Outcome Of Using Transfixing Hip K Wire ln Developmental Dysplasia Of Hip With Hypoplastic Head And Severe Generalised Ligamentous Laxity
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 主要终点
- Modified McKay's criteria
研究概览
简要总结
This study is to evaluate the outcome of using transfixing hip k wire in Developmental dysplastic hip in patients with hypoplastic head and severe generalised ligamentous laxity.
详细描述
The goal of treatment in developmental dysplasia of the hip (DDH) is to obtain and maintain a stable concentric reduction.
Surgical treatment is done by open reduction through a medial approach or anterolateral approach with pelvic osteotomy,capsulorhaphy, femoral shortening and derotational osteotomy.
Transfixing the femoral head with Kirschner wire during open reduction has long been thought to provide stability to the hip without damaging the femoral head or the acetabulum and to decrease the risk or re-dislocation.
The aim of this study is to assess the effect of transfixing the hip with Kirschner wire during the operative treatment of hip dysplasia in children after the walking age on the final radiological and clinical results and to compare the risks with the benefits of adding this step.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients older than 1 year and younger than 7
- •Patients with hypoplastic head
- •Patients with severe ligamentous laxity (Beighton score ≥ 4)
排除标准
- •Patients younger than 1 year and older than 7 years old.
- •Beighton score < 4
- •Secondary hip dislocation (neuromuscular disorder) as cerebral palsy , myelodysplasia or arthrogryposis.
结局指标
主要结局
Modified McKay's criteria
时间窗: 1 year
degree of Hip function score
次要结局
- Complications(1 year)
研究者
Hesham Mohamed Elbaseet
Professor
Assiut University