Is There a Role for Hip Arthroscopy in Patients With Femoral Head Fractures?
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
Femoral head fractures, often caused by high-energy trauma, pose significant challenges due to complications like avascular necrosis, post-traumatic osteoarthritis, and sciatic nerve damage. While traditionally treated with open reduction and internal fixation (ORIF) or total hip replacement (THR), hip arthroscopy has emerged as a minimally invasive alternative that reduces surgical trauma, offers direct fracture visualization and manipulation, and may result in shorter recovery times and fewer complications.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 55
Healthy Volunteers: t
View:
• Patients with pipkin 1 fractures
Locations
Other Locations
Egypt
Kasr Al Ainy-Cairo University- Faculty of Medicine
RECRUITING
Cairo
Contact Information
Primary
Ahmed Hazem, MD
azeem@kasralainy.edu.eg
+20 122 330 3789
Time Frame
Start Date: 2022-01-01
Estimated Completion Date: 2024-12-01
Participants
Target number of participants: 5
Treatments
Experimental: Patients with pipin 1 fractures fixed with arthroscopy
Accurate portal placement was essential for optimal visualization and safe access to the hip joint.~* The anterolateral, anterior, and distal lateral accessory portals were utilized for arthroscopic labral repair.~* The anterolateral portal was placed approximately 1-2 cm superior to the tip of the greater trochanter and 1-2 cm anterior, at an angle of 15° to 20° relative to the floor.~* The anterior portal was established for visualization of the posterior-superior capsule, posterior-superior labrum, posterior recess, femoral head, ligamentum teres, and other structures.~* The distal lateral accessory portal was placed after traction was released and the operative knee was flexed to 45°.~After reducing the fracture under arthroscopic guidance, a guidewire fixed the fracture a cannulated screw was passed over the wire to fix the fracture.
Related Therapeutic Areas
Sponsors
Leads: Kasr El Aini Hospital