Evidence map›Paper›PMID 40919491›Full record

ArticleJournal of experimental orthopaedics2025

Patients with borderline hip dysplasia present with inferior patient-reported outcomes compared to true hip dysplasia.

Quentin Karisch, Marco Haertlé, Justus Stamp, Nikolai Ramadanov, Henning Windhagen, Sufian S Ahmad

Abstract read
In one paragraph

Article 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Quentin KarischDepartment of Orthopedic Surgery, Hannover Medical School Diakovere Annastift Hannover Germany.
Marco HaertléDepartment of Orthopedic Surgery, Hannover Medical School Diakovere Annastift Hannover Germany.
Justus StampDepartment of Orthopedic Surgery, Hannover Medical School Diakovere Annastift Hannover Germany.
Nikolai RamadanovCenter of Orthopedics and Traumatology, Brandenburg Medical School University Hospital Brandenburg an der Havel Brandenburg an der Havel Germany.
Henning WindhagenDepartment of Orthopedic Surgery, Hannover Medical School Diakovere Annastift Hannover Germany.
Sufian S AhmadDepartment of Orthopedic Surgery, Hannover Medical School Diakovere Annastift Hannover Germany.ORCID https://orcid.org/0000-0001-9763-092X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The factors influencing patient-reported outcome measures (PROMs) in individuals with developmental dysplasia of the hip (DDH) remain poorly understood. The aim of this study was to determine the differences in hip-related PROMs in both borderline and true hip dysplasia. Methods: A total of 245 patients with symptomatic DDH were enrolled. Hips were divided into either borderline dysplasia (lateral centre-edge angle [LCEA] 20°-25°) or true dysplasia (LCEA < 20°). PROMs were retrieved from all patients. Linear regression analysis was performed to identify potential factors associated with PROMs. The relationship between PROMs and the characteristic of dysplasia and between patients with DDH and healthy people was assessed. Results: Patients with borderline hip dysplasia had significantly poorer scores compared to true dysplasia on the University of California and Los Angeles activity scale (UCLA), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Merle d'Aubigné and postel score and the German forgotten joint score (G-FJS). In patients with DDH, all PROMs were significantly lower compared to the control group. In patients with true dysplasia, body mass index (BMI) emerged as the most influential factor affecting the hip disability and osteoarthritis outcome score-physical function shortform (HOOS-PS), WOMAC, International Hip Outcome Tool 12 (iHOT-12) and Harris hip score (HHS). In contrast, in patients with borderline dysplasia, radiographic parameters such as anterior wall coverage significantly influenced the WOMAC, iHOT-12, HHS, modified HHS and G-FJS, while the LCEA was associated with UCLA and HOOS-PS scores. Age was identified as a significant predictor in borderline dysplasia. Conclusion: Patients with borderline dysplasia report poorer PROMs compared to true dysplasia, suggesting a distinct clinical and diagnostic burden in this group of patients. Moreover, the increased mechanical load associated with higher BMI appears to play a greater role only in patients with true dysplasia. Level of Evidence: Level III.

Indexed as

borderline hip dysplasiaDDHdevelopmental dysplasia of the hiphip arthroscopyPAOpatient reported outcome measuresperiacetabular osteotomyPROM

Identifiers

PMID40919491
PMCPMC12409825

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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.