Clinical Trial of Concomitant Hip Arthroscopy During PAO
| Status: | Recruiting |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 45 |
| Updated: | 11/9/2018 |
| Start Date: | August 23, 2017 |
| End Date: | June 30, 2020 |
| Contact: | Cody Wyles, MD |
| Email: | wyles.cody@mayo.edu |
| Phone: | (507) 284-1175 |
Single-Blind Randomized Clinical Trial of Concomitant Hip Arthroscopy During Periacetabular Osteotomy for the Management of Hip Dysplasia
The study will assess the outcomes of patients treated with concomitant hip arthroscopy at
the time of periacetabular osteotomy (PAO) for patients with hip dysplasia compared with
patients treated with PAO alone.
the time of periacetabular osteotomy (PAO) for patients with hip dysplasia compared with
patients treated with PAO alone.
There are currently no absolute indications for intraarticular assessment at the time of
periacetabular osteotomy (PAO). Based on investigators' review of the literature and
experience, patients who may benefit from intraarticular assessment are those with
radiographic or MRI evidence of damage where an intraarticular inspection may help in
determining whether a PAO is a reasonable procedure, those with mechanical symptoms likely
related to labral pathology, round ligament or cartilage problems and those with hip
dysplasia and cam deformities with limited range of motion that may benefit from femoral head
neck junction osteochondroplasty. However, despite these relative indications today there is
no clear evidence to suggest that these patients will do better than those that do not have
intraarticular work done. Hence, the objective of this project is to determine whether
intraarticular work at the time of PAO surgery leads to improved pain and function when
compared to patients that do not undergo intraarticular work at the time of PAO.
periacetabular osteotomy (PAO). Based on investigators' review of the literature and
experience, patients who may benefit from intraarticular assessment are those with
radiographic or MRI evidence of damage where an intraarticular inspection may help in
determining whether a PAO is a reasonable procedure, those with mechanical symptoms likely
related to labral pathology, round ligament or cartilage problems and those with hip
dysplasia and cam deformities with limited range of motion that may benefit from femoral head
neck junction osteochondroplasty. However, despite these relative indications today there is
no clear evidence to suggest that these patients will do better than those that do not have
intraarticular work done. Hence, the objective of this project is to determine whether
intraarticular work at the time of PAO surgery leads to improved pain and function when
compared to patients that do not undergo intraarticular work at the time of PAO.
Inclusion Criteria:
- Diagnosis of hip dysplasia (DDH) electing periacetabular osteotomy (PAO) for treatment
- Skeletally mature
- Age 18 - 45
- Tonnis Grade 0 or 1 osteoarthritis (minimal or no arthritis)
- Ability to receive a standard of care preoperative (magnetic resonance imaging) MRI
arthrogram of the hip
Exclusion Criteria:
- Pregnant women
- Previous surgery about the hip
- Patients receiving PAO for acetabular retroversion in the absence of DDH
- Previous hip arthroscopy to address intra-articular pathology
We found this trial at
1
site
Rochester, Minnesota 55905
Principal Investigator: Rafael Sierra, MD
Phone: 507-284-1175
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