Evidence map›Paper›PMID 41069388›Full record

ReviewJournal of orthopaedics2025

Arthroscopic-assisted reduction for developmental dysplasia of the hip in children: A systematic review.

Ahmed Elzeiny, Riccardo Giai Via, Alessandra Cipolla, Andrea Audisio, Stephan Erdmenger, Matteo Giachino, Alessandro Massè, Alessandro Aprato

Abstract readReview
In one paragraph

Review in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. [Developmental dysplasia of the hip : Do's and Don'ts].Orthopadie (Heidelberg, Germany) · 2026
    Review
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

8 authors.

Ahmed ElzeinyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Kafr El Sheikh University, Egypt.
Riccardo Giai ViaUniversity of Turin, Centro Traumatologico Ortopedico (CTO), Department of Orthopaedic Surgery, Via Gianfranco Zuretti, 29, 10126, Turin, Italy.
Alessandra CipollaUniversity of Turin, Centro Traumatologico Ortopedico (CTO), Department of Orthopaedic Surgery, Via Gianfranco Zuretti, 29, 10126, Turin, Italy.
Andrea AudisioUniversity of Turin, Ospedale Infantile Regina Margherita, Department of Pediatric Orthopaedic Surgery, Piazza Polonia, 94., 10126, Turin, Italy.
Stephan ErdmengerOrthopaedic Department, University of Sassari, Viale San Pietro 43b, Sassari, Italy.
Matteo GiachinoUniversity of Turin, Centro Traumatologico Ortopedico (CTO), Department of Orthopaedic Surgery, Via Gianfranco Zuretti, 29, 10126, Turin, Italy.
Alessandro MassèUniversity of Turin, Centro Traumatologico Ortopedico (CTO), Department of Orthopaedic Surgery, Via Gianfranco Zuretti, 29, 10126, Turin, Italy.
Alessandro ApratoUniversity of Turin, Ospedale Infantile Regina Margherita, Department of Pediatric Orthopaedic Surgery, Piazza Polonia, 94., 10126, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Developmental dysplasia of the hip (DDH) is a pediatric orthopedic condition characterized by abnormal hip joint formation, leading to subluxation or dislocation of the femoral head from the acetabulum. Early diagnosis and treatment are essential to prevent long-term disability. Conservative treatments are effective if diagnosed early, but late diagnosis often requires more invasive interventions, such as closed or open reduction. Open reduction, although practical, carries significant risks, including avascular necrosis (AVN). Arthroscopic reduction has emerged as a less invasive alternative with potential benefits. Material and Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, including a thorough search of five main databases: PubMed, Scopus, Embase, Medline, and Cochrane. Eligible articles were evaluated according to predefined criteria for levels of evidence (LoE), with retrospective studies assessed using the Coleman Methodology Score (mCMS). This systematic review was registered in the International Prospective Registry of Systematic Reviews (PROSPERO). Results: The review included 11 studies involving 169 patients with 195 hips treated arthroscopically for DDH. The majority of the patients were female (136, 80.5%). The ages of the patients ranged from 3 months to 3.4 years. The follow-up period ranged from 9 months to 9 years after treatment. Success rates of arthroscopic reduction ranged from 70% to 100%, with a median AVN rate of 10.2%. Complications included AVN (11.3%), redislocation (8.2%) and the need for secondary procedures (29.7%). Most of the studies used sub-adductor and anterolateral portals. Conclusions: Arthroscopic-assisted reduction for DDH is a viable and less invasive treatment method that offers good clinical and radiological results. This technique can be particularly beneficial for pediatric patients when performed by experienced surgeons. This study's findings contribute to the growing body of evidence supporting the use of arthroscopic reduction as a possible alternative to open reduction in treating DDH. However, further high-quality research is needed to confirm these results and improve the validity of the data.

Identifiers

PMID41069388
PMCPMC12504815

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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.