Flatfeet Clinical Trial
Official title:
Prospective Comparison of Subtalar Arthroereisis To Lateral Column Lengthening for Painful Flatfeet
There is no consensus on the surgical treatment of unremitting, painful flatfeet in children. Subtalar arthroereisis has gained notoriety although there is a paucity of literature on its biomechanical effects. The goal of the investigators was to compare a group treated with subtalar arthroereisis with another group undergoing lateral column calcaneal lengthening. The investigators hypothesis was that the results of arthroereisis would be equivalent to the more established method of calcaneal lengthening.
The purpose of this prospective, non-randomized study was to evaluate two different surgical
treatments for symptomatic planovalgus feet: lateral column lengthening osteotomy and
subtalar arthroereisis. The goal of the investigators was to compare the outcomes of these
two surgeries and determine whether both treatments resulted in clinical improvement. This
was accomplished through the use of pre- and post-operative kinematics, pedobarography,
radiographic measurements, and validated outcome measures. The investigators were
particularly interested in analyzing the kinematic changes to quantify the changes in the
foot mobility and alignment during ambulation, as it has not been previously studied to our
knowledge. The investigators hypothesis was that both procedures would show significant
improvement and be equivalent in their results.
A prospective trial was conducted. The investigators enrolled fifteen patients (mean age
12.8y, 24 feet) with painful, planovalgus feet refractory to conservative treatment. Seven
patients (13 feet) were enrolled in the arthroereisis group, and eight patients (11 feet)
were enrolled in the calcaneal lengthening group. Though not specifically excluded, none of
the enrolled patients had an underlying neuromuscular diagnosis. Kinematic motion analysis
was performed on each patient prior to surgery and at one year of follow-up. Pedobarometry
studies, radiographs, and validated outcome questionnaires (Oxford Ankle-Foot Questionnaire
for Children) were also performed to evaluate the outcomes of both groups.
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Observational Model: Cohort, Time Perspective: Prospective
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Active, not recruiting |
NCT01618812 -
Calcaneal Neck Lengthening Osteotomy in Children With Artificial Bone Graft
|
N/A |