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. 2024 Sep 2;9(9):908–922. doi: 10.1530/EOR-24-0007

Table 2.

Basic characteristics of studies included in risk factor analysis.

Reference Study design Number of Age (months) Age group Follow-up period (months)§ Failure type Significant risk factors
Patients* Hips
Alassaf (45) CSS 104 164 15.6 (5–24) 1 1.5 (N/A) Failed reduction - Higher age (P = 0.01)
- IHDI grade 4 vs 2 (P = 0.001)
- Decreased acetabular index (P = 0.02)
Arneill et al. (46) RS 54 67 6 (3.93–12.07) 1 49 (19–89) Overall failure - Shorter length of time spent in harness
- Graf 4
Bachy et al. (47) PS 29 34 9.7 (2.1–33.9) 1 N/A (1876) Postoperative
31 36 2
Barakat et al. (48) PS 20 29 18.3 (9–36) 2 21 (18–24) Overall failure
Bhaskar et al. (49) RS 15 17 9.5 (6–16) 1 28 (24–36) Redislocation
Danielsson (50) PS 68 71 7 (2–22) 1 10.9 (5.5–17.5) Intraoperative, redislocation, overall failure
Daoud et al. (51) RS 13 20 26 (18–36) 1 48 (32–65) Failed reduction, redislocation, overall failure
25 35 2
Elerson et al. (52) PS 96 115 13 ± 5.7 1 > 12 Overall failure
Elghobashy et al. (53) RS 49 65 24 (9–30) 2 4.2 (3–11) years Overall failure - Increasing FAZ (femoro-acetabular zone) grade (P = 0.001)
Fleissner et al. (54) RS 68 79 8 (1–36) 2 41.1 (12–120) Redislocation - Obstructive limbus (P = 0.001)
Forlin et al. (55) RS 56 65 13 (3–31) 1 62 (24–151) Redislocation
60 71 2
Huang & Wang (56) RS 16 17 17 ± 5.4 1 > 24 Failed reduction, redislocation, overall failure
Jones et al. (12) RS 19 28 6 (3–10) 1 48 (12–102) Overall failure
Kubo et al. (8) RS 104 132 3 ± 2 1 2 (+/−1) Postoperative,
redislocation
Li et al. (57) RS 385 440 16 ± 4.9 1 37.4 (24–117) Failed reduction
Li et al. (58) RS 276 308 15.3 (6–23.9) 1 41.9 (24–127) Redislocation - Tönnis grade 3–4 (P = 0.027)
Mitani et al. (59) RS N/A 38 N/A (12–31) 2 14 (10–21) years Redislocation - Interposed limbus
Morris et al. (60) RS N/A 104 13 ± 4.68 1 16.9 ± 3.8 years Intraoperative - IHDI grade 4 (P < 0.001)
Murray et al. (61) RS 30 35 6 (0.75–16.5) 1 > 20 Failed reduction
Pospischill et al. (62) RS 64 78 4 (1.2–10.4) 1 6.3 (5.2–7.2) years Intraoperative
Ramo et al. (63) RS N/A 235 N/A (6–36) 2 N/A (48-) in 131 hips Overall failure - Tönnis grade (3-) 4 (Pp = 0.0028)
- IHDI grade (3-) 4 (Pp = 0.0000)
Sankar et al. (64) PS 78 87 8 (1–20) 1 22 (12–36) Failed reduction,
redislocation, overall failure
- Irreducible hips on clinical and/or US exam (Ortolani neg dislocation) (initial success, P = 0.006)
- High reduction grade on arthrogram (P < 0.001)
Schoenecker et al. (65) RS 32 38 23 (18–35) 2 104 (36-) Failed reduction, redislocation, overall failure
Senaran et al. (66) RS 21 35 3 (1–7) 1 36 (12–78) Failed reduction, redislocation, overall failure
Sucato et al. (67) RS 299 342 11 (2–33) 2 10.4 (2–27.7) years Overall failure - Tönnis grade 4 (P = 0.001)
Talathi et al. (3) PS 154 166 8.7 ± 4.1 1 N/A Overall failure - Graf 4 (P = 0.003)
- Less femoral head coverage (P = 0.01)
- Male gender (P = 0.04)
- Irreducible hips (Ortolani neg) (P = 0.01)
- IHDI grade 3–4 (P = 0.002)
Tennant et al. (4) RS 120 133 9 (4–24) 1 N/A (5-) years Overall failure - Bilateral dislocations
- Patients ≤ 12 months (P < 0.04)
- Tönnis grade 4 (P < 0.003)
Tennant et al. (6) RS 29 58 7 (3–13) 1 6.5 (3–12) years Overall failure - Tönnis grade 4 (in bilateral dislocations)
Terjesen & Horn (68) RS 49 52 13 (3–33) 1 15.7 (13–21) Overall failure - Age over 12 months (P = 0.026)
N/A 46 2
Ucpunar et al. (69) RS 53 65 8.1 ± 1.4 1 4.2 ± 1.5 years Overall failure
Yilar et al. (70) RS 218 302 7 (3–17) 1 26 (12-) Redislocation - Absence of ossific nucleus (P = 0.048)
Yu et al. (71) RS 22 25 10 (3–18) 1 N/A Postoperative
Yuan et al. (72) RS 173 187 15.4 ± 4.4 1 N/A (12–36) Failed reduction - Age higher than 14.5 months (P = 0.023)
- Poor delineation of the labrum or acetabular surface on arthrogram (P < 0.001), medial dye pool (mdp) distance ≥ 6 mm (P < 0.001)
Zhang et al. (73) RS 107 156 13 (4–28) 1 6.7 ± 0.8 years Redislocation - IHDI grade 4 (P = 0.004)
- walking (P = 0.011)

*In different age groups, if any; Average age in months (range or s.d.); Group 1: 0–24 months; group 2: 0–36 months; §Average follow-up period in months (range or mean ± S.D.); Age at final follow-up; The respective grade 3 was also a significant risk factor in the publication, but the P value was not reported.

N/A: not available; CSS, cross-sectional study; PS, prospective study; RS, retrospective study.