Late-presenting Hip Dislocation in Non-ambulatory Children With Cerebral Palsy: A Comparison of Three Procedures

Launched by MUHAMMAD AYOUB · Oct 22, 2022

Keywords

ClinConnect Summary

This clinical trial is studying the best surgical options for children with cerebral palsy who have a dislocated hip and are unable to walk. Researchers want to compare three different procedures: one that aims to reconstruct the hip joint, one that focuses on relieving pain and improving function, and another that involves changing the angle of the thigh bone to help with sitting and balance. The goal is to see which procedure works best and has fewer complications for these children.

To participate in this study, children need to have a dislocated hip that has not been treated before and must be classified as non-ambulatory, meaning they cannot walk (specifically, those in levels IV and V of the Gross Motor Function Classification System). Participants will be monitored after their surgery to assess pain relief and improvements in their ability to sit and move comfortably. This trial is important because it aims to provide clearer guidance on how to best help children with this challenging condition.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Lesion: neglected deformed dislocated hip (Deformed head Group B, C, and D according to Rutz classification modified from MCPHCS )
• • Non-ambulatory: as defined by GMFCS level IV and V
• Exclusion Criteria:
• • Ambulatory patients
• • patients underwent any previous hip bony procedures.
• • Non-deformed Femoral head Group A according to Rutz classification
• • Neuromuscular hip dislocation other than cp.