Management of Pes Planovalgus With Talocalcaneal Coalition ,Osteotomy vs Arthroereisis

Pes Planus Clinical Trial

Official title:

Coalition Excision and Corrective Osteotomies vs Coalition Excision and Arthroereisis in Management of Pes Planovalgus With Talocalcaneal Coalition in Adolescent

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05170698
• Other study ID #: 0000017585
• Status: Completed
• Phase: N/A
• Start date: November 18, 2018
• Est. completion date: December 30, 2021

Study information

• Verified date: June 2022
• Source: Ain Shams University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

the investigators compare the corrective osteotomies vs arthroereisis in management of talcalcaneal coalition in adolescents as regard the outcome to provide the best intervention for the patient

Description:

In talocalcaneal coalition management is controversial so in this study the invstigators try to compare techniques other than coalition excision only or fusion only by using two types of intervention including first coalition excision and multiple corrective osteotomies according to deformity as evans ,medial displacement calcaneal osteotomy and cotton osteotomy vs coalition excision and arthroereisis the investigators compare functional and radiological outcomes and complication to provide the best management for these patients .

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: December 30, 2021
• Est. primary completion date: December 18, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 10 Years to 20 Years

Eligibility

Inclusion Criteria:

• flat foot due to talocalcaneal coalition Symptomatic patient Resectable coalition Age between 10 and 20

Exclusion Criteria:

• flat foot of other etiology Age more than 20 Concurrent knee deformity unless corrected before surgery Extensive coalition more than 50 %of posterior facet

Related Conditions & MeSH terms

• Flatfoot
• Pes Planus

Intervention

Procedure:
• Coaltion excision and arthroereisis
Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent
• Coalition excision and corrective osteotomies
Both done to treat rigid flat foot with talocalcaneal coalition. Talocalcaneal coalition excision and management of rigid pes planovalgus in adolescent

Locations

Country	Name	City	State
Egypt	Ain shams university	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Ain Shams University

Country where clinical trial is conducted

Egypt, 

References & Publications (2)

El Shazly O, Mokhtar M, Abdelatif N, Hegazy M, El Hilaly R, El Zohairy A, Tawfik E. Coalition resection and medial displacement calcaneal osteotomy for treatment of symptomatic talocalcaneal coalition: functional and clinical outcome. Int Orthop. 2014 Dec;38(12):2513-7. doi: 10.1007/s00264-014-2535-3. Epub 2014 Sep 25. — View Citation

Siddiqui NA, Lamm BM. Digital planning for foot and ankle deformity correction: Evans osteotomy. J Foot Ankle Surg. 2014 Nov-Dec;53(6):700-5. doi: 10.1053/j.jfas.2014.04.011. Epub 2014 Jun 6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	AOFAS	he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function	preoperative
Other	AOFAS	he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function	three months
Other	AOFAS	he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function	six months
Other	AOFAS	he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function	one year
Other	AOFAS	he American Orthopaedic Foot & Ankle Society (AOFAS) score up to 100 the higher the score the better function	two year
Primary	Degree of deformity valgus	By goniometer	preoperative
Primary	Degree of deformity valgus	By goniometer	three months
Primary	Degree of deformity valgus	By goniometer	six months
Primary	Degree of deformity valgus	By goniometer	one year postoperative
Primary	Degree of deformity valgus	By goniometer	two year postoperative
Primary	Subtalar range of motion	By geniometer for inversion and eversion	preoperative
Primary	Subtalar range of motion	By geniometer for inversion and eversion	three months
Primary	Subtalar range of motion	By geniometer for inversion and eversion	six months
Primary	Subtalar range of motion	By geniometer for inversion and eversion	one year postoperative
Primary	Subtalar range of motion	By geniometer for inversion and eversion	two year postoperative
Secondary	functional outcome	By foot ankle ability measurement score	preoperative
Secondary	Patient satisfaction	By foot and ankle disability score	preoperative
Secondary	functional outcome	By foot ankle ability measurement score	three months
Secondary	Patient satisfaction	By foot and ankle disability score	three months
Secondary	functional outcome	By foot ankle ability measurement score	six months
Secondary	Patient satisfaction	By foot and ankle disability score	six months
Secondary	functional outcome	By foot ankle ability measurement score	one year
Secondary	functional outcome	By foot ankle ability measurement score	two year
Secondary	Patient satisfaction	By foot and ankle disability score	one year
Secondary	Patient satisfaction	By foot and ankle disability score	two year