Is There a Role for Hip Arthroscopy in Patients With Femoral Head Fractures?

NCT06491420 | Recruiting

• 1 other identifier: MD-038-2024
• Study Type: interventional
• Target: 5
• Locations: 1 country
• Sites: 1

Brief Summary

Femoral head fractures, often caused by high-energy trauma, pose significant challenges due to complications like avascular necrosis, post-traumatic osteoarthritis, and sciatic nerve damage. While traditionally treated with open reduction and internal fixation (ORIF) or total hip replacement (THR), hip arthroscopy has emerged as a minimally invasive alternative that reduces surgical trauma, offers direct fracture visualization and manipulation, and may result in shorter recovery times and fewer complications.

Conditions

Femur Head Fracture; Arthroscopy

Outcome Measures

Primary Outcomes (1)

• Non Arthritic Hip Score

  The Following five questions concern the amount of pain: 1 Walking on a flat surface? 2 Going up or down stairs? 3 At night while in bed? 4 Sitting or lying? 5 tanding upright? the scoring for each question is from 0 to 4

  6 months

Study Arms (1)

Patients with pipin 1 fractures fixed with arthroscopy

EXPERIMENTAL

Accurate portal placement was essential for optimal visualization and safe access to the hip joint. * The anterolateral, anterior, and distal lateral accessory portals were utilized for arthroscopic labral repair. * The anterolateral portal was placed approximately 1-2 cm superior to the tip of the greater trochanter and 1-2 cm anterior, at an angle of 15° to 20° relative to the floor. * The anterior portal was established for visualization of the posterior-superior capsule, posterior-superior labrum, posterior recess, femoral head, ligamentum teres, and other structures. * The distal lateral accessory portal was placed after traction was released and the operative knee was flexed to 45°. After reducing the fracture under arthroscopic guidance, a guidewire fixed the fracture a cannulated screw was passed over the wire to fix the fracture.

Other: fixation with arthroscopy

Interventions

fixation with arthroscopy OTHER

the pipkin fracture is fixed with the help of arthroscopy and percutaneous methods.

Patients with pipin 1 fractures fixed with arthroscopy

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with pipkin 1 fractures

You may not qualify if:

• any associated pelvic fractures
• severe medical conditions that prevent the patient from undergoing surgery
• delayed presentation after 2 weeks from initial fracture date

Sponsors & Collaborators

• Kasr El Aini Hospital: lead

Study Sites (1)

Kasr Al Ainy-Cairo University- Faculty of Medicine

Cairo, Manial, 11956, Egypt

RECRUITING

MeSH Terms

Interventions

Arthroscopy

Intervention Hierarchy (Ancestors)

Endoscopy; Diagnostic Techniques, Surgical; Diagnostic Techniques and Procedures; Diagnosis; Minimally Invasive Surgical Procedures; Surgical Procedures, Operative; Orthopedic Procedures

Central Study Contacts

Ahmed Hazem, MD

CONTACT

+20 122 330 3789; azeem@kasralainy.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: Dr.

Model Details: A single limb interventional study where all cases presenting with pipkin 1 fractures are treated with arthroscopy

Study Record Dates

• First Submitted: July 1, 2024
• First Posted: July 9, 2024
• Study Start: January 1, 2022
• Primary Completion: August 1, 2024
• Study Completion: December 1, 2024
• Last Updated: July 9, 2024

Record last verified: 2024-07

Locations

EG (1)