Clubfoot Clinical Trial
— PBVE-MuscleOfficial title:
Evertor Muscle Activity as a Predictor of Achilles Tenotomy Before 1 Year in the Management of Idiopathic Varus Equinus Clubfoot
Clubfoot is an orthopedic congenital malformation of the lower limb of the newborn evaluated by the Dimeglio score. There is a deficit of muscular balance between the agonists and antagonists to the deformity. The Dimeglio score takes into account the muscular activity but only up to one point out of 20. This study proposes to use a muscle scale inspired by the Dimeglio score to see if there is a correlation between muscle activity and the risk of tenotomy before 1 year. It will also assess the inter-examiner reproducibility of this scale. This study is a prospective cohort study with a duration of 8 years to include about 100 feet. Infants with idiopathic Clubfoot treated with the functional method at up to 15 days of life will be included. Feet will be assessed at an inclusion visit and then at 3-6-12 months. The primary endpoint will be the need for Achilles tenotomy before 1 year of age. The secondary endpoint will be inter-examiner reproducibility determined by statistical analysis. The expectation of this study would be to define a predictive factor of the evolution of the PBVE in order to refine the treatment earlier.
Status | Recruiting |
Enrollment | 50 |
Est. completion date | December 2031 |
Est. primary completion date | March 2031 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Months to 12 Months |
Eligibility | Inclusion Criteria: - idiopathic clubfoot, managed by the functional method, managed before D15 to perform the initial assessment. Exclusion Criteria: - syndromic clubfoot, management other than functional method, management after D15 |
Country | Name | City | State |
---|---|---|---|
France | Hopitaux Pediatriques de Nice Chu-Lenval | Nice |
Lead Sponsor | Collaborator |
---|---|
Fondation Lenval |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Surgery | number of patient who need for Achilles tenotomy | maximum 1 year after inclusion | |
Secondary | Inter-examiner reproducibility | measure with statistical study the Inter-examiner reproducibility | through study completion, an average of 8 years |
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