Use of Arthroscopy in Treatment of Acute Pediatric Septic Hip Infection

NCT ID: NCT06505720

Last Updated: 2024-07-31

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-13

Study Completion Date

2027-02-12

Brief Summary

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Acute septic hip infection in pediatric population is a true orthopedic surgical emergency that require early diagnosis and prompt management. Open surgical debridement and drainage of the hip through lateral approach is the gold standard method of treatment. Usage of hip arthroscopy in the treatment of such condition has been in clinical practice for more than 30 years. However, literature is still lacking in actual prospective comparison about the outcome of both methods.

Detailed Description

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The study will divide the children presented with acute septic hip infection into two groups; the control group in which the child will undergo traditional open surgical debridement and drainage of the hip via lateral approach, and the intervention group in which arthroscopic drainage and debridement of the hip will be done. The outcomes of both methods will be recorded and compared. The research hypothesis is that arthroscopic management of acute pediatric septic hip infection is as effective as open surgery; with fewer complications and faster recovery.

Conditions

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Acute Pediatric Septic Hip Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control Group

The child in this group will be treated for his\\ her acute septic hip infection using open surgery ( The Standard Method)

Group Type OTHER

Open debridement of acute pediatric septic hip

Intervention Type PROCEDURE

surgical drainage and debridement of acute septic hip in children via classic lateral approach

Intervention Group

The child in this group will be treated for his\\ her acute septic hip infection arthroscopically

Group Type OTHER

Arthroscopic management of acute pediatric septic hip infecion

Intervention Type PROCEDURE

Three-portals tractionless hip arthroscopy will be used to treat acute pediatric septic hip infection

Interventions

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Arthroscopic management of acute pediatric septic hip infecion

Three-portals tractionless hip arthroscopy will be used to treat acute pediatric septic hip infection

Intervention Type PROCEDURE

Open debridement of acute pediatric septic hip

surgical drainage and debridement of acute septic hip in children via classic lateral approach

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 10 months - 14 years \_unilateral or bilateral acute septic hip arthritis

Exclusion Criteria

* Children with pre-existing other pathology of the affected hip, whether he / she has surgery for management of this pathology or not.

* Patients whose parents refuse to participate in the study
Minimum Eligible Age

10 Months

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hesham Mohamed Elbaseet

OTHER

Sponsor Role lead

Responsible Party

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Hesham Mohamed Elbaseet

MD

Responsibility Role SPONSOR_INVESTIGATOR

Central Contacts

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Abdullah Mohammed, Phd

Role: CONTACT

00201009876426

References

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Fabry G, Meire E. Septic arthritis of the hip in children: poor results after late and inadequate treatment. J Pediatr Orthop. 1983 Sep;3(4):461-6. doi: 10.1097/01241398-198309000-00008.

Reference Type BACKGROUND
PMID: 6630490 (View on PubMed)

Sucato DJ, Schwend RM, Gillespie R. Septic Arthritis of the Hip in Children. J Am Acad Orthop Surg. 1997 Oct;5(5):249-260. doi: 10.5435/00124635-199709000-00003.

Reference Type BACKGROUND
PMID: 10795061 (View on PubMed)

Kocher MS, Mandiga R, Zurakowski D, Barnewolt C, Kasser JR. Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children. J Bone Joint Surg Am. 2004 Aug;86(8):1629-35. doi: 10.2106/00004623-200408000-00005.

Reference Type BACKGROUND
PMID: 15292409 (View on PubMed)

Shaw BA, Kasser JR. Acute septic arthritis in infancy and childhood. Clin Orthop Relat Res. 1990 Aug;(257):212-25.

Reference Type BACKGROUND
PMID: 2199119 (View on PubMed)

DeAngelis NA, Busconi BD. Hip arthroscopy in the pediatric population. Clin Orthop Relat Res. 2003 Jan;(406):60-3. doi: 10.1097/01.blo.0000043044.84315.90.

Reference Type BACKGROUND
PMID: 12579000 (View on PubMed)

Ellis HB, Copley L, Pennock A, Nepple JJ, Willimon C, Mayer SW, Yen YM. Tractionless Hip Arthroscopy for Septic Arthritis in Children. Arthrosc Tech. 2021 Feb 19;10(3):e659-e667. doi: 10.1016/j.eats.2020.10.079. eCollection 2021 Mar.

Reference Type BACKGROUND
PMID: 33738199 (View on PubMed)

El-Sayed AM. Treatment of early septic arthritis of the hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop. 2008 Jun;2(3):229-37. doi: 10.1007/s11832-008-0094-0. Epub 2008 Mar 6.

Reference Type BACKGROUND
PMID: 19308583 (View on PubMed)

Bennett OM, Namnyak SS. Acute septic arthritis of the hip joint in infancy and childhood. Clin Orthop Relat Res. 1992 Aug;(281):123-32.

Reference Type BACKGROUND
PMID: 1499198 (View on PubMed)

Donders CM, Spaans AJ, Bessems JHJM, van Bergen CJA. A systematic review of the optimal drainage technique for septic hip arthritis in children. Hip Int. 2022 Sep;32(5):685-693. doi: 10.1177/1120700021989666. Epub 2021 Feb 10.

Reference Type BACKGROUND
PMID: 33566696 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 4817221 (View on PubMed)

Other Identifiers

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ٍSeptic Hip in childern

Identifier Type: -

Identifier Source: org_study_id

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