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 (18–76) | 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.