RecruitingNot ApplicableNCT03481010

Periacetabular Osteotomy With and Without Arthroscopic Management of Central Compartment Pathology

Periacetabular Osteotomy With and Without Arthroscopic Management of Central Compartment Pathology: A Multicenter Randomized Controlled Trial


Sponsor

Ottawa Hospital Research Institute

Enrollment

204 participants

Start Date

Apr 4, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

At present, it is not clear whether performing a hip arthroscopy at the same time as a PAO improves patient outcomes after surgery compared to a PAO alone. This research project will randomize patients to receive either a PAO alone, or a PAO and a hip arthroscopy at the same time.


Eligibility

Min Age: 16 YearsMax Age: 50 Years

Inclusion Criteria4

  • 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 Criteria9

  • 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

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Interventions

PROCEDUREPAO with hip arthroscopy

Participants who are randomized to the Scope-PAO group will receive central compartment hip arthroscopy in addition to the PAO.

PROCEDUREPAO without hip arthroscopy

Participants who are randomized to the "PAO-only" group will receive a Bernese Periacetabular Osteotomy (PAO) for treatment of hip dysplasia.


Locations(7)

Northwestern University

Chicago, Illinois, United States

William Beaumont Hospital

Royal Oak, Michigan, United States

The Washington University

St Louis, Missouri, United States

Hospital for Special Surgery

New York, New York, United States

Children's Hospital of Eastern Ontario

Ottawa, Ontario, Canada

Ottawa Hospital Research Institute

Ottawa, Ontario, Canada

CHU de Québec - Université Laval

Québec, Canada

View Full Details on ClinicalTrials.gov

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NCT03481010


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