CTRI/2019/01/017299已完成未知
To compare the outcome of Children with Perthes Disease Presented at Stage of Avascular Necrosis and at the stage of Fragmentation
Dr Chaitan Jaunky0 个研究点目标入组 207 人开始时间: 待定最近更新:
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 207
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
入选标准
- •Children between 3-12 years of age with diagnosis of Perthes Disease made and presented to the Perthes Clinic at Kasturba Hospital as part of standard care of management
- •Children who presented at stage 1 and stage 2
- •Those who underwent treatment (operative and nonoperative)
- •All children (age group 3-12 years, both gender, unilateral/bilateral) presented at stage of avascular necrosis and at stage of fragmentation are treated. The children less than 7 years are treated with non operatively without presence of extrusion, children younger than 7 years with presence of extrusion are treated with containment procedure. The children older than 7 years are treated with surgical containment (varus derotation osteotomy). All are followed up prospectively till healing of the disease. Avascular necrosis is defined where the epiphysis becomes sclerotic with or without loss of the height of capital femoral epiphysis. The stage of Fragmentation is defined as one or two fragmentation from the subchondral bone to the physis in either view. The Stage of Remodelling is where early new bone formation is formed and healed stage is where femoral head is fully reossified. The duration of the disease is calculated from first radiograph of first day of presentation to healing. All children will be assessed clinically and radiologically at the stage of healing.
- •These variables will be assessed clinically: range of movement of both hips, Trendelenburg test, shortening, ability to sit cross legged and squat, genu valgum and genu recurvatum.
排除标准
- •Children who presented at stage 3 and 4 initially
- •Those who refused treatment ( operative and non operative)
- •Those whose diagnosis of perthes not made (sickle cell anemia , avascular necrosis of hip)
研究者
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