Correction of the acetabular index is more crucial than the type of acetabuloplasty in developmental dysplasia

Alassaf, Nabil

doi:10.1007/s00590-019-02615-z

Cited by 3 publications

(13 citation statements)

References 13 publications

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“…Nevertheless, Ertürk et al [41] measured the similar mean AI after the SO and PO: 19.7° (47 hips) and 20.1° (50 hips), respectively. Alassaf [19] suggested that the correction of AI is more crucial than the type of osteotomy and found no difference in the ability to correct AI between DO and PO. Still, this review confirms that the DO facilitates the correction of radiological indices in DDH hips comparable to other popular techniques.…”

Section: Discussionmentioning

confidence: 99%

“…The limitation of this review is that it incorporates the studies with the average FU of less than 5 years [6,[11][12][13][14][15][16]19,21,[24][25][26]34]. This might not fully reflect the clinical outcome and the rate of AVN, especially in pediatric patients' population.…”

Section: Discussionmentioning

confidence: 99%

“…In each The pre-and postoperative AI [8] was assessed in 19 studies [6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26], while the postoperative CEA [27] was reported by 14 authors [9,[12][13][14][15][16][17][18][19][20][21][22]25,26]. A total of 636 hips were analyzed from 444 patients (two studies only provided the number of hips [19,23]). Patients' age at the time of surgery ranged from 0.5 to 16.0 years.…”

Section: Methodsmentioning

confidence: 99%

“…Nineteen studies assessed the incidence of avascular necrosis (AVN) of the femoral head at FU [9][10][11][12][13][14][15][16][17][19][20][21][22]25,26,31,[33][34][35]. AVN was classified using the Kalamchi-MacEwen system in five studies [36].…”

Section: Avascular Necrosis Of the Femoral Headmentioning

confidence: 99%

“…A total of 856 hips were analyzed in 672 patients (one study only provided the number of hips [19]). Patients' age at the time of surgery ranged from 0.5 to 16.0 years.…”

Section: Avascular Necrosis Of the Femoral Headmentioning

confidence: 99%

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Dega transiliac pelvic osteotomy for developmental hip dysplasia: a systematic review

Woźniak

Idzior²,

Jóźwiak³

2022

Journal of Pediatric Orthopaedics B

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A systematic review of studies reporting outcomes after Dega transiliac pelvic osteotomy (DO) in developmental dysplasia of the hip (DDH) was carried out with a meta-analysis of the pre-and postoperative acetabular index (AI) values. The MEDLINE, ClinicalKey, PubMed, and Cochrane Library databases were searched for articles published up to April 2020 (keywords: Dega, Dega osteotomy, Dega acetabuloplasty, Dega transiliac, and Dega acetabular). The reference lists of reviewed articles were manually searched. Three hundred and seventy-two articles were identified; 23 met the inclusion criteria. The difference between pre-and postoperative AI values were reported in 19 studies (636 hips); the average postoperative AI value was ≤20° in 16/19. Ten studies were included in the meta-analysis. The overall difference between the mean pre-and postoperative AI was 22.5° (95% confidence interval 20.2-24.8°). The average postoperative center-edge angle was reported in 14/23 studies (480 hips) and was normative (≥20°). Hips were assessed using the Severin classification in 11/23 studies; 81.7% of 410 hips were Severin class I-II. The clinical outcome quantified following McKay/Berkeley or other criteria in nine studies (512 hips) was good or very good in 84.8% of hips at follow-up. The incidence of avascular necrosis (AVN) of the femoral head was 18.9% (19 studies, 856 hips). The cumulative rate of reoperation of 5.8% was reported in 14 studies. DO ensures adequate correction of radiological parameters in DDH, and facilitates a good clinical outcome with low incidences of AVN and reoperation risk. Level of evidence: IV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Avascular Necrosis Of the Femoral Headmentioning

confidence: 99%

“…A total of 856 hips were analyzed in 672 patients (one study only provided the number of hips [19]). Patients' age at the time of surgery ranged from 0.5 to 16.0 years.…”

Section: Avascular Necrosis Of the Femoral Headmentioning

confidence: 99%

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Dega transiliac pelvic osteotomy for developmental hip dysplasia: a systematic review

Woźniak

Idzior²,

Jóźwiak³

2022

Journal of Pediatric Orthopaedics B

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Is capsulorrhaphy a necessary step during open reduction of developmental dysplasia of the hip? A randomized controlled trial

Badawy

Afifi

Shaker

et al. 2021

International Orthopaedics (SICOT)

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Incidence, Prevalence, Risk Factors, and Clinical Treatment for Children with Developmental Dysplasia of the Hip in Saudi Arabia. A Systematic Review

Alrashdi,

Alotaibi,

Alharthi

et al. 2024

J Epidemiol Glob Health

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Background Developmental dysplasia of the hip (DDH) leads to pain, joint instability, and early degenerative joint disease. Incidence, prevalence, and management strategies of DDH have been well-documented in several countries, but not in Saudi Arabia. Objective We synthesized the current evidence regarding incidence, prevalence, risk factors, and clinical treatment for children with DDH in Saudi Arabia. Methods We searched 3 databases to locate studies. Studies that included children with DDH in Saudi Arabia; reported either incidence rate, prevalence, risk factors, and/or clinical practice; and were available in English or Arabic were included. We excluded reviews, case studies, or animal studies. Two independent authors reviewed potential studies and assessed study’s quality. Results Our search yielded 67 potential studies, of which 16 studies were included (total DDH sample = 3,127; age range = 2.5 to 86.4 months). Three studies reported incidence rates ranging from 3.1 to 4.9 per 1000 births, and 3 studies reported prevalence ranging from 6 to 78%. Nine studies reported that female sex, breech position, family history, and age less than 3 years were risk factors associated with DDH. Four studies reported that brace applications and closed reduction were conservative treatments, and 9 studies reported that open hip reduction, adductor tenotomy, and/or pelvic osteotomy were surgical approaches to treat DDH. Conclusions In Saudi Arabia, the Incidence and prevalence rates of DDH are 3.1 to 4.9 per 1,000 births, and 6–78%, respectively (differ from what has been reported in other countries), but the risk factors of DDH in Saudi Arabia appear to be similar in comparison to other countries (female, breech presentation, family history of DDH).

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Correction of the acetabular index is more crucial than the type of acetabuloplasty in developmental dysplasia

Cited by 3 publications

References 13 publications

Dega transiliac pelvic osteotomy for developmental hip dysplasia: a systematic review

Dega transiliac pelvic osteotomy for developmental hip dysplasia: a systematic review

Is capsulorrhaphy a necessary step during open reduction of developmental dysplasia of the hip? A randomized controlled trial

Incidence, Prevalence, Risk Factors, and Clinical Treatment for Children with Developmental Dysplasia of the Hip in Saudi Arabia. A Systematic Review

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