NCT06408987尚未招募不适用
Arthroscopically Assisted Versus Open Surgical Reduction of the Hip in Patients With Irreducible DDH Before the Walking Age
适应症
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 32
- 主要终点
- Determination the success of reduction and incidence of redislocation rate
研究概览
简要总结
To determine the role of arthroscopy in treatment of the DDH.
详细描述
- 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 9 Months 至 18 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age: - from nine months to 18 months.
- •Irreducible Hip Dislocation.
排除标准
- •Patient age: below 9 months or above 18 months.
- •Teratologic hip dislocation
结局指标
主要结局
Determination the success of reduction and incidence of redislocation rate
时间窗: immediately postoperative
Documentation of concentric reduction of the hip in immediate postoperative MRI as an assessment tool for the success of the procedure.
次要结局
- 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)
研究者
Mohamed Mahmoud Ebrahim Abd Allah
doctor
Assiut University
相似试验
尚未招募
不适用
Trial to study the effect of arthroscopic (keyhole) surgery for age related degenerative disease of the knee (osteoarthrirtis) on health related quality of life.CTRI/2020/03/023948KMC MANIPA
已完成
3 期
Surgery Versus no Surgery for OA of the KneeOsteoarthritisNCT00158431Fowler Kennedy Sport Medicine Clinic186
Unknown
不适用
Arthroscopic Debridement Versus Autologous Cytokine Rich Serum for the Treatment of Lateral EpicondylitisEpicondylitis, LateralNCT04194710Corporacion Parc Tauli86
已完成
3 期
Surgery Versus No Surgery for Osteoarthritis (OA) of the KneeOsteoarthritis of the KneeNCT00562822University of Western Ontario, Canada188
已完成
不适用
Arthroscopy of the Temporomandibular Joint. On Jaw Mobility, Pain and HRQoLArthroscopic SurgeryTemporomandibular JointHealth-Related Quality Of LifeFollow-Up StudiesObservationalNCT06433154Lund University Hospital127