Ligamentum Teres Tenodesis in Developmental Dysplasia of the Hip

Al-Azhar University

Status: Not yet enrolling

Conditions: Orthopedic Disorder

Treatments: Other: ligamentum teres tenodesis

Study type: Observational

Funder types: Other

Identifiers

NCT05432505

LTT

Details and patient eligibility

About

The treatment of developmental dysplasia of the hip (DDH) remains challenging, yet recent advances have refined our understanding of how best to survey for the condition during infancy, minimize complications during early treatment, and refine the selection of patients who can best benefit from hip preservation surgery. The ideal continued target would be to prevent missed hip dislocations or dysplasia during the infant period, prevent avascular necrosis (AVN) during early treatment, and decrease the incidence of total hip arthroplasty in adulthood related to undertreated DDH, The goal of the treatment is to achieve a concentric reduction of the femoral head into the acetabulum.

Full description

it is an operative technique to secure the femoral head after reduction in cases of developmental dysplasia of the hip

Operative technique:

The surgery will be accomplished under a general anesthesia.

An addition to the steps of the open reduction, the following were done:

1. Identification of ligamentum teres
2. ligamentum teres tenodesis

Enrollment: 20 estimated patients

Sex: All

Ages: 9 to 60 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

  • Age: from 9 months -5 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.