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
Ottawa Hospital Research Institute
204 participants
Apr 4, 2018
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
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
Participants who are randomized to the Scope-PAO group will receive central compartment hip arthroscopy in addition to the PAO.
Participants who are randomized to the "PAO-only" group will receive a Bernese Periacetabular Osteotomy (PAO) for treatment of hip dysplasia.
Locations(7)
View Full Details on ClinicalTrials.gov
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NCT03481010