Does a 6-week Duration of Hip Spica Immobilization Provide Comparable Clinical and Radiological Outcomes to 12 Weeks in Children Undergoing Open Reduction and Pelvic Osteotomy for Developmental Dysplasia of the Hip (DDH)?

ConditionDDH
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-6
SponsorAssiut University

About this trial

The study aim is to compare clinical and radiological outcomes of 6-week versus 12-week hip spica immobilization following open reduction and pelvic osteotomy for DDH.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children 18 months-6 years undergoing open reduction with pelvic osteotomy for DDH.

Disqualifiers

• Infection

Paralytic hip dislocation

Trial design

Design model

Parallel

Treatments tested in this trial

  • hip spica immobilization for 6 weeks

    Procedure/Surgery

    Patients undergo open reduction and pelvic osteotomy for DDH followed by hip spica cast immobilization for 6 weeks.

  • hip spica immobilization for 12 weeks

    Procedure/Surgery

    Patients undergo open reduction and pelvic osteotomy for DDH followed by hip spica cast immobilization for 12 weeks.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: 6-week spica groupExperimental treatment 1 intervention
Group B: 12-week spica groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Redislocation rate

Incidence of hip redislocation within the first 12 months after open reduction and hip spica immobilization.

Time frame
12 months post-surgery

Secondary outcomes

1

Radiological outcomes

Assessment of acetabular index and femoral head position using pelvic X-rays at follow-up

Time frame
3, 6, and 12 months post-surgery
2

Functional outcomes

Time to independent ambulation and hip joint range of motion assessment.

Time frame
Within 6-12 months post-surgery
3

Complications

Occurrence of cast-related problems including skin sores, pressure ulcers, and cast intolerance.

Time frame
During immobilization period and up to 3 months post-cast removal

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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