Periacetabular Osteotomy With and Without Arthroscopic Management of Central Compartment Pathology

Launched by OTTAWA HOSPITAL RESEARCH INSTITUTE · Mar 21, 2018

Keywords

ClinConnect Summary

This clinical trial is studying whether performing a hip arthroscopy, which is a minimally invasive surgery to look inside the hip joint, at the same time as a periacetabular osteotomy (PAO) can improve recovery and outcomes for patients with hip dysplasia. The PAO is a surgery that helps realign the hip joint to relieve pain and improve function. Participants in this study will be randomly assigned to either have only the PAO or to have both surgeries at the same time.

To be eligible for this trial, participants must be between 16 and 50 years old and have a specific type of hip problem called acetabular dysplasia. They also need to be able to understand the study and give their consent. Unfortunately, those who have had previous hip surgeries, certain medical disorders, or specific types of arthritis cannot participate. If you join the study, you will receive careful monitoring and follow-up to assess your recovery and overall outcomes after the surgeries. This research aims to provide clearer answers on the best approach to treating hip dysplasia.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Skeletally mature patient undergoing Bernese periacetabular osteotomy for symptomatic acetabular dysplasia/hip instability
• • Pre-Operative MRI at 3T and/or gadolinium MR arthrogram
• • Age, 16-50 years old
• • Patient capable of giving informed consent
• Exclusion Criteria:
• • Prior hip/pelvis surgery of any kind on the surgical side
• • Prior hip arthroplasty surgery on either side
• • Radiographic evidence of arthritis (i.e. Tönnis grade =2)
• • Known connective tissue disorder (e.g. Ehlers-Danlos Syndrome, etc.)
• • Known neuromuscular disorder (e.g. Cerebral Palsy, Spina bifida, etc.)
• • Known skeletal dysplasia (e.g. Achondroplasia, Multiple Epiphyseal Dysplasia, etc.)
• • Cognitive impairment that prevents accurate completion of patient-reported outcome questionnaires.
• • Patient unable/unwilling to complete all required follow-up visits
• • Concurrent proximal femoral osteotomy and/or surgical hip dislocation