Arthroscopically Assisted Versus Open Surgical Reduction of the Hip in Patients With Irreducible DDH Before the Walking Age
NCT ID: NCT06408987
Last Updated: 2024-05-10
Study Results
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Basic Information
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NOT_YET_RECRUITING
NA
32 participants
INTERVENTIONAL
2024-05-15
2025-12-15
Brief Summary
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Detailed Description
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* Open reduction , traditionally through a Smith - Peterson approach should be considered only if closed reduction cannot be performed.
* Medial open surgical reduction is a choice for the management of patients younger than 18 months with DDH. The minimal incision and minimal blood loss are advantages of this approach. Limited exposure of the hip joint is a disadvantage.
* The arthroscopic procedure was reported to represent a meaningful alternative to the open procedure due to a lower complication rate, a safe setting, a lower rate of residual dysplasia, no observed redislocation and low rate occurrence of osteonecrosis.
* All the intra-articular structures (hypertrophic ligamentum teres, transverse acetabular ligament, and pulvinar tissue) in the acetabulum that impede the reduction of the femoral head could be eliminated by using the arthroscopic technique.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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1 .Arthroscopically assisted
Arthroscopically assisted in surgical reduction of the hip in patients with irreducible DDH before the walking age arm 1
arthroscopically assisted
Arthroscopically-Assisted reduction through anterolateral portal for visualization and other accessory portals for instrumentation to achieve reduction and postoperative immobilization in a hip spica.
2.open surgical reduction arm 2
open surgical reduction of the hip in patients with irreducible DDH before the walking age arm 2
open surgical reduction
Open reduction through a bikini incision anterior approach and postoperative immobilization in a hip spica.
Interventions
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arthroscopically assisted
Arthroscopically-Assisted reduction through anterolateral portal for visualization and other accessory portals for instrumentation to achieve reduction and postoperative immobilization in a hip spica.
open surgical reduction
Open reduction through a bikini incision anterior approach and postoperative immobilization in a hip spica.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Irreducible Hip Dislocation.
Exclusion Criteria
* Teratologic hip dislocation
9 Months
18 Months
ALL
Yes
Sponsors
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Assiut University
OTHER
Responsible Party
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Mohamed Mahmoud Ebrahim Abd Allah
doctor
Principal Investigators
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Nariman aboloyoun, Ass.Prof
Role: STUDY_DIRECTOR
Orthopedic and Trauma surgery at assiut university hospital
Hatem Galal El-Din Zaki, prof
Role: STUDY_DIRECTOR
Orthopedic and Trauma surgery at assiut university hospital
Central Contacts
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References
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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.
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.
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.
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.
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.
Other Identifiers
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hip arthroscopy in DDH
Identifier Type: -
Identifier Source: org_study_id
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