{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:55:29Z","timestamp":1793764529077,"version":"4.6.1"},"reference-count":85,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Persistent abnormal acetabular index values (&gt;25-30\u00b0 at 4-5 years or &gt; 35\u00b0 at 2 years of postreduction) may predict poor outcomes and indicate the need for pelvic osteotomy.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Assessment of the acetabular cartilaginous morphology and cartilaginous coverage of the femoral head by magnetic resonance imaging may assist in guiding surgical decisions.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Earlier pelvic osteotomy leverages remodeling potential, but observation until 4 to 5 years may be preferred to minimize risks and allow spontaneous correction.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Routine monitoring is crucial for stable, dysplastic hips, focusing on acetabular index trends over time.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Shared decision-making with families is essential to balance the risks of residual dysplasia and the likelihood of secondary procedures.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  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