Acute Pediatric Septic Hip Infection
Conditions
Brief summary
Acute septic hip infection in pediatric population is a true orthopedic surgical emergency that require early diagnosis and prompt management. Open surgical debridement and drainage of the hip through lateral approach is the gold standard method of treatment. Usage of hip arthroscopy in the treatment of such condition has been in clinical practice for more than 30 years. However, literature is still lacking in actual prospective comparison about the outcome of both methods.
Detailed description
The study will divide the children presented with acute septic hip infection into two groups; the control group in which the child will undergo traditional open surgical debridement and drainage of the hip via lateral approach, and the intervention group in which arthroscopic drainage and debridement of the hip will be done. The outcomes of both methods will be recorded and compared. The research hypothesis is that arthroscopic management of acute pediatric septic hip infection is as effective as open surgery; with fewer complications and faster recovery.
Interventions
PROCEDUREArthroscopic management of acute pediatric septic hip infecion
Three-portals tractionless hip arthroscopy will be used to treat acute pediatric septic hip infection
PROCEDUREOpen debridement of acute pediatric septic hip
surgical drainage and debridement of acute septic hip in children via classic lateral approach
Sponsors
Hesham Mohamed Elbaseet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Months to 14 Years
Healthy volunteers
No
Inclusion criteria
* Age 10 months - 14 years \_unilateral or bilateral acute septic hip arthritis
Exclusion criteria
* Children with pre-existing other pathology of the affected hip, whether he / she has surgery for management of this pathology or not. * Patients whose parents refuse to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Mckay's criteria | One Year Follow-up | Excellent: painless, stable hip; no limp; more than 15 degrees of internal rotation. Good: painless, stable hip; slight limb or decreased motion , negative Trendelenburg sign Fair: minimum pain; moderate stiffness, positive Trendelenburg sign Poor: significant pain. |
Contacts
Primary ContactAbdullah Mohammed, Phd
Outcome results
None listed