Use of Arthroscopy in Treatment of Acute Pediatric Septic Hip Infection

Not Applicable

Not yet recruiting

• Conditions: Acute Pediatric Septic Hip Infection
• Interventions: Procedure: Open debridement of acute pediatric septic hip; Procedure: Arthroscopic management of acute pediatric septic hip infecion

• Registration Number: NCT06505720
• Lead Sponsor: Hesham Mohamed Elbaseet

Brief Summary

Acute septic hip infection in pediatric population is a true orthopedic surgical emergency that require early diagnosis and prompt management. Open surgical debridement and drainage of the hip through lateral approach is the gold standard method of treatment. Usage of hip arthroscopy in the treatment of such condition has been in clinical practice for more than 30 years. However, literature is still lacking in actual prospective comparison about the outcome of both methods.

Detailed Description

The study will divide the children presented with acute septic hip infection into two groups; the control group in which the child will undergo traditional open surgical debridement and drainage of the hip via lateral approach, and the intervention group in which arthroscopic drainage and debridement of the hip will be done. The outcomes of both methods will be recorded and compared. The research hypothesis is that arthroscopic management of acute pediatric septic hip infection is as effective as open surgery; with fewer complications and faster recovery.

Study Timeline

• Status Verified: 2024-07
• Study First Submitted: 2024-07-11
• Study First Submitted QC: 2024-07-11
• Study First Posted: 2024-07-17
• Last Update Submitted: 2024-07-29
• Last Update Posted: 2024-07-31
• Study Start: 2024-08-13
• Primary Completion: 2026-02-12
• Study Completion: 2027-02-12

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• Age 10 months - 14 years _unilateral or bilateral acute septic hip arthritis

Exclusion Criteria

• Children with pre-existing other pathology of the affected hip, whether he / she has surgery for management of this pathology or not.

  • Patients whose parents refuse to participate in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Group	Open debridement of acute pediatric septic hip	The child in this group will be treated for his\\ her acute septic hip infection using open surgery ( The Standard Method)
Intervention Group	Arthroscopic management of acute pediatric septic hip infecion	The child in this group will be treated for his\\ her acute septic hip infection arthroscopically

Primary Outcome Measures

Name	Time	Method
Modified Mckay's criteria	One Year Follow-up	Excellent: painless, stable hip; no limp; more than 15 degrees of internal rotation.; Good: painless, stable hip; slight limb or decreased motion , negative Trendelenburg sign Fair: minimum pain; moderate stiffness, positive Trendelenburg sign Poor: significant pain.