Ligamentoplasty of Ligamentum Tere Developmental Dysplasia of the Hip

NCT05603871 | Unknown

• 1 other identifier: LPLT
• Study Type: observational
• Target: 3
• Locations: 0 countries
• Sites: N/A

Brief Summary

The hip is formed by the acetabulum, the proximal femur and soft tissues joining them (capsule, teres ligament, transverse ligament and pulvinar). The acetabulum is a complex structure in the growing child. It is formed by the joined pubis, This junction is called tri radiate cartilage, which is responsible for acetabular growth. The external surface of the acetabulum is covered by a horse shoe-shaped articular cartilage. The transverse ligament joins both extremes of the articular cartilage inferiorly.

Conditions

Orthopedic Disorder

Outcome Measures

Primary Outcomes (1)

• modified Harris Hip Score

  score for function of the hip

  6 months

Study Arms (1)

ligamentoplasty of ligamentum teres

The patients will be examined for: 1. Length of both lower limbs in relation to each other. 2. Length of both lower limbs according to patient age. 3. Presence of hump related to the outer surface of the hip 4. Presence of pain, abnormal gait, Trendlenburg test. An addition to the steps of the open reduction, the following were done: 1. Identification of ligamentum teres 2. Ligamentoplasty of ligamentum teres

Procedure: ligamentoplasty of ligamentum teres

Interventions

ligamentoplasty of ligamentum teres PROCEDURE

An addition to the steps of the open reduction, the following were done: 1. Identification of ligamentum teres 2. Ligamentoplasty of ligamentum teres

ligamentoplasty of ligamentum teres

Eligibility Criteria

• Age: 9 Months - 3 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The patients will be examined for: Length of both lower limbs in relation to each other. Length of both lower limbs according to patient age. Presence of hump related to the outer surface of the hip Presence of pain, abnormal gait, Trendlenburg test Radiographic evaluation (antero posterior and frog pelvis views) An addition to the steps of the open reduction, the following were done: Identification of ligamentum teres and ligamentoplasty

You may qualify if:

• Patient with Developmental dysplasia of the hip (DDH) with :
• Age: from 9 months -3 years old.
• Virgin DDH.
• Failed closed reduction in the management of DDH.
• Failed open reduction through medial approach in the management of DDH.

You may not qualify if:

• Paralytic hip dislocation .
• Post septic hip dislocation.
• Traumatic hip dislocation .
• Age : below 9 months or above 5 years.
• Refusal to participate in this study.

Sponsors & Collaborators

• Al-Azhar University: lead

Related Publications (2)

• Zhang S, Doudoulakis KJ, Khurwal A, Sarraf KM. Developmental dysplasia of the hip. Br J Hosp Med (Lond). 2020 Jul 2;81(7):1-8. doi: 10.12968/hmed.2020.0223. Epub 2020 Jul 6.

  PMID: 32730146 BACKGROUND

• Schaeffer EK, Study Group I, Mulpuri K. Developmental dysplasia of the hip: addressing evidence gaps with a multicentre prospective international study. Med J Aust. 2018 May 7;208(8):359-364. doi: 10.5694/mja18.00154.

  PMID: 29716513 BACKGROUND

MeSH Terms

Conditions

Musculoskeletal Diseases

Central Study Contacts

ahmed khashaba

CONTACT

01023233949

Ibrahim AbuOmira

CONTACT

0201111266845; ibrahimabuomira@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 29, 2022
• First Posted: November 3, 2022
• Study Start: November 29, 2022
• Primary Completion: November 29, 2023
• Study Completion: November 29, 2023
• Last Updated: November 3, 2022

Record last verified: 2022-10