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

NCT06408987 | Not Yet Recruiting

• 1 other identifier: hip arthroscopy in DDH
• Study Type: interventional
• Target: 32
• Locations: 0 countries
• Sites: N/A

Brief Summary

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

Conditions

Developmental Dysplasia of the Hip

Outcome Measures

Primary Outcomes (1)

• Determination the success of reduction and incidence of redislocation rate

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

  immediately postoperative

Secondary Outcomes (4)

• Assessment of the cosmetic appearance .

  3 month follow up

• Assessment of the shortening

  1 year follow up

• Assessment the incidence stiffness and decrease range of motion of the affected hip

  1 year follow up

• Assessment the incidence of avascular necrosis in the affected hip

  1 year follow up

Study Arms (2)

1 .Arthroscopically assisted

ACTIVE COMPARATOR

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

Procedure: arthroscopically assisted

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

Procedure: open surgical reduction

Interventions

arthroscopically assisted PROCEDURE

Arthroscopically-Assisted reduction through anterolateral portal for visualization and other accessory portals for instrumentation to achieve reduction and postoperative immobilization in a hip spica.

Also known as: arthroscopically assisted surgical reduction

1 .Arthroscopically assisted

open surgical reduction PROCEDURE

Open reduction through a bikini incision anterior approach and postoperative immobilization in a hip spica.

2.open surgical reduction arm 2

Eligibility Criteria

• Age: 9 Months - 18 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Assiut University: lead

Related Publications (5)

• Roof AC, Jinguji TM, White KK. Musculoskeletal screening: developmental dysplasia of the hip. Pediatr Ann. 2013 Nov;42(11):229-35. doi: 10.3928/00904481-20131022-10.

  PMID: 24168117 BACKGROUND

• Jenner EA, Chauhan GS, Burahee A, Choudri J, Gardner A, Bache CE. Comparison of clinical and radiological outcomes for the anterior and medial approaches to open reduction in the treatment of bilateral developmental dysplasia of the hip: a systematic review protocol. Syst Rev. 2024 Feb 23;13(1):72. doi: 10.1186/s13643-023-02444-6.

  PMID: 38396003 BACKGROUND

• Duman S, Camurcu Y, Sofu H, Ucpunar H, Akbulut D, Yildirim T. Arthroscopic versus open, medial approach, surgical reduction for developmental dysplasia of the hip in patients under 18 months of age. Acta Orthop. 2019 Jun;90(3):292-296. doi: 10.1080/17453674.2019.1599775. Epub 2019 Apr 2.

  PMID: 30938234 BACKGROUND

• Presch C, Eberhardt O, Wirth T, Fernandez FF. Comparison of arthroscopic and open reduction of conservatively irreducible dislocated hips of children. J Child Orthop. 2019 Aug 1;13(4):377-384. doi: 10.1302/1863-2548.13.190057.

  PMID: 31489043 BACKGROUND

• Bulut O, Ozturk H, Tezeren G, Bulut S. Arthroscopic-assisted surgical treatment for developmental dislocation of the hip. Arthroscopy. 2005 May;21(5):574-9. doi: 10.1016/j.arthro.2005.01.004.

  PMID: 15891724 BACKGROUND

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

• Nariman aboloyoun, Ass.Prof

  Orthopedic and Trauma surgery at assiut university hospital

  STUDY DIRECTOR

• Hatem Galal El-Din Zaki, prof

  Orthopedic and Trauma surgery at assiut university hospital

  STUDY DIRECTOR

Central Study Contacts

mohamed ebrahim, resident

CONTACT

01050707974; Mohamed.15259277@med.aun.edu.eg

mohamed Abd El- Radi, dr

CONTACT

01225338766; mradi@aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: doctor

Study Record Dates

• First Submitted: April 15, 2024
• First Posted: May 10, 2024
• Study Start: May 15, 2024
• Primary Completion: October 15, 2025
• Study Completion: December 15, 2025
• Last Updated: May 10, 2024

Record last verified: 2024-05