Ligamentum Teres in Management of Developmental Hip Dysplasia

Function of Ligamentum Teres in Management of Developmental Hip Dysplasia (DDH)

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07356921

Enrollment

Registered

2026-01-21

Start date

2026-01-20

Completion date

2026-10-01

Last updated

2026-01-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Orthopaedic Surgery

Brief summary

Treatment of developmental dysplasia of the hip (DDH) is still challenging, till now there is no any recent advances have refined our understanding of how best to survey for the condition during infancy and refine the selection of patients who can best benefit from hip preservation surgery.

Detailed description

Concentric positioning of femoral head into the acetabular cavity and adequate balance in growth between tri-radiate and acetabular cartilage are leading to adequate growth and development of the hip. Any alteration in these two conditions leads to a hip dysplasia & dislocation . Treatment of developmental dysplasia of the hip (DDH) is still challenging, till now there is no any recent advances have refined our understanding of how best to survey for the condition during infancy 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, decrease the incidence of total hip arthroplasty in adulthood related to undertreat DDH and prevent avascular necrosis (AVN). The goal of the treatment is to achieve a concentric reduction of the femoral head into the acetabulum.

Interventions

PROCEDUREligamentum teres tenodesis

* Creating a tract or tunnel: from acetabulum cavity to intra pelvic cavity using bit (3.5mm or 4.5mm according to the size of the ligament) or k wire (3mm) from the site of the ligamentum attached at the acetabulum guided with passer * Passing of the sutured ligamentum teres through the tunnel * Tighting of the passed sutured ligamentum teres

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

9 Months to 5 Years

Healthy volunteers

Inclusion criteria

* Virgin developmental dysplasia of the hip (DDH) * failed closed reduction in the management of DDH and failed open reduction through medial approach in the management of DDH

Exclusion criteria

* cases that managed previously through anterior approach * old neglected cases above 5 years old children

Design outcomes

Primary

Measure	Time frame
modified Harris Hip Score	6 months

Contacts

CONTACTbahaaeldin Mohamed Bahaaeldin Ibrahim, MD

Bahaa_ortho@yahoo.com0201006895757

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026