Gait Analysis in Children With Clubfoot Treated With Tibialis Anterior Tendon Transfer

NCT ID: NCT03953430

Last Updated: 2019-05-16

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 17 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2014-01-01
• Study Completion Date: 2018-03-30

Brief Summary

Patients with clubfoot treated with the Ponseti method and undergoing Tibialis Anterior tendon transfer from a prospective database are evaluated using gait analysis including the Oxford foot model and compared to a group of healthy children.

Detailed Description

Children with dynamic clubfoot recurrence after initial Ponseti treatment who underwent TATT between 2014 and 2017 are considered for this study. Exclusion criteria are neurological disease, split transfer of the tendon, additional bone or joint invasive surgery, and initial treatment abroad.

Gait analysis, including the Oxford foot model, will be conducted, and the kinematic and kinetic data of the lower extremity will be compared with a group of age-matched healthy children. To comprise a control group for the purpose of collecting gait analysis data of healthy children, employees of our hospital are asked to allow their children to participate in this study.

Patients will undergo gait analysis, including video recordings with a Vicon motion capture system (Vicon, Oxford, UK) with kinetic data collected from three AMTI force plates (Advanced Mechanical Technology, Inc., Watertown, MA). Placement of markers will be a combination of Cleveland (lower extremity), PlugInGait (upper body), and Oxford Foot (movement within the foot) models.

Conditions

Clubfoot

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

study group

Patients with clubfoot recurrence undergoing Tibialis Anterior tendon transfer with a minimum age of three years from a prospective, consecutive database of patients with clubfoot treated with the Ponseti method.

Gait analysis

Intervention Type: OTHER

control group

healthy children of employees of our hospital

Gait analysis

Intervention Type: OTHER

Interventions

Gait analysis

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children with unilateral or bilateral idiopathic clubfoot treated with the Ponseti method
• full TATT

Exclusion Criteria

• clubfoot associated with syndromes or neurological diseases
• initial Treatment elsewhere with more than 3 casts
• prior joint invasive or bony surgery
• split transfer of the tibialis anterior tendon

• Minimum Eligible Age: 3 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Orthopedic Hospital Vienna Speising

OTHER

Sponsor Role: lead

Responsible Party

Christof Radler

Christof Radler, MD (Head of Pediatric Orthopaedic Team)

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Christof Radler, MD

Role: STUDY_DIRECTOR

Orthopedic Hospital Vienna Speising

References

Mindler GT, Kranzl A, Lipkowski CA, Ganger R, Radler C. Results of gait analysis including the Oxford foot model in children with clubfoot treated with the Ponseti method. J Bone Joint Surg Am. 2014 Oct 1;96(19):1593-9. doi: 10.2106/JBJS.M.01603.

Reference Type: BACKGROUND

PMID: 25274784 (View on PubMed)

Other Identifiers

TATT

Identifier Type: -

Identifier Source: org_study_id