Guided growth treatment for hip issues in children with cerebral palsy

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 clinical trial investigates the effectiveness of temporary medial hemi-epiphysiodesis of the proximal femur to modify hip growth in children with spastic cerebral palsy. The goal is to reduce the risk of hip dislocation and the need for more invasive surgeries by assessing the outcomes of this intervention compared to the current standard care of adductor tenotomies alone. Children aged 2-8 years with specific hip conditions will be enrolled to evaluate the impact of this guided growth approach on hip migration.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Spastic CP
* GMFCS level IV-V
* Aged 2-8 years
* At least one hip with an abduction in flexion ≤ 40 degrees
* Migration percentage of 30-50%
* Head shaft angle \> 145

Exclusion Criteria:

* Not fit for surgery
* History of bony hip surgery to the affected hip
* Severe acetabular dysplasia defined as a gothic arch, an incongruent joint or an acetabular index \> 30 degrees, consistent with A2 and A3 acetabular deformity according to Robin and Graham in an adequately performed radiographs

Where it's running

• UMC Groningen
  Groningen, Netherlands Recruiting
• Maastricht UMC
  Maastricht, Netherlands Recruiting
• Erasmus MC
  Rotterdam, Netherlands Recruiting
• Amsterdam UMC
  Amsterdam, Netherlands Not yet recruiting
• Sint Maartenskliniek
  Nijmegen, Netherlands Not yet recruiting

Study contacts

• Principal investigator: Jaap Tolk, MD, PhD — Erasmus Medical Center
• Study coordinator: Merel Roelen, MD
• Email: m.roelen@erasmusmc.nl
• Phone: +31639173455

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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.