The Role of Ligamentum Teres Tenodesis in the Management of Developmental Dysplasia of the Hip
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 主要终点
- modified HHS
研究概览
简要总结
The treatment of developmental dysplasia of the hip (DDH) remains challenging, yet recent advances have refined our understanding of how best to survey for the condition during infancy, minimize complications during early treatment, and refine the selection of patients who can best benefit from hip preservation surgery. The ideal continued target would be to prevent missed hip dislocations or dysplasia during the infant period, prevent avascular necrosis (AVN) during early treatment, and decrease the incidence of total hip arthroplasty in adulthood related to undertreated DDH, The goal of the treatment is to achieve a concentric reduction of the femoral head into the acetabulum.
详细描述
it is an operative technique to secure the femoral head after reduction in cases of developmental dysplasia of the hip
Operative technique:
The surgery will be accomplished under a general anesthesia.
An addition to the steps of the open reduction, the following were done:
- Identification of ligamentum teres
- ligamentum teres tenodesis
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 9 Months 至 60 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient with Developmental dysplasia of the hip (DDH) with :
- •Age: from 9 months -5 years old.
- •Virgin DDH.
- •Failed closed reduction in the management of DDH.
- •Failed open reduction through medial approach in the management of DDH
排除标准
- •• Paralytic hip dislocation .
- •Post septic hip dislocation.
- •Traumatic hip dislocation .
- •Age : below 9 months or above 5 years.
- •Refusal to participate in this study.
结局指标
主要结局
modified HHS
时间窗: 6 months
score for function of the hip
次要结局
未报告次要终点
研究者
Ahmed Obeid Abd Allah
Principal Investigator
Al-Azhar University