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Clinical Trials/NCT06408987
NCT06408987Not yet recruitingNot Applicable

Arthroscopically Assisted Versus Open Surgical Reduction of the Hip in Patients With Irreducible DDH Before the Walking Age

Assiut University0 sites32 target enrollmentStarted: May 15, 2024Last updated:
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Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Not yet recruiting
Enrollment
32
Primary Endpoint
Determination the success of reduction and incidence of redislocation rate
Study OverviewStudy DesignEligibility CriteriaArms & InterventionsOutcomesInvestigatorsRecords & IdentifiersSimilar Trials

Study Overview

Brief Summary

To determine the role of arthroscopy in treatment of the DDH.

Detailed Description

  • The term developmental dysplasia of the hip (DDH) is composed of a spectrum of pathologies from stable acetabular dysplasia (femoral head centered in acetabulum but acetabulum is shallow) to concentric hips that are unstable (femoral head can be moved in and out of the confines of the acetabulum) and frankly dislocated hips in which there is a complete loss of contact between the femoral head and acetabulum.
  • Open reduction , traditionally through a Smith - Peterson approach should be considered only if closed reduction cannot be performed.
  • Medial open surgical reduction is a choice for the management of patients younger than 18 months with DDH. The minimal incision and minimal blood loss are advantages of this approach. Limited exposure of the hip joint is a disadvantage.
  • The arthroscopic procedure was reported to represent a meaningful alternative to the open procedure due to a lower complication rate, a safe setting, a lower rate of residual dysplasia, no observed redislocation and low rate occurrence of osteonecrosis.
  • All the intra-articular structures (hypertrophic ligamentum teres, transverse acetabular ligament, and pulvinar tissue) in the acetabulum that impede the reduction of the femoral head could be eliminated by using the arthroscopic technique.

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
9 Months to 18 Months (Child)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Inclusion Criteria:
  • •Age: - from nine months to 18 months.
  • •Irreducible Hip Dislocation.

Exclusion Criteria

  • •Patient age: below 9 months or above 18 months.
  • •Teratologic hip dislocation

Arms & Interventions

1 .Arthroscopically assisted

Active Comparator

Arthroscopically assisted in surgical reduction of the hip in patients with irreducible DDH before the walking age arm 1

Intervention: arthroscopically assisted (Procedure)

2.open surgical reduction arm 2

Active Comparator

open surgical reduction of the hip in patients with irreducible DDH before the walking age arm 2

Intervention: open surgical reduction (Procedure)

Outcomes

Primary Outcomes

Determination the success of reduction and incidence of redislocation rate

Time Frame: immediately postoperative

Documentation of concentric reduction of the hip in immediate postoperative MRI as an assessment tool for the success of the procedure.

Secondary Outcomes

  • Assessment the incidence of avascular necrosis in the affected hip(1 year follow up)
  • Assessment of the cosmetic appearance .(3 month follow up)
  • Assessment the incidence stiffness and decrease range of motion of the affected hip(1 year follow up)
  • Assessment of the shortening(1 year follow up)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Mohamed Mahmoud Ebrahim Abd Allah

doctor

Assiut University

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Arthroscopically Assisted Versus Open... | Clinical Trial