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Ligamentum Teres Tenodesis in Developmental Dysplasia of the Hip

Conditions
Orthopedic Disorder
Registration Number
NCT05432505
Lead Sponsor
Al-Azhar University
Brief Summary

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.

Detailed Description

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:

1. Identification of ligamentum teres

2. ligamentum teres tenodesis

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  • 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
Exclusion Criteria
  • • Paralytic hip dislocation .

    • Post septic hip dislocation.
    • Traumatic hip dislocation .
    • Age : below 9 months or above 5 years.
    • Refusal to participate in this study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
modified HHS6 months

score for function of the hip

Secondary Outcome Measures
NameTimeMethod
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