Open research questions in Hip disorders and treatments
148 gap statements mined from Hip disorders and treatments papers in our 4.5M-paper local library, which holds 771 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Future research should prioritize prospective multicentre registries with standardized defnitions of early and late training phases, consistent radiological and clinical outcome reporting, and inclusion of surgeon-level covariates such as fellowship training, annual volume, and supervision structure.
The optimal treatment strategy for DDH in children aged 1-4 years is controversial. There is a lack of studies evaluating the impact of open reduction on outcomes in this age group. The study aims to address this gap by investigating the effectiveness of open reduction.
Surgical alternatives for treatment of developmental dysplasia of the hip in children aged 1–4 years: does open reduction improve the outcomes? · 2026 · DOIThe study uses a rabbit model, which may not directly translate to human DDH. The sample size is limited to 40 rabbits. The study only investigates the short-term effects of OPG on acetabular dysplasia.
Autologous osteoperiosteal graft shows superior outcomes to bone graft in shelf acetabuloplasty for acetabular dysplasia · 2026 · DOINeed for automated analysis tools to distinguish analyzable from non-analyzable frames.
Explainable Quality Assessment and Measurement from Real-World Hip Ultrasound Cine Sweeps · 2026 · DOIThe lack of a single objective diagnostic standard for hip microinstability. The variability in diagnostic features across studies. The limited available clinical evidence.
Traction arthrography for quantitative assessment of hip distractibility in early hip disorders · 2026 · DOIThere is a lack of a single objective diagnostic standard for hip microinstability. Current criteria rely on combinations of history, physical examination, imaging, and intraoperative findings.
Traction arthrography for quantitative assessment of hip distractibility in early hip disorders · 2026 · DOIFuture research should focus on high-quality prospective, randomized comparative studies with standardized outcome measures and longer follow-up to better delineate graft-specific differences. Sample sizes varied widely, and only a limited number of studies directly compared autograft and allograft reconstruction, reducing the strength of comparative conclusions.
Outcomes of Arthroscopic Hip Labral Reconstruction Using Allograft Versus Autograft Tissue for Chronic Labral Tears: A Systematic Review · 2026 · DOIThe role of PAO in symptomatic borderline hip dysplasia remains controversial. There is a lack of studies comparing mid- to long-term outcomes of PAO for borderline hip dysplasia with frank hip dysplasia.
Morphological features and long-term outcomes after periacetabular osteotomy for borderline hip dysplasia · 2026 · DOIThe role of periacetabular osteotomy (PAO) in symptomatic borderline hip dysplasia (borderline HD) remains controversial because the lateral centre-edge angle may not re ect global dysplastic morphology.
Morphological features and long-term outcomes after periacetabular osteotomy for borderline hip dysplasia · 2026 · DOIThere is a need for further research to fully elucidate the benefits and limitations of hip arthroscopy for managing persistent pain after total hip arthroplasty. Emerging indications for hip arthroscopy, such as loose body removal and management of prosthetic joint infection, require further investigation.
Hip Arthroscopy After Total Hip Arthroplasty: A Current Review of Indications, Techniques, and Outcomes · 2026 · DOIThe importance of capsular closure in hip arthroscopy for FAI has recently gained attention, but its effectiveness is not well established.
Clinical outcomes of capsular repair versus non-repair after hip arthroscopy for femoroacetabular impingement: a meta-analysis · 2026 · DOIAlthough the frequency of DDH among CMT patients has been under-investigated, the musculoskeletal complications of CMT (including weakness and abnormal gait) may predispose individuals to hip dysplasia.
The Association Between Charcot-Marie-Tooth Disease and Developmental Dysplasia of the Hip: A Narrative Review · 2026 · DOIThe study notes that changes in coding, data sources, or screening policy may contribute to the heterogeneity in the prevalence of congenital hip dislocation. Underascertainment of cases may also be a challenge in some registries. The study highlights the need for more effective screening policies and treatment guidelines for congenital hip dislocation.
Future studies involving multiple sonographers with varying experience levels, employing a randomized examination sequence, and including adapted protocols for severe cases (Graf III/IV) are warranted further validate and generalize these findings.
A stabilization device significantly improves measurement reliability and efficiency of Graf ultrasonography for developmental dysplasia of the hip: a retrospective cohort study · 2026 · DOIDespite 14 systematic reviews and meta‐analyses published between 2018 and 2026, the role of capsular closure after hip arthroscopy for femoroacetabular impingement syndrome remains controversial.
One of the challenges is the small sample size, which limited the statistical analysis. Another challenge is the complexity of the condition, which requires a multidisciplinary approach. The study also faced challenges in terms of patient recruitment and follow-up.
There is a lack of studies on the outcome of hip reconstruction in type 1 CFD using Paley's classification. The current study aims to fill this gap by reporting the results of 12 patients who underwent hip reconstruction and completed a three-year follow-up. The study also aims to determine the factors that influence the outcome of hip reconstruction in CFD.
Dysplastic osteoarthritis is a complex and challenging condition to treat. The condition can lead to significant disability and decreased quality of life. There is a need to develop effective treatment strategies.
Does Combining Osteophyte Excision and Soft Tissue Release with Total Hip Arthroplasty Enhance Postoperative Functional Recovery and Clinical Outcomes in Crowe Type II–III Dysplastic Hip Osteoarthritis Patients? A Retrospective Comparative Clinical Study · 2026 · DOIThe existing literature has primarily focused on bone reconstruction and implant placement. There is a need to evaluate the effect of combining osteophyte excision and soft tissue release with total hip arthroplasty.
Does Combining Osteophyte Excision and Soft Tissue Release with Total Hip Arthroplasty Enhance Postoperative Functional Recovery and Clinical Outcomes in Crowe Type II–III Dysplastic Hip Osteoarthritis Patients? A Retrospective Comparative Clinical Study · 2026 · DOISlipped capital femoral epiphysis (SCFE) is strongly associated with obesity, yet the underlying mechanisms remain unclear.
Is Susceptibility to Slipped Capital Femoral Epiphysis Linked to Obesity-Associated Proximal Femoral Morphology? · 2026 · DOIThe gap is due to the limited ability of standard radiographs to provide direct information on articular cartilage status.
Macroscopic cartilage degeneration despite partially preserved imaging appearance in chronic neurological hip dislocation: findings from surgically resected femoral head specimens · 2026 · DOIIn post-collapse hips, CD-BMAC failed to arrest disease progression, bisphosphonates showed mixed results, and PFRO prevented further disease progression.
Retrospective cohort study assessing radiological outcomes and risk factors for progression of femoral head osteonecrosis in children with sickle cell disease, following bisphosphonate therapy, CD-BMAC and proximal femoral reorientation osteotomy · 2026 · DOIThe study notes that the data from the EUROCAT registries are extremely heterogeneous, which may limit the interpretation of the results.
Investigating the long-term effects of OPG on acetabular dysplasia. Comparing the outcomes of OPG with other treatment options for DDH. Translating the findings to human DDH patients.
Autologous osteoperiosteal graft shows superior outcomes to bone graft in shelf acetabuloplasty for acetabular dysplasia · 2026 · DOIInvestigate the relationship between radiographic and macroscopic findings in other patient populations, - Examine the effect of different treatment strategies on radiographic and macroscopic outcomes, - Develop more accurate radiographic criteria for assessing cartilage…
Macroscopic cartilage degeneration despite partially preserved imaging appearance in chronic neurological hip dislocation: findings from surgically resected femoral head specimens · 2026 · DOI
Most-cited papers in Hip disorders and treatments
- Arthroscopic Debridement Versus Refixation of the Acetabular Labrum Associated With Femoroacetabular Impingement · The American Journal of Sports Medicine · 2012 · 388 citations
- Revision Hip Arthroscopy · The American Journal of Sports Medicine · 2007 · 371 citations
- Arthroscopic Management of Femoroacetabular Impingement · The American Journal of Sports Medicine · 2007 · 363 citations
- Diagnostic Accuracy of Clinical Assessment, Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Intra-Articular Injection in Hip Arthroscopy Patients · The American Journal of Sports Medicine · 2004 · 359 citations
- The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement · The American Journal of Sports Medicine · 2015 · 342 citations
- Improved Outcomes After Hip Arthroscopic Surgery in Patients Undergoing T-Capsulotomy With Complete Repair Versus Partial Repair for Femoroacetabular Impingement · The American Journal of Sports Medicine · 2014 · 337 citations
- Hip Arthroscopy: Current Indications, Treatment Options, and Management Issues · The American Journal of Sports Medicine · 2003 · 314 citations
- Arthroscopic Labral Repair and Treatment of Femoroacetabular Impingement in Professional Hockey Players · The American Journal of Sports Medicine · 2009 · 299 citations
- Clinical Practice Guideline: Early Detection of Developmental Dysplasia of the Hip · PEDIATRICS · 2000 · 297 citations
- Arthroscopic Capsular Plication and Labral Preservation in Borderline Hip Dysplasia · The American Journal of Sports Medicine · 2013 · 297 citations
Most recent work
- Midterm Outcomes in Patients Aged 40 Years and Older With Borderline Dysplasia After Hip Arthroscopy for Femoroacetabular Impingement: A Propensity-Matched Analysis · The American Journal of Sports Medicine · 2026
- Integrative Single‐Cell RNA Sequencing and Spatial Transcriptomics Uncover Distinct Fibroblast–Macrophage Crosstalk in Human Hip Synovium Between Patients With Femoroacetabular Impingement and Osteoarthritis · Arthritis & Rheumatology · 2026
- The Effect of Body Mass Index on Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Matched Analysis With 10-Year Follow-up · The American Journal of Sports Medicine · 2026
- Postoperative computed tomography-based intact ratio predicts femoral head collapse after curved intertrochanteric varus osteotomy for osteonecrosis of the femoral head · International Orthopaedics · 2026
- Biomechanical Comparison Between Intact Labrum, Labral Tear, Labral Resection, Labral Repair, and Segmental Labral Reconstruction Using Fresh-Frozen Anterior Tibialis Allograft or Fresh Meniscal Allograft · The American Journal of Sports Medicine · 2026
- Hip shelf arthroplasty for acetabular dysplasia in adolescents and adults long-term results · International Orthopaedics · 2026
- Combined anteversion in natural Asian hips is lower than conventional targets and is predominantly determined by femoral anteversion · International Orthopaedics · 2026
- The outcomes of treatment and prognostic determinants of patients with Perthes’ disease · The Bone & Joint Journal · 2026
- Successful Long‐Term Outcomes and Continuation of Sport in Competitive Athletes, 10 Years Following Hip Arthroscopy for Femoroacetabular Impingement · Arthroscopy The Journal of Arthroscopic and Related Surgery · 2026
- Letter to the Editor: Isolated Proximal Femoral Valgus Osteotomy for Hinge Abduction Improves Femoroacetabular Relationship in Patients With Perthes Disease · Clinical Orthopaedics and Related Research · 2026
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