Comparison Between Two Techniques of Capsulotomy During Capsulorrhaphy in Cases of Developmental Dysplasia of the Hip

NCT06439147 | Enrolling By Invitation

• 1 other identifier: Capsulorrhaphy in DDH
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

comparison of the outcome between using U-shaped incision and T-shaped incision for capsulorrhaphy in management of Developmental dysplasia of the hip

Conditions

Developmental Dysplasia of the Hip

Outcome Measures

Primary Outcomes (1)

• Modified Mackay's criteria as a clinical evaluation method

  Postoperative clinical evaluation Grade 1(Excellent):Painless,stable hip,no limp,more than 15 degrees of internal rotation Grade 2(Good):Painless,stable hip,slight limp or decreased motion;negative trendelenburg's sign Grade 3(Fair):Minimum pain,moderate stiffness;Positive trendelenburg sign Grade 4(Poor):Significant pain

  1 year

Secondary Outcomes (3)

• Operative time ofcapsulorrhaphy

  1 year

• Number of stitches taken during capsulorrhaphy

  1 year

• any complication detected

  1 year

Study Arms (2)

U-shaped group

ACTIVE COMPARATOR

Participants on which U shaped capsular incision will be used during capsulorrhaphy

Procedure: U shaped capsular incision during capsulorrhaphy

T-shaped group

ACTIVE COMPARATOR

Participants on which T shaped incision will be used during capsulorrhaphy

Procedure: T-shaped capsular incision diuring capsulorraphy

Interventions

U shaped capsular incision during capsulorrhaphy PROCEDURE

Incision of the capsule of the hip during open reduction of Developmental Dysplasia of the Hip,Incision is done with its base proximally. The transverse limb is 1 cm proximal to femoral neck base

Also known as: U-shaped Capsulotomy

U-shaped group

T-shaped capsular incision diuring capsulorraphy PROCEDURE

Incision of the capsule of the hip during open reduction of Developmental Dysplasia of the Hip done by two incisions: Vertical limb parallel to femoral neck axis and a transverse one parallel to the inguinal ligament resulting into two flabs.

Also known as: T-shaped Capsulotomy

T-shaped group

Eligibility Criteria

• Age: 1 Year - 4 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients older than 1 year and younger than 4 years
• Unilateral or bilateral cases

You may not qualify if:

• Patients younger than 1 year and older than 4 years old
• Secondary hip dislocation ,neuromuscular disorders (as cerebral palsy, myelodysplasia or arthrogryposis).
• Patients who will undergo femoral shortening.

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Assiut university hospital

Asyut, 71111, Egypt

Location

Related Publications (5)

• McKay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin Orthop Relat Res. 1974 Jan-Feb;(98):124-32. doi: 10.1097/00003086-197401000-00013. No abstract available.

  PMID: 4817221 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

• Elbaseet HM, Abdelzaher MA. U-shaped hip capsular incision: An easier way to do hip capsulorrhaphy in developmental dysplasia of the hip - Technical note. Orthop Traumatol Surg Res. 2024 Jun;110(4):103625. doi: 10.1016/j.otsr.2023.103625. Epub 2023 Apr 21.

  PMID: 37086945 BACKGROUND

• Zargarbashi R, Bozorgmanesh M, Panjavi B, Vosoughi F. The path to minimizing instability in developmental dysplasia of the hip: is Capsulorrhaphy a necessity or a futile habit? BMC Musculoskelet Disord. 2021 Feb 17;22(1):199. doi: 10.1186/s12891-021-04065-3.

  PMID: 33596895 BACKGROUND

• Li Y, Hu W, Xun F, Lin X, Li J, Yuan Z, Liu Y, Canavese F, Xu H. Risk factors associated with unsatisfactory hip function in children with late-diagnosed developmental dislocation of the hip treated by open reduction. Orthop Traumatol Surg Res. 2020 Nov;106(7):1373-1381. doi: 10.1016/j.otsr.2020.03.018. Epub 2020 Jun 19.

  PMID: 32571742 BACKGROUND

Related Links

• Smith's anesthesia for infants and children
• 6-Articular mobility in an African population.
• 7-persistent joint laxity and congenital dislocation of the hip

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: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Orthopedic surgery resident

Model Details: randomized clinical trial

Study Record Dates

• First Submitted: May 23, 2024
• First Posted: June 3, 2024
• Study Start: October 11, 2023
• Primary Completion: November 1, 2025
• Study Completion: November 1, 2025
• Last Updated: January 28, 2025

Record last verified: 2025-01

Locations

EG (1)