About this trial
The study will assess the outcomes of patients treated with concomitant hip arthroscopy at the time of periacetabular osteotomy (PAO) for patients with hip dysplasia compared with patients treated with PAO alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of hip dysplasia (DDH) electing periacetabular osteotomy (PAO) for treatment
Skeletally mature
Age 15 - 55
Tonnis Grade 0 or 1 osteoarthritis (minimal or no arthritis)
Disqualifiers
Pregnant women
Previous surgery about the hip
Patients receiving PAO for acetabular retroversion in the absence of DDH
Previous hip arthroscopy to address intra-articular pathology
Trial design
Parallel
Treatments tested in this trial
Periacetabular osteotomy
Procedure/SurgeryThe Bernese periacetabular osteotomy has become the osteotomy of choice in North America for correction of the dysplastic hip. The ability to position the acetabular component in a specifically desired position for each individual patient improves joint biomechanics, restores joint balance and stability, and offloads the structures at risk for damage such as the labrum and the adjacent articular cartilage.
Periacetabular osteotomy with hip arthroscopy
Procedure/SurgeryAn intraarticular assessment with hip arthroscopy (HA) at the time of periacetabular osteotomy allows the surgeon to assess and treat the associated labral and chondral pathology and allows the surgeon to treat abnormalities of the femoral head junction.
Treatment groups
Trial outcomes
Primary outcomes
Mean score of Hip Disability and Osteoarthritis Outcome (Hoos)
Score ranges from 0-100 with higher scores representing better function.
Mean score of Western Ontario and McMaster Universities Arthritis Index (WOMAC)
The scores range from 0-4 in 24 different categories that are broken up into three subcategories: pain, stiffness and physical function.
Mean score of University California Los Angeles (UCLA) activity assessment
Measured on a 1-10 scale: 1) wholly inactive, dependent on others; 2) mostly inactive, restricted to minimal activities of daily living; 3) sometimes participate in mild activities such as walking, limited housework, or shopping; 4) regularly participate in mild activities; 5) sometimes participate in moderate activities such as swimming and unlimited housework or shopping; 6) regularly participate in moderate activities; 7) regularly participate in active events such as bicycling; 8) regularly participate in very active events such as bowling or golf; 9) sometimes participate in impact sports such as jogging, tennis, or skiing, or heavy labor; and 10) regularly participate in impact sports.
Mean score of the Marx Activity Scale (MARX)
Score is measured from 0-4.
Sponsors and contacts
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