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

NCT ID: NCT03880318

Last Updated: 2019-03-19

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-04-01
• Study Completion Date: 2020-04-30

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.

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.

Conditions

Flat Foot; Rigid; Flat Foot; Spastic

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

spasmodic flat foot

extensor digitorum longus, peroneus brevis and tertius lengthening together with calcaneal osteotomies in spasmodic flat foot

Group Type: OTHER

Joint Preserving Surgery in spasmodic flat foot

Intervention Type: PROCEDURE

extensor digitorum longus, peroneus brevis and tertius lengthening together with calcaneal osteotomies

Interventions

Joint Preserving Surgery in spasmodic flat foot

extensor digitorum longus, peroneus brevis and tertius lengthening together with calcaneal osteotomies

Intervention Type: PROCEDURE

Eligibility 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".

• Minimum Eligible Age: 14 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Bahy Abdelaziz Ahmed

resident at Assiut University hospitals

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

spasmodic flat foot

Identifier Type: -

Identifier Source: org_study_id