Evidence map›Paper›PMID 40612035›Full record

ReviewJournal of experimental orthopaedics2025

Periacetabular osteotomy versus hip arthroscopy in patients with borderline developmental dysplasia of the hip: A systematic review and multi-level meta-analysis.

Nikolai Ramadanov, Maximilian Voss, Robert Hable, Robert Prill, Dobromir Dimitrov, Roland Becker, Ingo J Banke, Marco Haertlé, Sufian S Ahmad

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–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.

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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  15. What the papers say.Journal of hip preservation surgery · 2025
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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

9 authors.

Nikolai RamadanovCenter of Orthopaedics and Traumatology, Brandenburg Medical School University Hospital Brandenburg an der Havel Brandenburg an der Havel Germany.ORCID https://orcid.org/0000-0003-4669-8187
Maximilian VossCenter of Orthopaedics and Traumatology, Brandenburg Medical School University Hospital Brandenburg an der Havel Brandenburg an der Havel Germany.
Robert HableFaculty of Applied Computer Science Deggendorf Institute of Technology Deggendorf Germany.
Robert PrillCenter of Orthopaedics and Traumatology, Brandenburg Medical School University Hospital Brandenburg an der Havel Brandenburg an der Havel Germany.
Dobromir DimitrovDepartment of Surgical Propedeutics, Faculty of Medicine Medical University of Pleven Pleven Bulgaria.
Roland BeckerCenter of Orthopaedics and Traumatology, Brandenburg Medical School University Hospital Brandenburg an der Havel Brandenburg an der Havel Germany.
Ingo J BankeClinic of Orthopedics and Sports Orthopedics, School of Medicine and Health & Klinikum rechts der Isar Technical University Munich Munich Germany.
Marco HaertléDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.
Sufian S AhmadDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: A comprehensive meta-analysis is required to address the lack of quantitative evidence on treatment outcomes in borderline developmental dysplasia of the hip (BDDH). This study compares periacetabular osteotomy (PAO) and hip arthroscopy (HAS) through a multi-level meta-analysis, providing quantitative insights into their efficacy and safety. Methods: A systematic literature search was conducted in PubMed, Epistemonikos, and Embase up to February 28, 2025. A frequentist meta-analysis was performed using the Hartung-Knapp-Sidik-Jonkman heterogeneity estimator. Continuous variables were analyzed using mean values with 95% confidence intervals (CIs), and binary outcomes as proportions with 95% CIs. Sensitivity analysis compared studies defining BDDH as 20-25° versus all included studies. Statistical heterogeneity was assessed using Higgins' Results: The literature search identified 39 primary studies with a total of 2075 patients (2121 hips). The test for subgroup differences showed no statistically significant difference between the PAO group and the HAS group in post-operative mHHS ( Conclusion: PAO and HAS yield comparable short- to mid-term outcomes in BDDH. Long-term studies are needed to determine whether HAS is a definitive treatment or delays structural correction. Future research should standardize BDDH definitions (LCEA 20-25°) to enhance comparability and treatment consistency. Level of Evidence: A meta-analysis of retrospective and prospective primary studies.

Indexed as

borderlinedysplasiameta‐analysisperiacetabular osteotomysystematic review

Identifiers

PMID40612035
PMCPMC12221243

What OpenQuestion holds

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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.