Comparing observation and bracing for mild hip dysplasia in infants

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates whether careful monitoring can be as effective as bracing for infants diagnosed with mild developmental dysplasia of the hip (DDH) under three months of age. By comparing outcomes between these two approaches, the research aims to determine if unnecessary treatment can be avoided, thereby reducing potential complications and psychosocial impacts on families. The study will involve infants from various hospitals across seven countries, making it a significant international effort to improve care for this common childhood condition.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients presenting with radiological dysplasia of a clinically stable hip under three months (12 weeks) of age
* Radiological dysplasia will be defined as a centred hip with an alpha angle between 43 and 60 degrees and a percent coverage of the femoral head (FHC) greater than 35%, as measured on ultrasound exam

Exclusion Criteria:

* Patients presenting with radiological dysplasia older than three months (12 weeks) of age
* Patients presenting with clinical hip instability (Ortolani or Barlow positive)
* Patients with known or suspected neuromuscular, collagen, chromosomal or lower-extremity congenital abnormalities or syndromic-associated hip abnormalities
* Patients who received prior treatment (i.e. Pavlik harness) for DDH

Where it's running

• BC Children's Hospital
  Vancouver, British Columbia, Canada Recruiting

Study contacts

• Principal investigator: Kishore Mulpuri, FRCSC — University of British Columbia
• Study coordinator: Emily Schaeffer, PhD
• Email: emily.schaeffer@cw.bc.ca
• Phone: 604-875-2359

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.