Comparing three surgical procedures for hip dislocation in children with cerebral palsy
Late-presenting Hip Dislocation in Non-ambulatory Children With Cerebral Palsy: A Comparison of Three Procedures
This study tests which of three different surgeries works best to fix hip dislocation in children with cerebral palsy who can’t walk.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 51 (estimated) |
| Sex | All |
| Sponsor | Ain Shams University Academic / other |
| Locations | 1 site (Cairo, Abbasia) |
| Trial ID | NCT05593887 on ClinicalTrials.gov |
What this trial studies
This clinical trial evaluates the effectiveness of three different surgical procedures for managing late-presenting hip dislocation in non-ambulatory children with cerebral palsy, specifically those classified as GMFCS levels IV and V. The study focuses on reconstructive and salvage surgeries, including hip reconstruction surgery, proximal femoral resection, and proximal femoral valgus osteotomy. By assessing outcomes such as pain relief and hip joint congruity, the trial aims to provide evidence-based recommendations for treating this challenging condition. The study utilizes the revised Melbourne Cerebral Palsy Hip Classification system to evaluate hip deformities and treatment effectiveness.
Who should consider this trial
Good fit: Ideal candidates for this study are non-ambulatory children with cerebral palsy classified as GMFCS levels IV and V who have neglected deformed dislocated hips.
Not a fit: Patients who are ambulatory or have previously undergone hip bony procedures will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly improve the quality of life for non-ambulatory children with cerebral palsy by alleviating pain and enhancing mobility and hygiene.
How similar studies have performed: Previous studies have shown positive outcomes with surgical interventions for hip displacement in similar patient populations, indicating that this approach has potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Lesion: neglected deformed dislocated hip (Deformed head Group B, C, and D according to Rutz classification modified from MCPHCS ) * Non-ambulatory: as defined by GMFCS level IV and V Exclusion Criteria: * Ambulatory patients * patients underwent any previous hip bony procedures. * Non-deformed Femoral head Group A according to Rutz classification * Neuromuscular hip dislocation other than cp.
Where this trial is running
Cairo, Abbasia
- Faculty of medicine — Cairo, Abbasia, Egypt (Recruiting)
Study contacts
- Study coordinator: Muhammad Ayoub, Master
- Email: Muhammad_ayoub@outlook.com
- Phone: +201093949792
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.