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Joint Preserving Surgery for Correction of Spasmodic Flat- Foot in Skeletally Mature Foot

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ClinicalTrials.gov Identifier: NCT03880318
Recruitment Status : Not yet recruiting
First Posted : March 19, 2019
Last Update Posted : March 19, 2019
Sponsor:
Information provided by (Responsible Party):
Ahmed Bahy Abdelaziz Ahmed, Assiut University

Brief Summary:
the investigators want to obtain a functional and radiological outcome of peroneus brevis, tertius and extensor digitorum longus muscles lengthening together with calcaneal osteotomies in the treatment of the spasmodic flat- foot.

Condition or disease Intervention/treatment Phase
Flat Foot; Rigid Flat Foot; Spastic Procedure: Joint Preserving Surgery in spasmodic flat foot Not Applicable

Detailed Description:
One of the most common foot complaints is the "flatfoot" deformity. Clinical evaluation of flatfeet primarily focuses on differentiation between the two main types: flexible and rigid. The rigid flatfoot deformity is an uncommon diagnosis (occurring one-third as often as the flexible type) but often is symptomatic and requires treatment". Multiple causes of rigid flatfeet have been identified such as rheumatoid arthritis, tarsal coalitions (being the most common cause) that are excluded from that research. Triple arthrodesis is used for treatment of rigid flat foot but the patient satisfaction is not good as there is some stiffness in the foot .but here the investigators want to know what is the effect of extensor digitorum longus, peroneus brevis and tertius lengthening together with osteotomies in alignment of spasmodic flat- foot. In patient with rigid flat- foot or spasmodic flat- foot will often have the hind-foot alignment to the outside. Alignment of the heel influences how weight-bearing stress is applied to the foot, ankle, knee and hip. So, these patients may benefit from the calcaneal osteotomies and extensor digitorum longus, peroneus brevis and tertius lengthening to improve that alignment.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 22 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Joint Preserving Surgery for Correction of Spasmodic Flat- Foot in Skeletally Mature Foot
Estimated Study Start Date : April 1, 2019
Estimated Primary Completion Date : March 2020
Estimated Study Completion Date : April 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Foot Health

Arm Intervention/treatment
spasmodic flat foot
extensor digitorum longus, peroneus brevis and tertius lengthening together with calcaneal osteotomies in spasmodic flat foot
Procedure: Joint Preserving Surgery in spasmodic flat foot
extensor digitorum longus, peroneus brevis and tertius lengthening together with calcaneal osteotomies




Primary Outcome Measures :
  1. assess the foot deformity [ Time Frame: Baseline ]
    assess foot deformity : full correction (valgus<10 degree), partial correction(valgus<15 degree),valgus >15 degree)

  2. assess the pain: Visual Analog Score [ Time Frame: Baseline ]
    The Visual Analogue Scale (VAS) consists of a straight line with the endpoints defining extreme limits such as 'no pain at all' and 'pain as bad as it could be'. The patient is asked to mark his pain level on the line between the two endpoints. The distance between 'no pain at all' and the mark then defines the subject's pain. This tool was first used in psychology by Freyd in 1923



Information from the National Library of Medicine

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Ages Eligible for Study:   14 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Painful, incorrectable pes Plano valgus after failure of conservative treatment
  • Age: patients with skeletally mature foot as proved by x-ray

Exclusion Criteria:

  • coalition bar
  • Ankle subtalar joint arthritis.
  • Previous foot fractures.
  • Severe trophic skin disorders
  • Standard contraindications to any surgery such as poor circulation, concurrent infection, other co-morbidity".

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Responsible Party: Ahmed Bahy Abdelaziz Ahmed, resident at Assiut University hospitals, Assiut University
ClinicalTrials.gov Identifier: NCT03880318     History of Changes
Other Study ID Numbers: spasmodic flat foot
First Posted: March 19, 2019    Key Record Dates
Last Update Posted: March 19, 2019
Last Verified: March 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Flatfoot
Talipes
Foot Deformities, Acquired
Foot Deformities
Musculoskeletal Diseases
Foot Deformities, Congenital
Lower Extremity Deformities, Congenital
Limb Deformities, Congenital
Musculoskeletal Abnormalities
Congenital Abnormalities