Comparison of Casting Materials for the Treatment of Clubfoot Using the Ponseti Method

NCT ID: NCT01067651

Last Updated: 2010-02-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study was to determine the influence of cast material on correction of congenital idiopathic clubfeet using the Ponseti method.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Congenital idiopathic clubfoot is the most common congenital deformity in children. It can be a major cause of disability for children, as well as an emotional stress for parents. The Ponseti method of clubfoot correction, consisting of serial manipulations and casting, is now the gold standard of treatment. It has traditionally been described using plaster of Paris (POP) above-knee casts; however, recently semi-rigid fiberglass softcast (SRF, 3M Scotchcast) has grown in popularity. There are currently no randomized controlled trials to prove its efficacy with respect to POP.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Clubfoot Ponseti Method Talipes Equinovarus Casting

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Plaster of Paris (POP)

Group Type ACTIVE_COMPARATOR

Plaster of Paris (POP) casting using the Ponseti Method

Intervention Type DEVICE

semi-rigid fiberglass softcast (SRF, 3M Scotchcast)

Group Type ACTIVE_COMPARATOR

Semi-Rigid Fiberglass softcast using the Ponseti Method

Intervention Type DEVICE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Plaster of Paris (POP) casting using the Ponseti Method

Intervention Type DEVICE

Semi-Rigid Fiberglass softcast using the Ponseti Method

Intervention Type DEVICE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* congenital idiopathic clubfoot

Exclusion Criteria

* positional equinovarus
* teratologic etiologies of clubfoot
* treatment started at another center
* refuse randomization
* do not understand English
Minimum Eligible Age

1 Week

Maximum Eligible Age

12 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Alberta Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

IWK Health Centre

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Jason Howard, MD

Role: PRINCIPAL_INVESTIGATOR

IWK Health Centre

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Alberta Children's Hospital

Calgary, Alberta, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Canada

References

Explore related publications, articles, or registry entries linked to this study.

Pittner DE, Klingele KE, Beebe AC. Treatment of clubfoot with the Ponseti method: a comparison of casting materials. J Pediatr Orthop. 2008 Mar;28(2):250-3. doi: 10.1097/BPO.0b013e318164f8e7.

Reference Type BACKGROUND
PMID: 18388724 (View on PubMed)

Ponseti IV. The ponseti technique for correction of congenital clubfoot. J Bone Joint Surg Am. 2002 Oct;84(10):1889-90; author reply 1890-1. doi: 10.2106/00004623-200210000-00026. No abstract available.

Reference Type BACKGROUND
PMID: 12377924 (View on PubMed)

Ponseti IV. Relapsing clubfoot: causes, prevention, and treatment. Iowa Orthop J. 2002;22:55-6. No abstract available.

Reference Type BACKGROUND
PMID: 12180612 (View on PubMed)

Ponseti IV. Clubfoot management. J Pediatr Orthop. 2000 Nov-Dec;20(6):699-700. doi: 10.1097/00004694-200011000-00001. No abstract available.

Reference Type BACKGROUND
PMID: 11097239 (View on PubMed)

Ponseti IV. Common errors in the treatment of congenital clubfoot. Int Orthop. 1997;21(2):137-41. doi: 10.1007/s002640050137.

Reference Type BACKGROUND
PMID: 9195271 (View on PubMed)

Ponseti IV, Campos J. Observations on pathogenesis and treatment of congenital clubfoot. Clin Orthop Relat Res. 1972 May;84:50-60. doi: 10.1097/00003086-197205000-00011. No abstract available.

Reference Type BACKGROUND
PMID: 5032850 (View on PubMed)

Dobbs MB, Morcuende JA, Gurnett CA, Ponseti IV. Treatment of idiopathic clubfoot: an historical review. Iowa Orthop J. 2000;20:59-64.

Reference Type BACKGROUND
PMID: 10934626 (View on PubMed)

Altman DG, Schulz KF, Moher D, Egger M, Davidoff F, Elbourne D, Gotzsche PC, Lang T; CONSORT GROUP (Consolidated Standards of Reporting Trials). The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med. 2001 Apr 17;134(8):663-94. doi: 10.7326/0003-4819-134-8-200104170-00012.

Reference Type BACKGROUND
PMID: 11304107 (View on PubMed)

Berman AT, Parks BG. A comparison of the mechanical properties of fiberglass cast materials and their clinical relevance. J Orthop Trauma. 1990;4(1):85-92. doi: 10.1097/00005131-199003000-00015.

Reference Type BACKGROUND
PMID: 2313436 (View on PubMed)

Carroll NC. Clubfoot: what have we learned in the last quarter century? J Pediatr Orthop. 1997 Jan-Feb;17(1):1-2. No abstract available.

Reference Type BACKGROUND
PMID: 8989690 (View on PubMed)

Colburn M, Williams M. Evaluation of the treatment of idiopathic clubfoot by using the Ponseti method. J Foot Ankle Surg. 2003 Sep-Oct;42(5):259-67. doi: 10.1016/s1067-2516(03)00312-0.

Reference Type BACKGROUND
PMID: 14566717 (View on PubMed)

Cooper DM, Dietz FR. Treatment of idiopathic clubfoot. A thirty-year follow-up note. J Bone Joint Surg Am. 1995 Oct;77(10):1477-89. doi: 10.2106/00004623-199510000-00002.

Reference Type BACKGROUND
PMID: 7593056 (View on PubMed)

Coss HS, Hennrikus WL. Parent satisfaction comparing two bandage materials used during serial casting in infants. Foot Ankle Int. 1996 Aug;17(8):483-6. doi: 10.1177/107110079601700809.

Reference Type BACKGROUND
PMID: 8863028 (View on PubMed)

Dobbs MB, Corley CL, Morcuende JA, Ponseti IV. Late recurrence of clubfoot deformity: a 45-year followup. Clin Orthop Relat Res. 2003 Jun;(411):188-92. doi: 10.1097/01.blo.0000065837.77325.19.

Reference Type BACKGROUND
PMID: 12782875 (View on PubMed)

Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA. Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am. 2004 Jan;86(1):22-7. doi: 10.2106/00004623-200401000-00005.

Reference Type BACKGROUND
PMID: 14711941 (View on PubMed)

Flynn JM, Donohoe M, Mackenzie WG. An independent assessment of two clubfoot-classification systems. J Pediatr Orthop. 1998 May-Jun;18(3):323-7.

Reference Type BACKGROUND
PMID: 9600557 (View on PubMed)

Haft GF, Walker CG, Crawford HA. Early clubfoot recurrence after use of the Ponseti method in a New Zealand population. J Bone Joint Surg Am. 2007 Mar;89(3):487-93. doi: 10.2106/JBJS.F.00169.

Reference Type BACKGROUND
PMID: 17332096 (View on PubMed)

Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop. 2002 Jul-Aug;22(4):517-21.

Reference Type BACKGROUND
PMID: 12131451 (View on PubMed)

Ippolito E, Farsetti P, Caterini R, Tudisco C. Long-term comparative results in patients with congenital clubfoot treated with two different protocols. J Bone Joint Surg Am. 2003 Jul;85(7):1286-94. doi: 10.2106/00004623-200307000-00015.

Reference Type BACKGROUND
PMID: 12851354 (View on PubMed)

Ippolito E, Fraracci L, Farsetti P, Di Mario M, Caterini R. The influence of treatment on the pathology of club foot. CT study at maturity. J Bone Joint Surg Br. 2004 May;86(4):574-80.

Reference Type BACKGROUND
PMID: 15174556 (View on PubMed)

Laaveg SJ, Ponseti IV. Long-term results of treatment of congenital club foot. J Bone Joint Surg Am. 1980 Jan;62(1):23-31.

Reference Type BACKGROUND
PMID: 7351412 (View on PubMed)

Mihalko WM, Beaudoin AJ, Krause WR. Mechanical properties and material characteristics of orthopaedic casting material. J Orthop Trauma. 1989;3(1):57-63. doi: 10.1097/00005131-198903010-00011.

Reference Type BACKGROUND
PMID: 2709205 (View on PubMed)

Morcuende JA, Abbasi D, Dolan LA, Ponseti IV. Results of an accelerated Ponseti protocol for clubfoot. J Pediatr Orthop. 2005 Sep-Oct;25(5):623-6. doi: 10.1097/01.bpo.0000162015.44865.5e.

Reference Type BACKGROUND
PMID: 16199943 (View on PubMed)

Noonan KJ, Richards BS. Nonsurgical management of idiopathic clubfoot. J Am Acad Orthop Surg. 2003 Nov-Dec;11(6):392-402. doi: 10.5435/00124635-200311000-00003.

Reference Type BACKGROUND
PMID: 14686824 (View on PubMed)

Pirani S, Zeznik L, Hodges D. Magnetic resonance imaging study of the congenital clubfoot treated with the Ponseti method. J Pediatr Orthop. 2001 Nov-Dec;21(6):719-26.

Reference Type BACKGROUND
PMID: 11675543 (View on PubMed)

Ponseti IV. Treatment of congenital club foot. J Bone Joint Surg Am. 1992 Mar;74(3):448-54. No abstract available.

Reference Type BACKGROUND
PMID: 1548277 (View on PubMed)

Roye DP Jr, Roye BD. Idiopathic congenital talipes equinovarus. J Am Acad Orthop Surg. 2002 Jul-Aug;10(4):239-48. doi: 10.5435/00124635-200207000-00002.

Reference Type BACKGROUND
PMID: 15089073 (View on PubMed)

Silfverskiold JP. Fiberglass versus plaster casts. How to choose between them. Postgrad Med. 1989 Oct;86(5):71-2, 74. doi: 10.1080/00325481.1989.11704430.

Reference Type BACKGROUND
PMID: 2636865 (View on PubMed)

Tindall AJ, Steinlechner CW, Lavy CB, Mannion S, Mkandawire N. Results of manipulation of idiopathic clubfoot deformity in Malawi by orthopaedic clinical officers using the Ponseti method: a realistic alternative for the developing world? J Pediatr Orthop. 2005 Sep-Oct;25(5):627-9. doi: 10.1097/01.bpo.0000164876.97949.6b.

Reference Type BACKGROUND
PMID: 16199944 (View on PubMed)

Morcuende JA, Dolan LA, Dietz FR, Ponseti IV. Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method. Pediatrics. 2004 Feb;113(2):376-80. doi: 10.1542/peds.113.2.376.

Reference Type BACKGROUND
PMID: 14754952 (View on PubMed)

Ponseti I, Morcuende J, Mosca V, Pirani S, Dietz F, Herzenberg J, Weinstein S, Penny N, Michiel Steenbeek. Clubfoot: Ponseti Management Second Edition. Global-HELP publication

Reference Type BACKGROUND

Related Links

Access external resources that provide additional context or updates about the study.

http://www.global-help.org

Website provides links to the publication entitled: Clubfoot: Ponseti Management

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

E-20062

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

SPLATT to Peroneus Brevis vs TATT to Lateral Cuneiform
NCT06300645 ENROLLING_BY_INVITATION NA