Cochrane · systematic review · CD012717

Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age

Dwan, K, Kirkham, J, Paton, RW, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
5
No studies
5
Included studies
NR
No studies 5 · 50%Ungraded 0 · 0%Very low 5 · 50%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Dynamic splinting versus delayed or no splinting for the non‐operative management of developmental dysplasia of the hip in babies under six months of age

Population: babies under six months of age with all severities of DDH
5 questions
OutcomeEffectEvidenceStatus / GRADE
Measurement of acetabular index at 1 year
Dynamic splinting vs delayed or no splinting
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Measurement of acetabular index at 2 years
Dynamic splinting vs delayed or no splinting
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Measurement of acetabular index at 5 years
Dynamic splinting vs delayed or no splinting
no estimate extractedNRNo studies
Need for operative intervention at study
Dynamic splinting vs delayed or no splinting
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Complications: avascular necrosis and femoral nerve palsy at study
Dynamic splinting vs delayed or no splinting
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Dynamic splinting versus static splinting for the non‐operative management of developmental dysplasia of the hip in babies under six months of age

Population: babies under six months of age with stable and unstable hips
5 questions
OutcomeEffectEvidenceStatus / GRADE
Measurement of acetabular index at 1 year
Dynamic splinting vs static splinting
no estimate extractedNRNo studies
Measurement of acetabular index at 2 years
Dynamic splinting vs static splinting
no estimate extractedNRNo studies
Measurement of acetabular index at 5 years
Dynamic splinting vs static splinting
no estimate extractedNRNo studies
Need for operative intervention
Dynamic splinting vs static splinting
no estimate extractedNRNo studies
Complications: avascular necrosis at 4 months
Dynamic splinting vs static splinting
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision