Clinical Trial of Concomitant Hip Arthroscopy During PAO

ConditionHip Dysplasia
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age15-55
SponsorMayo Clinic

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Periacetabular osteotomy

    Procedure/Surgery

    The 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/Surgery

    An 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

106 Participants
are divided into 2 treatment groups
Group A: Periacetabular osteotomyExperimental treatment 1 intervention
Group B: Periacetabular osteotomy with hip arthroscopyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Mean score of Hip Disability and Osteoarthritis Outcome (Hoos)

Score ranges from 0-100 with higher scores representing better function.

Time frame
1 year follow-up time point
2

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.

Time frame
1 year follow-up time point
3

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.

Time frame
1 year follow-up time point
4

Mean score of the Marx Activity Scale (MARX)

Score is measured from 0-4.

Time frame
1 year follow-up time point

Secondary outcomes

Other outcomes

Sponsors and contacts

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