Modified Hip Capsular Incision: an Easier Way to do Hip Capsulorrhaphy in Developmental Dysplasia of the Hip (DDH)

NCT05717829 | Unknown

• 1 other identifier: MCIDDH
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Developmental dysplasia of the hip (DDH) is the commonest hip problem seen by pediatric orthopaedic surgeons (1). DDH refers to an abnormal configuration of, or relationship between, the femoral head and the acetabulum .Principals of surgical treatment of DDH, however, always include reduction and stabilization. These principals could be applied by conservative or surgical means (2). Goal of Treatment options to Obtain and maintain reduction without damaging femoral head. Surgical Stabilization might be required in cases with failed conservative treatment, residual dysplasia or older children with neglected DDH. Surgical stabilization is generally achieved by a reduction into a near anatomical position and a complementary capsulorrhaphy (3). In the classic T-shaped capsular incision, the vertical branch parallel to the axis of the neck and the horizontal branch 5 mm from the iliac insertion of the capsule, from anterior and downward to posterior and upward. Two flaps are thus obtained (4). It was noticed that doing capsulorrhaphy after head reduction is cumbersome with this technique because it needs shallow-curved needles while suturing in narrow field and sometimes the suture material gets avulsed from medial flab. A suggested technique by doing a modified incision to make re -suturing of the capsule easier with multiple stitches.

Conditions

Developmental Hip Dysplasia

Keywords

DDH; Developmental hip dysplasia; Capsulorrhaphy

Outcome Measures

Primary Outcomes (1)

• Feasibility of hip capsulorrhaphy

  as regards operative time to do capsullorrhapy in minutes

  intraoperative

Secondary Outcomes (1)

• Any complications detected

  1 year

Study Arms (1)

modified hip capsular incision

EXPERIMENTAL

make re -suturing of the capsule easier with multiple stitches.

Procedure: Modified hip capsular incision

Interventions

Modified hip capsular incision PROCEDURE

modified incision to make re -suturing of the capsule easier with multiple stitches.

modified hip capsular incision

Eligibility Criteria

• Age: 1 Year - 7 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age 1-7 years old
• Primary DDH

You may not qualify if:

• Paralytic hip DX in cases of (Cerebral palsy,Meningomyelocele,Neuropathy or Myopathy)
• Recurrent cases of DDH

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

faculty of medicine Assiut university

Asyut, 71515, Egypt

RECRUITING

Related Publications (4)

• Alves C, Truong WH, Thompson MV, Suryavanshi JR, Penny CL, Do HT, Dodwell ER. Diagnostic and treatment preferences for developmental dysplasia of the hip: a survey of EPOS and POSNA members. J Child Orthop. 2018 Jun 1;12(3):236-244. doi: 10.1302/1863-2548.12.180034.

  PMID: 29951123 BACKGROUND

• Qadir I, Ahmad S, Zaman AU, Khan CM, Ahmad S, Aziz A. One-stage Hip Reconstruction for Developmental Hip Dysplasia in Children over 8 Years of Age. Hip Pelvis. 2018 Dec;30(4):260-268. doi: 10.5371/hp.2018.30.4.260. Epub 2018 Dec 6.

  PMID: 30534545 BACKGROUND

• Glorion C. Surgical reduction of congenital hip dislocation. Orthop Traumatol Surg Res. 2018 Feb;104(1S):S147-S157. doi: 10.1016/j.otsr.2017.04.021. Epub 2017 Dec 2.

  PMID: 29203431 BACKGROUND

• Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Pediatrics. 2000 Apr;105(4 Pt 1):896-905. doi: 10.1542/peds.105.4.896.

  PMID: 10742345 RESULT

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 Officials

• Hesaham Elbaseet, MD

  Assiut University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hesaham M Elbaseet, MD

CONTACT

+2001007780689; drhesham20@aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: prospective case series study

Study Record Dates

• First Submitted: January 14, 2023
• First Posted: February 8, 2023
• Study Start: January 3, 2023
• Primary Completion: January 3, 2024
• Study Completion: January 3, 2025
• Last Updated: February 8, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)