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

NCT ID: NCT05717829

Last Updated: 2023-02-08

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-03
• Study Completion Date: 2025-01-03

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.

Detailed Description

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

Conditions

Developmental Hip Dysplasia

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

modified hip capsular incision

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

Group Type: EXPERIMENTAL

Modified hip capsular incision

Intervention Type: PROCEDURE

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

Interventions

Modified hip capsular incision

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

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Age 1-7 years old
• Primary DDH

Exclusion Criteria

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

• Minimum Eligible Age: 1 Year
• Maximum Eligible Age: 7 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Hesham Mohamed Elbaseet

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hesaham Elbaseet, MD

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Locations

faculty of medicine Assiut university

Asyut, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Hesaham M Elbaseet, MD

Role: CONTACT

drhesham20@aun.edu.eg

+2001007780689

Facility Contacts

Hesham M Elbaseet, MD

Role: primary

drhesham20@aun.edu.eg

+2001007780689

References

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.

Reference Type: BACKGROUND

PMID: 29951123 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 30534545 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 29203431 (View on PubMed)

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.

Reference Type: RESULT

PMID: 10742345 (View on PubMed)

Other Identifiers

MCIDDH

Identifier Type: -

Identifier Source: org_study_id