Ligamentoplasty of Ligamentum Tere Developmental Dysplasia of the Hip

Al-Azhar University

Status: Not yet enrolling

Conditions: Orthopedic Disorder

Treatments: Procedure: ligamentoplasty of ligamentum teres

Study type: Observational

Funder types: Other

Identifiers

NCT05603871

LPLT

Details and patient eligibility

About

The hip is formed by the acetabulum, the proximal femur and soft tissues joining them (capsule, teres ligament, transverse ligament and pulvinar). The acetabulum is a complex structure in the growing child. It is formed by the joined pubis, This junction is called tri radiate cartilage, which is responsible for acetabular growth. The external surface of the acetabulum is covered by a horse shoe-shaped articular cartilage. The transverse ligament joins both extremes of the articular cartilage inferiorly.

Enrollment: 3 estimated patients

Sex: All

Ages: 9 months to 3 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with Developmental dysplasia of the hip (DDH) with :

  • Age: from 9 months -3 years old.
  • Virgin DDH.
  • Failed closed reduction in the management of DDH.
  • Failed open reduction through medial approach in the management of DDH.

Exclusion criteria

• • Paralytic hip dislocation .

  • Post septic hip dislocation.
  • Traumatic hip dislocation .
  • Age : below 9 months or above 5 years.
  • Refusal to participate in this study.

Trial design

3 participants in 1 patient group

ligamentoplasty of ligamentum teres

Description:

The patients will be examined for: 1. Length of both lower limbs in relation to each other. 2. Length of both lower limbs according to patient age. 3. Presence of hump related to the outer surface of the hip 4. Presence of pain, abnormal gait, Trendlenburg test. An addition to the steps of the open reduction, the following were done: 1. Identification of ligamentum teres 2. Ligamentoplasty of ligamentum teres

Treatment:

Procedure: ligamentoplasty of ligamentum teres