Compare how four pelvic osteotomy techniques change the hip socket shape in children and teens with DDH
Official title: Computer-Assisted Comparative Analysis of Acetabular Volume and Surface Morphology in Pediatric Acetabular Osteotomies (Salter, Dega, San Diego, and Pemberton)
Run by Istanbul University · NCT07581717 · Data updated 2026-11-12
This project tests whether virtual Salter, Dega, San Diego, and Pemberton osteotomies performed on 3D MRI models can predict the hip socket shape after surgery in children and adolescents with DDH.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 2 Years to 18 Years |
| Sex | All |
| Enrollment | 12 (estimated) |
| Sponsor | Istanbul University Academic / other |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | May 10, 2026 |
| Main results expected | September 30, 2026 |
| Study ends | October 15, 2026 |
| Registry record updated | June 26, 2026 |
| Trial ID | NCT07581717 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children and adolescents aged 2–18 years with developmental dysplasia of the hip or residual acetabular dysplasia who are scheduled for a primary Salter, Dega, San Diego, or Pemberton osteotomy and can undergo preoperative and early postoperative hip MRI.
✕Probably not a fit
Patients with hip problems from other causes (Perthes disease, slipped capital femoral epiphysis, neuromuscular disease), prior pelvic or femoral osteotomy or implants that significantly alter anatomy, or those who cannot safely have MRI are unlikely to benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Preoperative hip MRI will be used to create participant-specific 3D pelvis-acetabulum models on which standardized virtual Salter, Dega, San Diego, and Pemberton osteotomies are applied. The team will measure resulting acetabular volume, surface area, coverage distribution, and other predefined 3D morphometric parameters for each virtual technique. Early postoperative MRI (3–8 weeks after surgery) will produce the actual postoperative 3D morphology to compare with the virtual result of the osteotomy actually performed. Validation metrics will include absolute differences, bias, and Bland–Altman limits of agreement, with secondary analyses of reliability, workflow feasibility, and relationships between preoperative markers and prediction error.
Why it matters
Potential benefit: If successful, surgeons could use patient-specific virtual models to choose and plan the osteotomy that best restores the hip socket, improving surgical precision and likely outcomes.
How similar studies have gone: MRI-based 3D morphometric modeling has been used in hip research, but directly comparing these four pediatric osteotomies with virtual planning and validating predictions against early postoperative MRI is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age 2 to 18 years 2. Developmental dysplasia of the hip or residual acetabular dysplasia 3. Primary Salter, Dega, San Diego, or Pemberton acetabular osteotomy planned at Istanbul University, Istanbul Faculty of Medicine 4. Preoperative hip MRI available within 6 weeks before surgery 5. Early postoperative hip MRI available 3 to 8 weeks after surgery 6. MRI quality adequate for three-dimensional morphometric analysis 7. Unilateral or bilateral cases eligible Exclusion Criteria: 1. Hip pathology not related to developmental dysplasia of the hip, including Perthes disease, slipped capital femoral epiphysis, neuromuscular dysplasia, or infection/trauma sequelae 2. Previous surgery on the same hip that significantly alters anatomy, including prior pelvic or femoral osteotomy or open reduction, or current metal implant/fusion 3. MRI contraindication or safety issue, including MR-incompatible implant/device, severe claustrophobia, or a medical barrier to sedation/anesthesia 4. MRI not compatible with protocol or inadequate for analysis
Where it's running
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Istanbul University, Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Yavuz Sağlam, M.D. — Istanbul University
- Study coordinator: Yavuz Sağlam, M.D.
- Email: yavuzsaglam84@istanbul.edu.tr
- Phone: +90 536 320 5005
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.