Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis
ObjectiveTo systematically review the current articles to compare the efficacy and safety of 3D navigation-assisted osteotomy of DDH with conventional osteotomy of DDH in children. Study design Databases such as PubMed, Embase, Cochrane Library were searched, from inception to April, 2022, for studi...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.1021981/full |
| _version_ | 1797988928740917248 |
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| author | Yunlong Liu Yancai Yang Sheng Ding |
| author_facet | Yunlong Liu Yancai Yang Sheng Ding |
| author_sort | Yunlong Liu |
| collection | DOAJ |
| description | ObjectiveTo systematically review the current articles to compare the efficacy and safety of 3D navigation-assisted osteotomy of DDH with conventional osteotomy of DDH in children. Study design Databases such as PubMed, Embase, Cochrane Library were searched, from inception to April, 2022, for studies applying 3D navigation-assisted osteotomy in DDH children.MethodsThere were 626 articles identified. According to the search strategy and inclusion criteria, 7 studies were finally included, with a total of 288 cases. Study screening, data extraction, and quality assessment were conducted by two reviewers independently. Data analyses were performed using RevMan 5.4 software.ResultsThere were 7 retrospective cohort studies included. Meta-analysis showed that 3D navigation-assisted DDH osteotomy resulted in shorter duration of surgery [I2 = 88%, REM, MD = 22.86, 95%CI (−27.29, −18.43), p < 0.00001], less radiation exposure during surgery [I2 = 53%, REM, MD = 2.76, 95%CI (−3.15, −2.37), p < 0.00001], and less intraoperative bleeding [I2 = 94%, REM, MD = 26.83, 95%CI (−39.24, −14.41), p < 0.0001], compared with conventional DDH osteotomy. There was a significant difference in the number of patients with McKay clinical function graded as poor between the two groups [I2 = 0%, FEM, RR = 0.20, 95%CI (0.05, 0.74), p = 0.02], whereas there were no significantly statistical differences in the corrected acetabular index angle, postoperative leg length discrepancy, and number of patients with Severin x-ray graded as poor between the two groups (p > 0.05).Conclusion3D navigation-assisted pelvis and thighbone osteotomy for DDH children could shorten duration of surgery and reduce intraoperative bleeding and x-ray exposure, presenting definite therapeutic effect.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/#myprospero, identifier: CRD42022333767. |
| first_indexed | 2024-04-11T08:12:04Z |
| format | Article |
| id | doaj.art-e0c092fa3886486e92cd97a99d355c08 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T08:12:04Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e0c092fa3886486e92cd97a99d355c082022-12-22T04:35:21ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-11-011010.3389/fped.2022.10219811021981Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysisYunlong LiuYancai YangSheng DingObjectiveTo systematically review the current articles to compare the efficacy and safety of 3D navigation-assisted osteotomy of DDH with conventional osteotomy of DDH in children. Study design Databases such as PubMed, Embase, Cochrane Library were searched, from inception to April, 2022, for studies applying 3D navigation-assisted osteotomy in DDH children.MethodsThere were 626 articles identified. According to the search strategy and inclusion criteria, 7 studies were finally included, with a total of 288 cases. Study screening, data extraction, and quality assessment were conducted by two reviewers independently. Data analyses were performed using RevMan 5.4 software.ResultsThere were 7 retrospective cohort studies included. Meta-analysis showed that 3D navigation-assisted DDH osteotomy resulted in shorter duration of surgery [I2 = 88%, REM, MD = 22.86, 95%CI (−27.29, −18.43), p < 0.00001], less radiation exposure during surgery [I2 = 53%, REM, MD = 2.76, 95%CI (−3.15, −2.37), p < 0.00001], and less intraoperative bleeding [I2 = 94%, REM, MD = 26.83, 95%CI (−39.24, −14.41), p < 0.0001], compared with conventional DDH osteotomy. There was a significant difference in the number of patients with McKay clinical function graded as poor between the two groups [I2 = 0%, FEM, RR = 0.20, 95%CI (0.05, 0.74), p = 0.02], whereas there were no significantly statistical differences in the corrected acetabular index angle, postoperative leg length discrepancy, and number of patients with Severin x-ray graded as poor between the two groups (p > 0.05).Conclusion3D navigation-assisted pelvis and thighbone osteotomy for DDH children could shorten duration of surgery and reduce intraoperative bleeding and x-ray exposure, presenting definite therapeutic effect.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/#myprospero, identifier: CRD42022333767.https://www.frontiersin.org/articles/10.3389/fped.2022.1021981/fullchild DDHhip osteotomy3D navigationauxiliarymeta-analysis |
| spellingShingle | Yunlong Liu Yancai Yang Sheng Ding Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis Frontiers in Pediatrics child DDH hip osteotomy 3D navigation auxiliary meta-analysis |
| title | Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis |
| title_full | Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis |
| title_fullStr | Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis |
| title_full_unstemmed | Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis |
| title_short | Application of 3D navigation for osteotomy of DDH in children: A systematic review and meta-analysis |
| title_sort | application of 3d navigation for osteotomy of ddh in children a systematic review and meta analysis |
| topic | child DDH hip osteotomy 3D navigation auxiliary meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.1021981/full |
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