A New Pelvic Osteotomy Method for Open Reduction

NCT04007016 | Completed

• 1 other identifier: Yuxi-Guoxin 201906
• Study Type: observational
• Target: 2
• Locations: 0 countries
• Sites: N/A

Brief Summary

Developmental dysplasia of the hip (DDH) was one of the most common hip disorders disease in children. Pemberton osteotomy (PO) was one of the most widely used by the pediatric orthopedic surgeons. In our clinical work, the investigators found some defect the operation procedure. When the surgeons were not familiar to the PO, it may injured the triradiate cartilage or easily be absorbable of the distal iliac. Here, the investigators found a new pelvic osteotomy just from the inner "L shaped" iliac osteotomy (ILSO) to treat DDH. This approach was in a visible part of the sciatic notch and not presumed to be in the ischium, completely out of sight. Comparing to the PO method, the investigators' operation method was easy to master and had less complications.

Conditions

Developmental Dysplasia of the Hip

Outcome Measures

Primary Outcomes (2)

• preoperative acetabular index

  preoperative acetabular index by measure the postoperative X-ray

  6th month after surgery

• Wiberg's mean center-edge angle

  center-edge angle by measure the postoperative X-ray

  6th month after surgery

Secondary Outcomes (2)

• blood loss

  1st day after surgery

• avascular necrosis (AVN)

  through study completion, an average of 1 year

Study Arms (2)

Pemberton osteotomy （PO）

PO group received Pemberton osteotomy

inner "L shaped" iliac osteotomy (ILSO)

ILSO group received inner "L shaped" iliac osteotomy

Procedure: a new osteotomy from the inner "L shaped" iliac osteotomy

Interventions

a new osteotomy from the inner "L shaped" iliac osteotomy PROCEDURE

There were two ostectomies were used in the osteotomy. The first was was a cured and 5mm width and the second one was straight 1.5cm width. All the directions was started from the inner to outer just a bove the triradiate cartilage and its shape like"L"

inner "L shaped" iliac osteotomy (ILSO)

Eligibility Criteria

• Age: 2 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

All patients were evaluated and treated in the same hospital and the same surgeon did all the operation. The study was carried out between Mar 2016 and May 2018.

You may qualify if:

• over two years old
• open reduction and acetabular osteotomy
• diagnosed as developmental dysplasia of the hip

You may not qualify if:

• a previous history of DDH surgery
• teratologic dislocations
• cerebral palsy
• other spastic or neuromuscular disease

Sponsors & Collaborators

• Yuxi Su: lead

MeSH Terms

Conditions

Developmental Dysplasia of the Hip

Condition Hierarchy (Ancestors)

Hip Dislocation; Joint Dislocations; Joint Diseases; Musculoskeletal Diseases; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Vice Professor of Pediatric orthopedic

Study Record Dates

• First Submitted: June 28, 2019
• First Posted: July 5, 2019
• Study Start: March 1, 2016
• Primary Completion: May 1, 2018
• Study Completion: June 1, 2019
• Last Updated: July 5, 2019

Record last verified: 2019-07