Pelvic Osteotomy Of The Total Hip Replacement

NCT ID: NCT06209255

Last Updated: 2024-01-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-08-11

Study Completion Date

2023-08-11

Brief Summary

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This observational study aims to learn about the outcomes in the previously operated patient and whether pelvic bone rearrangement surgery was a success.

The main question it aims to answer is:

• Should the investigators perform pelvic rearrangement surgery on a patient if there's not enough bone stock to accomplish the exchange of the components?

As the research started the participant was asked to attend outpatient clinics regularly and keep in touch. The investigators were able to observe the outcomes and closely explore probable risks for failure.

Detailed Description

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A 56-year-old female patient had a hip operation one year previously and experienced her first dislocation two months postoperatively. The patient underwent closed reduction three times. The patient presented to us due to a fourth hip dislocation that had occurred one month previously. Hip X-ray images revealed acetabular component malposition, with an 80-degree inclination and 20 degrees of cup anteversion with a posterior hip dislocation. The investigators treated the patient via pelvic osteotomy, using a modified Stoppa approach to reduce acetabular inclination. The patient had no dislocation at the 2-year follow-up. At the last follow-up, the Harris Hip Score was 85.

Conditions

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Congenital Hip Dysplasia Hip Osteoarthritis

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Interventions

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Pelvic Osteotomy - Ganz Procedure

Ischial osteotomy was performed on the pubic arch; this was followed by iliac osteotomy, performed using Schanz screws in the iliac wing. The osteotomized acetabulum was overturned, and inclination was reduced.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Previously Replaced Total Hip
* Minimum 1-year follow-up
* 18-45 years, both sexes
* otherwise healthy

Exclusion Criteria

* Any debilitating disorder
* Neurological or genetic disorders
* Pediatric or geriatric age
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Van Bölge Eğitim ve Araştırma Hastanesi

OTHER_GOV

Sponsor Role lead

Responsible Party

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Javad Mirzazada

MD, Orthopedics And Traumathology Specialist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mehmet Coskun, MD

Role: PRINCIPAL_INVESTIGATOR

Physician

Locations

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VanBEAH

Van, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Kocabiyik A, Misir A, Kizkapan TB, Yildiz KI, Kaygusuz MA, Alpay Y, Ezici A. Changes in Hip, Knee, and Ankle Coronal Alignments After Total Hip Arthroplasty With Transverse Femoral Shortening Osteotomy for Unilateral Crowe Type IV Developmental Dysplasia of the Hip. J Arthroplasty. 2017 Nov;32(11):3449-3456. doi: 10.1016/j.arth.2017.05.044. Epub 2017 Jun 1.

Reference Type BACKGROUND
PMID: 28641973 (View on PubMed)

Guo L, Yang Y, An B, Yang Y, Shi L, Han X, Gao S. Risk factors for dislocation after revision total hip arthroplasty: A systematic review and meta-analysis. Int J Surg. 2017 Feb;38:123-129. doi: 10.1016/j.ijsu.2016.12.122. Epub 2016 Dec 31.

Reference Type BACKGROUND
PMID: 28043927 (View on PubMed)

Yetkin C, Yildirim T, Alpay Y, Tas SK, Buyukkuscu MO, Dirvar F. Evaluation of Dislocation Risk Factors With Total Hip Arthroplasty in Developmental Hip Dysplasia Patients: A Multivariate Analysis. J Arthroplasty. 2021 Feb;36(2):636-640. doi: 10.1016/j.arth.2020.08.043. Epub 2020 Aug 29.

Reference Type BACKGROUND
PMID: 32943316 (View on PubMed)

Alberton GM, High WA, Morrey BF. Dislocation after revision total hip arthroplasty : an analysis of risk factors and treatment options. J Bone Joint Surg Am. 2002 Oct;84(10):1788-92.

Reference Type BACKGROUND
PMID: 12377909 (View on PubMed)

Sadhu A, Nam D, Coobs BR, Barrack TN, Nunley RM, Barrack RL. Acetabular Component Position and the Risk of Dislocation Following Primary and Revision Total Hip Arthroplasty: A Matched Cohort Analysis. J Arthroplasty. 2017 Mar;32(3):987-991. doi: 10.1016/j.arth.2016.08.008. Epub 2016 Aug 20.

Reference Type BACKGROUND
PMID: 27633947 (View on PubMed)

Ballester Alfaro JJ, Sueiro Fernandez J. Trabecular Metal buttress augment and the Trabecular Metal cup-cage construct in revision hip arthroplasty for severe acetabular bone loss and pelvic discontinuity. Hip Int. 2010;20 Suppl 7:S119-27. doi: 10.1177/11207000100200s720. Epub 2010 May 27.

Reference Type BACKGROUND
PMID: 20512783 (View on PubMed)

Dennis DA. Management of massive acetabular defects in revision total hip arthroplasty. J Arthroplasty. 2003 Apr;18(3 Suppl 1):121-5. doi: 10.1054/arth.2003.50105.

Reference Type BACKGROUND
PMID: 12730946 (View on PubMed)

DeBoer DK, Christie MJ, Brinson MF, Morrison JC. Revision total hip arthroplasty for pelvic discontinuity. J Bone Joint Surg Am. 2007 Apr;89(4):835-40. doi: 10.2106/JBJS.F.00313.

Reference Type BACKGROUND
PMID: 17403808 (View on PubMed)

Sheth NP, Nelson CL, Springer BD, Fehring TK, Paprosky WG. Acetabular bone loss in revision total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg. 2013 Mar;21(3):128-39. doi: 10.5435/JAAOS-21-03-128.

Reference Type BACKGROUND
PMID: 23457063 (View on PubMed)

Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty. 1994 Feb;9(1):33-44. doi: 10.1016/0883-5403(94)90135-x.

Reference Type BACKGROUND
PMID: 8163974 (View on PubMed)

Malahias MA, Ma QL, Gu A, Ward SE, Alexiades MM, Sculco PK. Outcomes of Acetabular Reconstructions for the Management of Chronic Pelvic Discontinuity: A Systematic Review. J Arthroplasty. 2020 Apr;35(4):1145-1153.e2. doi: 10.1016/j.arth.2019.10.057. Epub 2019 Nov 4.

Reference Type BACKGROUND
PMID: 31784362 (View on PubMed)

Other Identifiers

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VanBEAH

Identifier Type: -

Identifier Source: org_study_id

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