated and followed all the patients clinically and radiologically, using Severin, modified Severin scores, Shenton line, and acetabular index measurement up to 24 months postoperatively.

resultsThe mean age of the included patients was 26.9 months. The mean operative time was 54.7 (36-90) minutes. Clinical assessment using the modified Severin classification revealed that 53 hips (77.9%) were grade I and 11 hips (16.2%) were grade II at the end of the follow-up. Radiological evaluation using Severin classification revealed that 55 hips (80.9%) were in grade I, and 10 hips (14.7%) were in grade II. There was a statistically significant correlation between clinical and radiological grading (p < 0.001). Hip re-dislocation and avascular necrosis (AVN) were experienced in one and two cases, respectively.

conclusionThese findings suggest that arthroscopic-assisted reduction for DDH, with or without osteotomies, is a promising technique with satisfactory clinical and radiographic outcomes and a low complication rate. However, given the single-center nature of this study and its relatively small sample size, these results should be interpreted with caution. CLINICAL TRIAL REGISTRATION (RETROSPECTIVELY REGISTERED): Registration number: NCT06520436. 25-7-2024.

Indexed as

ArthroscopyDevelopmental Dysplasia of the HipOsteotomyAcetabulumChild, PreschoolFemaleFollow-Up StudiesHip JointHumansInfantMaleOperative TimeProspective StudiesTreatment OutcomeArthroscopic reductionDDHHip arthroscopyOpen reduction

Identifiers

PMID39773255
PMCPMC11707910

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.