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Hip Dislocation clinical trials

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NCT ID: NCT06233487 Not yet recruiting - Clinical trials for Developmental Dysplasia of the Hip

Reliability of Ultrasound Metrics Used in Hip Dysplasia Diagnostics - a Prospective Study

Start date: February 20, 2024
Phase: N/A
Study type: Interventional

Several measurements are used to evaluate hip dysplasia in hip ultrasound of children. Despite having being used since the 1980s, reliability studies have failed to find acceptable reliaiblity values for the gold standard ultrasound methods. This study will evaluate three ultrasound measurement methodologies in a high quality controlled setting, to investigate the best achieveable reliability and agreement of the investigated measurements used in hip dysplasia diagnostics.

NCT ID: NCT06118736 Not yet recruiting - Cerebral Palsy Clinical Trials

GUIDed Growth of the Proximal Femur to Prevent Further Hip migrAtion iN CErebral Palsy Patients

GUIDANCE
Start date: January 2024
Phase: N/A
Study type: Interventional

In recent literature, the potential of guided growth of the proximal femur to modify hip growth in patients with cerebral palsy has been shown. Using medial hemi-epiphysiodesis of the proximal femur (TMH-PF) morphology of hips at risk of symptomatic (sub)luxation in cerebral palsy (CP) can be changed, aiming to reduce further hip migration and the need for more invasive surgical treatment modalities. Further research is necessary to assess if the results of TMH-PF in combination with adductor tenotomies are significantly better than the results of the current standard of care; adductor tenotomies alone. The investigators objective is to determine whether guided growth of the proximal femur decreases the risk of further hip migration and need for further surgery in cerebral palsy patients.

NCT ID: NCT06007833 Not yet recruiting - Exercise Clinical Trials

Physical Therapy Applications on the Hip and Defined Functional Parameters in Children With Developmental Hip Dysplasia

Start date: September 1, 2023
Phase: N/A
Study type: Interventional

The aim of this study was to investigate the effects of physical therapy and rehabilitation applications on the hip and defined functional parameters in children with developmental hip dysplasia.

NCT ID: NCT05921721 Not yet recruiting - Clinical trials for Femoroacetabular Impingement

Can EOS Hip Imaging Replace CT Hip Scans?

EOS
Start date: July 1, 2023
Phase: N/A
Study type: Interventional

The orientation of the femoral neck in relation to the coronal or transcondylar axis of the distal femur is known as the femoral version. It is categorised as femoral anteversion when the femoral neck axis is anteriorly rotated in relation to transcondylar axis, while femoral head axis is anterior in relation to the femur coronal plane; or femoral retroversion when the femoral head-neck axis points are posterior to the femoral coronal plane. Some studies suggest that conventional radiography cannot adequately measure femoral version, and should be avoided in favour of more precise methods using computed tomography (CT) scanning. CT imaging is currently the reference method for measuring femoral version. However, its clinical use is limited by issues such as high levels of radiation exposure, which can adversely affect patients, especially children. Magnetic resonance imaging (MRI) is considered an alternative for measuring femoral version; however, it is expensive, time consuming and subject to motion artifacts. The associated costs and risks of MRI increase when anaesthesia is needed for the examination. The EOS imaging system could provide an alternative to the previously mentioned techniques. It uses lower doses of irradiation and the sterEOS software allows the production of 3D images. This study aims to compare the accuracy of the EOS imaging system with CT for the measurement of hip parameters in individuals aged 13 years and older. In addition, this study aims to correlate EOS and CT parameters with gait analysis and compare the ability of EOS and CT to predict gait abnormalities.

NCT ID: NCT05869851 Not yet recruiting - Hip Dysplasia Clinical Trials

Developmental Dysplasia of the Hip: Observation vs. Bracing

Start date: April 2024
Phase: N/A
Study type: Interventional

Developmental dysplasia of the hip (DDH) is the most common childhood hip condition. When caught early, bracing is the most frequently used treatment; however, the brace can disrupt important mother-baby bonding time in the newborn period and present challenges to daily living. In babies with mild DDH, some studies have suggested that their hips may improve naturally as they grow and develop. This study will look at whether careful monitoring can be just as good as bracing for babies diagnosed with mild DDH less than 3 months of age, potentially avoiding unnecessary treatment. This will be the first study to look at this question with babies being treated at different hospitals in seven different countries, so the results will make an impact on children and families worldwide.

NCT ID: NCT05548257 Not yet recruiting - Clinical trials for Femoral Head Necrosis

Mortality and Related Risk Factors After Hip Arthroplasty

Start date: September 20, 2022
Phase:
Study type: Observational

The patients who underwent hip arthroplasty in our hospital from January 2017 to December 2020 were reviewed. The perioperative data were collected, and then the mortality was calculated and the risk factors were analyzed.

NCT ID: NCT04685239 Not yet recruiting - Dislocation, Hip Clinical Trials

Dual Mobility Cup Versus Unipolar Cup

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

The general purpose of this study is to examine whether the dual mobility cup (Novae® Serf) reduces the number of hip dislocations after total hip replacement, both early dislocation (≤1 year) and late dislocation (>1 year) after primary THR compared with a conventional cup design (Trabecular MetalTM Modular Acetabular System).

NCT ID: NCT04157842 Not yet recruiting - Hip Dysplasia Clinical Trials

The Influence of Hip Replacement on Lower Extremity Hemodynamics in Crowe IV Hip Dysplasia Patient

Start date: November 1, 2019
Phase: N/A
Study type: Interventional

Explore the influence of hip replacement on lower extremity hemodynamics in Crowe Ⅳ hip dysplasia patient.

NCT ID: NCT04039386 Not yet recruiting - Hip Osteoarthritis Clinical Trials

Psychosocial Interventions for Young Adults With Hip Pain

Start date: August 1, 2024
Phase: N/A
Study type: Interventional

Psychosocial conditions are common in young adults with hip pain including depression, anxiety, pain catastrophizing, and narcotic use. The incidence of these conditions is not well defined. Interventions to optimize psychosocial conditions with non-surgical or surgical treatments has not been investigated. The goal of this project is to determine the incidence of psychosocial conditions in the young adult population with hip pain and determine if cognitive based therapy can improve clinical outcomes in these individuals.

NCT ID: NCT03193385 Not yet recruiting - Hip Dysplasia Clinical Trials

Treatment of Developmental Dysplasia of the HIp

Start date: July 2017
Phase: N/A
Study type: Observational

Closed reduction is where the thigh bone is placed into the socket without any surgical incision being made. This is more likely to be performed in a child under the age of four year. The femoral head is gently manipulated into the socket, whilst the child is under anaesthetic. Once the femoral head is in place, a hip Spica is applied and can remain in place for up to three months to maintain the hip in the correct position. This allows time for healing and for the socket and the thigh bone to mould together as a joint. The purpose of this study was to identify and evaluate risk factors of avascular necrosis (AVN) after closed treatment for developmental dysplasia of the hip (DDH). assessed according to Salter's classification system.