Is muscle lengthening or bony surgery better for young children with cerebral palsy who have hip displacement?

Not Applicable

Recruiting

• Conditions: Cerebral Palsy; Hip displacement; Musculoskeletal - Other muscular and skeletal disorders; Neurological - Other neurological disorders; Surgery - Surgical techniques

• Registration Number: ACTRN12614000884606
• Lead Sponsor: The Royal Children's Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-08-20
• Last Update Posted: 12 September 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. A diagnosis of cerebral palsy and be registered with the Victorian Cerebral Palsy Register,
2. Non-ambulant, with gross motor function classified at level IV or V by the GMFCS,
3. Aged between 3 and 10 years at the time of surgery,
4. Hip migration between 30 and 100% in one or both hips at the time of randomisation,
5. Hip abduction <40 degrees in one or both hips at the time of randomisation, and
6. A recommendation from the treating Orthopaedic Surgeon to proceed to surgery for management of hip displacement.

Exclusion Criteria

1. Unfit to undergo a general anaesthetic
2. Unsuitable on medical and surgical grounds for either adductor surgery or bony reconstructive surgery, including a generalised bleeding disorder, severe osteopenia or a history of insufficiency fractures, or a history of severe, recurrent respiratory infection.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hip migration percentage (MP):<br><br>MP is a measure of the proportion of the femoral head that is sitting outside of the acetabulum, expressed as a percentage. A hip x-ray (AP Pelvis) will be taken at each study visit. Participants will be positioned for the x-ray according to a standardised protocol to ensure accurate measurement of migration percentage is possible. MP will be measured directly from the x-ray on-screen and by a standardised method. [Baseline<br>6 months after surgery<br>12 months after surgery<br>24 months years after surgery]