Ignite Creation Date:
2024-05-11 @ 8:30 AM
Last Modification Date:
2024-10-26 @ 3:29 PM
Study NCT ID:
NCT06408987
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-05-10
First Post:
2024-04-15
Brief Title:
Arthroscopically Assisted Versus Open Surgical Reduction of the Hip in Patients With Irreducible DDH Before the Walking Age
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Arthroscopically Assisted Versus Open Surgical Reduction of the Hip in Patients With Irreducible DDH Before the Walking Age
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To determine the role of arthroscopy in treatment of the DDH
Detailed Description:
The term developmental dysplasia of the hip DDH is composed of a spectrum of pathologies from stable acetabular dysplasia femoral head centered in acetabulum but acetabulum is shallow to concentric hips that are unstable femoral head can be moved in and out of the confines of the acetabulum and frankly dislocated hips in which there is a complete loss of contact between the femoral head and acetabulum
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
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
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None