Developmental Dysplasia of the Hip Clinical Trial
Official title:
Arthroscopically Assisted Versus Open Surgical Reduction of the Hip in Patients With Irreducible DDH Before the Walking Age
To determine the role of arthroscopy in treatment of the DDH.
- 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. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Not yet recruiting |
NCT06007833 -
Physical Therapy Applications on the Hip and Defined Functional Parameters in Children With Developmental Hip Dysplasia
|
N/A | |
| Not yet recruiting |
NCT01437124 -
Metal Ions in Ceramic on Metal Total Hip Arthroplasty
|
N/A | |
| Enrolling by invitation |
NCT06439147 -
Comparison Between Two Techniques of Capsulotomy During Capsulorrhaphy in Cases of Developmental Dysplasia of the Hip
|
N/A | |
| Completed |
NCT05853510 -
Mid-term Functional Comparisons of Unilateral and Bilateral Developmental Dysplasia of the Hip
|
||
| Completed |
NCT05348421 -
Postoperative Analgesic Effect of Two Peripheral Nerve Blocks for Hip Surgery in Pediatrics
|
N/A | |
| Recruiting |
NCT03107520 -
Intraoperative Contrast-Enhanced Ultrasound Evaluation of Blood Flow at the Time of Surgical Hip Reduction for DDH
|
Early Phase 1 | |
| Not yet recruiting |
NCT05822700 -
Outcome Of Using Transfixing K Wire ln DDH With Hypoplastic Head And Severe Generalised Ligamentous Laxity
|
N/A | |
| Active, not recruiting |
NCT04101903 -
Evaluation of Aid to Diagnosis for Congenital Dysplasia of the Hip in General Practice
|
N/A | |
| Withdrawn |
NCT03859232 -
Effectiveness of Cotton vs. Waterproof Cast Padding
|
N/A | |
| Completed |
NCT04563819 -
Genetic Mechanisms and Additional Risk Factors Underlying Hip Dysplasia
|
||
| Active, not recruiting |
NCT05186168 -
Corin MiniHip and Trinity Cup Clinical Surveillance Study
|
||
| Recruiting |
NCT05188235 -
Sound Conduction of Infant Hips
|
N/A | |
| Completed |
NCT04007016 -
A New Pelvic Osteotomy Method for Open Reduction
|
||
| Not yet recruiting |
NCT06442722 -
Surgical Treatment of DDH With and Without Capsulorrhaphy
|
N/A | |
| Completed |
NCT03608475 -
Assessing a Limited Ultrasound Protocol in DDH
|
N/A | |
| Recruiting |
NCT02185365 -
Evaluation of T1rho Magnetic Resonance Imaging for Diagnosis of Cartilage Lesions in Hips With Developmental Dysplasia
|
||
| Completed |
NCT05929105 -
AI-assisted Preoperative Planning Technology for THA for DDH
|
||
| Active, not recruiting |
NCT02431871 -
Sequelae of Developmental Dysplasia of the Hip
|
||
| Completed |
NCT02945995 -
Outcome After Arthroscopic Surgery in Patients Treated With PAO
|
N/A | |
| Completed |
NCT01345838 -
Acetabular Labral Tear in Dysplastic Hips
|